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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)

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

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.[1]


  1. Albuminuric growth failure. A case of Munchausen syndrome by proxy. Lyall, E.G., Stirling, H.F., Crofton, P.M., Kelnar, C.J. Acta Paediatr. (1992) [Pubmed]
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