title: Factitious hyperamylasuria by a nurse: symptom of Munchausen's syndrome.
abstract: 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 spit into her urine sample. Subsequent investigation showed that she had Munchausen's syndrome.
authors.affiliation: Department of Emergency Medicine, Rambam Health Care Campus, PO Box 9602, Haifa 31096, Israel.
authors.forename: N J
authors.initials: NJ
authors.lastname: Nasser
authors.forename: S H
authors.initials: SH
authors.lastname: Israelit
authors.forename: M
authors.initials: M
authors.lastname: Muhammad
authors.forename: F
authors.initials: F
authors.lastname: Basis
mesh_terms: D015746:Abdominal Pain; D000328:Adult; D000681:Amylases / Q000652:urine*; D003937:Diagnosis, Differential; D004630:Emergencies; D005260:Female; D006801:Humans; D009110:Munchausen Syndrome / Q000652:urine*; D009726:Nurses; D012463:Saliva / Q000201:enzymology; D013048:Specimen Handling
chemical_list: D000681:Amylases