Factitious hyperamylasuria by a nurse: a symptom of Munchausen syndrome.

BMJ Case Rep

Department of Emergency Medicine, Rambam Medical Center, Haifa, Israel.

Published: November 2011

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029313PMC
http://dx.doi.org/10.1136/bcr.10.2008.1070DOI Listing

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