Abstract

Munchausen syndrome by proxy is extremely difficult to diagnose. A case is presented of a 17-month-old girl who repeatedly sustained cold burns caused by a spray deodorant and inflicted by her mother. A comprehensive medical investigation, including blood assessments, skin biopsies and imaging were inconclusive. The pivotal finding for the diagnosis was the detection of aluminum at high concentrations in the skin swab specimens utilizing mass spectrometry.

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