Factitious hyperamylasuria by a nurse: a symptom of Munchausen syndrome

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...

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Bibliographic Details
Published inBMJ case reports Vol. 2009; no. may08 1; p. bcr1020081070
Main Authors Nasser, N J, Israelit, S H, Muhammad, M, Basis, F
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 2009
BMJ Publishing Group
SeriesFindings that shed new light on the possible pathogenesis of a disease or an adverse effect
Subjects
Abdomen
Anti-inflammatory agents
Catheters
Emergency medical care
Female
Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect
Hospitals
Middle East
Pain
Pancreatitis
Patients
Urine
White
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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.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr.10.2008.1070