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Department of Paediatrics and
Child Health, St James's University Hospital, Leeds LS9 7TF
Correspondence to: Professor Sir Roy Meadow.
Accepted 1 November 1997
Fifteen families are described in which one or more child
incurred factitious illness abuse as a result of the father's false story and actions. The degree of direct physical harm, and the chance
of death, was high in those families in which the father had Munchausen
syndrome or marked somatising disorder. Eleven children died and
another six survived repetitive smothering or poisoning. Although the
extent of the risk to children living with a parent who has marked
somatising disorder is unsure, there must be vigilance on behalf of
those children.
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