Albuminuric growth failure. A case of Munchausen syndrome by proxy.
A five-year-old girl presented with profound growth failure, lethargy, vomiting and acidosis. A diagnosis of Munchausen syndrome by proxy was made after the demonstration of egg albumin, diphenhydramine and phenothiazine metabolites in her urine. Growth improved dramatically, but a subsequent child in the family died of sudden infant death syndrome.
Lyall
E G
EG
Royal Hospital for Sick Children, Edinburgh, UK.
Stirling
H F
HF
Crofton
P M
PM
Kelnar
C J
CJ
D000419:Albuminuria / Q000097:blood / Q000139:chemically induced* / Q000652:urine; D002675:Child, Preschool; D004155:Diphenhydramine / Q000652:urine; D004527:Egg Proteins / Q000652:urine; D005260:Female; D006130:Growth Disorders / Q000097:blood / Q000139:chemically induced* / Q000652:urine; D013006:Growth Hormone / Q000097:blood; D006801:Humans; D016735:Munchausen Syndrome by Proxy / Q000150:complications / Q000175:diagnosis*; D010640:Phenothiazines / Q000652:urine
D004527:Egg Proteins; D010640:Phenothiazines; D004155:Diphenhydramine; D013006:Growth Hormone; C031637:phenothiazine