Abstract
Child abuse is a major public health crisis and is on the rise. Dermatologists are frequently involved in its evaluation in differentiating abusive injuries from accidental injuries and in excluding pathological conditions that may mimic abuse. Munchausen syndrome by proxy (MSBP) is a rare form of child abuse where the parents or caretaker, intentionally causes an illness in the child for her own self-serving psychological needs. A 6-year-old orphan girl presented with spontaneous ulcers over bilateral lower limbs since last 6 months. The girl was investigated thoroughly in detail for possible causes of ulcers but nothing came out. Diagnosis of MSBP was firmly established in the case.
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