title: Acute kidney injury in a child: A case of Munchausen syndrome by proxy.
abstract: Renal and urologic problems in pediatric condition falsification (PCF) or Munchausen by proxy (MSP) can result in serious diagnostic dilemma. Symptoms of hematuria, pyuria and recurrent urinary tract infections have occasionally been described. However, MSP presenting as azotemia has not been previously reported. We describe the case of an unfortunate boy who had to undergo unnecessary hemodialysis for persistent hyperkalemia and azotemia before a final diagnosis of the falsification of investigations by the parents was made.
authors.affiliation: Department of Pediatrics, Maulana Azad Medical College and Associated Hospitals, University of Delhi, Delhi, India.
authors.forename: Mukta
authors.initials: M
authors.lastname: Mantan
authors.forename: Dhulika
authors.initials: D
authors.lastname: Dhingra
authors.forename: Aditi
authors.initials: A
authors.lastname: Gupta
authors.forename: Gulshan Rai
authors.initials: GR
authors.lastname: Sethi
mesh_terms: D058186:Acute Kidney Injury / Q000523:psychology*; D053099:Azotemia / Q000523:psychology*; D001784:Blood Gas Analysis; D002648:Child; D006801:Humans; D008297:Male; D016735:Munchausen Syndrome by Proxy / Q000175:diagnosis*; D006435:Renal Dialysis