Factitious proteinuria - the most dominant feature in a young female patient with Munchausen syndrome.
Clin Nephrol
; 79(2): 166-70, 2013 Feb.
Article
in En
| MEDLINE
| ID: mdl-23364208
ABSTRACT
Munchausen syndrome is a factitious disorder with predominantly physical signs and symptoms, resulting from the patient's high motivation for assuming a sick role, without any external incentives or boundaries. We report the case of a young female patient with factitious proteinuria in the nephrotic range and a fairly eventful medical history. After performing many expensive and unnecessary investigations and procedures,the real origin of the proteinuria was determined;it was found to be caused by the patient carefully adding calibrated egg albumin to her urine samples. This discovery roused suspicions about multiple, non-corroborated conditions from her history (e.g., multiple miscarriages, breast cancer, and thyroid disorders).The diversity of diseases presented by a single Munchausen patient tends to be bizarre,and thus is a challenge for health care providers to diagnose the condition. Teamwork is therefore of the utmost necessity to diagnose Munchausen syndrome.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Proteinuria
/
Munchausen Syndrome
Type of study:
Diagnostic_studies
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Clin Nephrol
Year:
2013
Document type:
Article
Affiliation country:
Croacia