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Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
Factitious hyperamylasuria by a nurse: a symptom of Munchausen syndrome
  1. N J Nasser1,
  2. S H Israelit2,
  3. M Muhammad1,
  4. F Basis1
  1. 1
    Department of Emergency Medicine, Rambam Medical Center, Haifa, Israel
  2. 2
    Department of Surgery, Rambam Medical Center, Haifa, Israel
  1. Fuad Basis, f_basis{at}rambam.health.gov.il

Summary

A 30-year-old nurse presented with abdominal pain and tenderness. Her blood tests, including amylase, were normal. Urinary amylase was extremely high. The source of the increased urinary amylase was found to be the patient’s saliva—she had spat into her urine sample. Subsequent investigation showed that she had Munchausen syndrome.

https://doi.org/10.1136/bcr.10.2008.1070

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    Footnotes

    • Competing interests: none.