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Factitious Hematuria in Two Teenage Boys

Factitious Hematuria in Two Teenage Boys Abstract Children's physicians rarely think of make-believe illness when presented with a complaint of bloody urine. Factitious illness—defined here as self-inflicted injury or deliberate alteration of clinical or laboratory observations, by parent or child—is identified in 1% of children referred to us for pediatric rheumatology evaluation. Although more than half of all of these youngsters pretend to have fever, two have had gross hematuria as the major objective sign of disease. Report of Cases.—Case 1.—A 17-year-old boy was admitted to the Babies Hospital, New York, in October 1972 because of hematuria. He was said to have been well until 11 years of age, when he had an acute febrile illness associated with a polymorphous rash, cervical lymphadenopathy, dry, cracked lips, conjunctival telangiectasia, jaundice, and peeling of the fingertips during recovery, which in retrospect may have been Kawasaki's disease. He was hospitalized for more than two weeks and lost 11.3 References 1. Sneed RC, Bell RF: The dauphin of Munchausen: Factitious passage of renal stones in a child . Pediatrics 58:127, 1976. 2. Reich P, Lazarus JM, Kelly MJ, et al: Factitious feculent urine in an adolescent boy . JAMA 238:420-421, 1977.Crossref 3. Ananth J, Munchausen syndrome . NY State J Med 77:115, 1977. 4. Carney MWP, Brozovic M: Self-inflicted bleeding and bruising . Lancet 1:924, 1978.Crossref 5. Meadow R: Munchausen syndrome by proxy . Lancet 2:343, 1977.Crossref 6. Clayton PT, Counahan R, Chantler C: Munchausen syndrome by proxy . Lancet 1:102, 1978.Crossref 7. Burkholder GV, Dotin LN, Thomason WB, et al: Unexplained hematuria . JAMA 210:1729-1733, 1969.Crossref 8. Berman LB: When the urine is red . JAMA 237:2753-2754, 1977.Crossref 9. Chotiner M, Forrest D: Adolescent school phobia . Adolescence 9:467-480, 1974. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Factitious Hematuria in Two Teenage Boys

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1979.02130050094019
Publisher site
See Article on Publisher Site

Abstract

Abstract Children's physicians rarely think of make-believe illness when presented with a complaint of bloody urine. Factitious illness—defined here as self-inflicted injury or deliberate alteration of clinical or laboratory observations, by parent or child—is identified in 1% of children referred to us for pediatric rheumatology evaluation. Although more than half of all of these youngsters pretend to have fever, two have had gross hematuria as the major objective sign of disease. Report of Cases.—Case 1.—A 17-year-old boy was admitted to the Babies Hospital, New York, in October 1972 because of hematuria. He was said to have been well until 11 years of age, when he had an acute febrile illness associated with a polymorphous rash, cervical lymphadenopathy, dry, cracked lips, conjunctival telangiectasia, jaundice, and peeling of the fingertips during recovery, which in retrospect may have been Kawasaki's disease. He was hospitalized for more than two weeks and lost 11.3 References 1. Sneed RC, Bell RF: The dauphin of Munchausen: Factitious passage of renal stones in a child . Pediatrics 58:127, 1976. 2. Reich P, Lazarus JM, Kelly MJ, et al: Factitious feculent urine in an adolescent boy . JAMA 238:420-421, 1977.Crossref 3. Ananth J, Munchausen syndrome . NY State J Med 77:115, 1977. 4. Carney MWP, Brozovic M: Self-inflicted bleeding and bruising . Lancet 1:924, 1978.Crossref 5. Meadow R: Munchausen syndrome by proxy . Lancet 2:343, 1977.Crossref 6. Clayton PT, Counahan R, Chantler C: Munchausen syndrome by proxy . Lancet 1:102, 1978.Crossref 7. Burkholder GV, Dotin LN, Thomason WB, et al: Unexplained hematuria . JAMA 210:1729-1733, 1969.Crossref 8. Berman LB: When the urine is red . JAMA 237:2753-2754, 1977.Crossref 9. Chotiner M, Forrest D: Adolescent school phobia . Adolescence 9:467-480, 1974.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: May 1, 1979

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