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Munchausen syndrome by proxy. The importance of behavioral characteristics in recognition and investigation.

Munchausen Syndrome by Proxy is a serious form of child abuse/maltreatment that often leads to death. Unfortunately, it is sometimes recognized only after a child dies. Police and EMS personnel are mandated reporters of child abuse; however, it is important to understand the differences in behaviors and characteristics found in Munchausen syndrome, as opposed to other forms of abuse.