蛋白尿性生长发育迟缓。一例代理型孟乔森综合征病例。

Albuminuric growth failure. A case of Munchausen syndrome by proxy.

作者信息

Lyall E G, Stirling H F, Crofton P M, Kelnar C J

机构信息

Royal Hospital for Sick Children, Edinburgh, UK.

出版信息

Acta Paediatr. 1992 Apr;81(4):373-6. doi: 10.1111/j.1651-2227.1992.tb12249.x.

DOI:10.1111/j.1651-2227.1992.tb12249.x

PMID:1606406

Abstract

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.

摘要

一名五岁女童出现严重生长发育迟缓、嗜睡、呕吐和酸中毒症状。在其尿液中检测出蛋清蛋白、苯海拉明和吩噻嗪代谢物后，确诊为代理孟乔森综合征。其生长发育状况显著改善，但该家庭随后又有一名儿童死于婴儿猝死综合征。