Factitious proteinuria - the most dominant feature in a young female patient with Munchausen syndrome
| Autor: | Sandra Karanović, Duško Kuzmanić, Danica Matišić, Mirjana Šimić, Marijana Ćorić, Bojan Jelaković, Ivana Vuković Lela |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Ovalbumin Kidney Glomerulus Egg albumin Munchausen Syndrome Diagnosis Differential Breast cancer Internal medicine medicine Humans Medical history Young female Proteinuria business.industry Sick role General Medicine medicine.disease Factitious disorder Endocrinology Nephrology Munchausen syndrome proteinuria Female medicine.symptom business |
| DOI: | 10.5414/cn107173 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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