Lela Ivana Vuković, Karanović Sandra, Matišić Danica, Kuzmanić Duško, C Orić Marijana, Šimić Mirjana, Jelaković Bojan
School of Medicine, University of Zagreb, Zagreb, Croatia.
Clin Nephrol. 2013 Feb;79(2):166-70.
Munchausen syndrome is a factitious disorder with predominantly physical signs and symptoms, resulting from the patient's high motivation for assuming a sick role, without any external incentives or boundaries. We report the case of a young female patient with factitious proteinuria in the nephrotic range and a fairly eventful medical history. After performing many expensive and unnecessary investigations and procedures,the real origin of the proteinuria was determined;it was found to be caused by the patient carefully adding calibrated egg albumin to her urine samples. This discovery roused suspicions about multiple, non-corroborated conditions from her history (e.g., multiple miscarriages, breast cancer, and thyroid disorders).The diversity of diseases presented by a single Munchausen patient tends to be bizarre,and thus is a challenge for health care providers to diagnose the condition. Teamwork is therefore of the utmost necessity to diagnose Munchausen syndrome.
孟乔森综合征是一种主要表现为身体体征和症状的做作性障碍，是由患者强烈渴望扮演病人角色所致，没有任何外部诱因或限制。我们报告一例年轻女性患者，患有肾病范围的假性蛋白尿且病史相当复杂。在进行了许多昂贵且不必要的检查和操作后，确定了蛋白尿的真正来源；发现是患者小心地将校准过的蛋清蛋白添加到她的尿液样本中所致。这一发现引发了对她病史中多种未经证实病症（如多次流产、乳腺癌和甲状腺疾病）的怀疑。单一孟乔森综合征患者所呈现疾病的多样性往往很离奇，因此对医疗保健提供者来说诊断这种病症是一项挑战。因此，团队合作对于诊断孟乔森综合征极为必要。
