• Emerg Med J · Jan 2007

    Case Reports

    Factitious hyperamylasuria by a nurse: symptom of Munchausen's syndrome.

    • N J Nasser, S H Israelit, M Muhammad, and F Basis.
    • Department of Emergency Medicine, Rambam Health Care Campus, PO Box 9602, Haifa 31096, Israel.
    • Emerg Med J. 2007 Jan 1; 24 (1): e2.

    AbstractA 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.

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