Munchausen by Proxy

Weintrob, Alex

doi:10.1097/00004583-200005000-00002

Cited by 2 publications

(1 citation statement)

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“…Other nephrological causes are hypertensive crisis [12,13], hematuria [14,15], and edema [16]. The underlying character disorder entails a conscious violation of social norms and a certain satisfaction in being able to fool powerful, sought-after parental figures [17]. We do not have any detailed knowledge about the professional behavior of this patient's mother or her relationship with her parents, husband, or other family members, some of whom are physicians (mother's father, sister, and brother).…”

Section: Discussionmentioning

confidence: 99%

Munchausen syndrome by proxy with massive proteinuria and gastrointestinal hemorrhage

Ulinski

Lhopital

Cloppet³

et al. 2004

Pediatric Nephrology

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A 5-year-old boy presented with acute abdominal pain. Massive proteinuria of 10 g/1.73 m(2) per day was detected on standard urinalysis. There was no peripheral edema. Serum concentrations of total proteins, lipids, and creatinine and immunological investigations were normal. Two kidney biopsies revealed no abnormalities. Several weeks later he was admitted for intestinal hemorrhage with significant anemia. Endoscopy of the esophagus, stomach, colon, and small bowel (via laparotomy) were normal. Electrophoresis of urine proteins revealed the unusual finding of an albumin fraction of 99.4%. During a routine check-up in the outpatient clinic fresh urine samples were obtained while the boy's mother was absent. These were all negative for protein. The mother, who was a nurse, finally confessed to adding human albumin to the urine samples.

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