Naslov
Factitious proteinuria - the most dominant feature in a young female patient with Munchausen syndrome

Autori
Vuković Lela, Ivana ; Karanović, Sandra ; Matišić, Danica ; Kuzmanić, Duško ; Ćorić, Marijana ; Šimić, Mirjana ; Jelaković, Bojan

Izvornik
Clinical nephrology (0301-0430) 79 (2013), 2; 166-170

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Munchausen syndrome ; proteinuria

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

POVEZANOST RADA