Mitas J A
Am J Med. 1985 Jul;79(1):115-8. doi: 10.1016/0002-9343(85)90554-6.
Hematuria and proteinuria developed in a young woman with waxing and waning symptoms suggestive of systemic lupus erythematosus. Quantitatively, the proteinuria was in the nephrotic range, but other manifestations of the nephrotic syndrome were absent. Serologic evaluation demonstrated normal results. The hematuria was subsequently found to be self-induced and related to foreign objects in the bladder. Urine protein electrophoresis confirmed severe proteinuria with a spike in the gamma region. Immunoelectrophoresis demonstrated that the proteinuria was not of human origin. Subsequent urinary protein values were normal. This case exhibits features compatible with Münchausen's syndrome and shows that severe proteinuria may be factitious.
一名年轻女性出现血尿和蛋白尿，症状反复，提示系统性红斑狼疮。定量分析显示蛋白尿处于肾病范围，但无肾病综合征的其他表现。血清学检查结果正常。随后发现血尿是自我诱导的，与膀胱内异物有关。尿蛋白电泳证实存在严重蛋白尿，γ区有一个峰。免疫电泳显示蛋白尿并非来源于人体。随后的尿蛋白值恢复正常。该病例表现出与孟乔森综合征相符的特征，表明严重蛋白尿可能是人为造成的。
