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Factitious disorder with oligoanuria: a case report.

P B Mishra¹, P Shyangwa, S K Khandelwal

¹P.B. MISHRA, MD(Med), Sr. Resident, Department of Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.

Indian Journal of Psychiatry

|March 25, 2011

Summary

A young girl

Area of Science:

Pediatric Nephrology
Psychiatry

Background:

A 12-year-old girl presented with a five-year history of significantly reduced urine output.
Previous investigations in multiple hospitals revealed no underlying urinary tract abnormalities.

Purpose of the Study:

To investigate the cause of persistent oliguria (abnormally low urine output) in a pediatric patient.
To determine the etiological basis of factitious physical symptoms in a young female.

Main Methods:

Comprehensive medical history and physical examination.
Extensive diagnostic workup focusing on the urinary system.
Detailed psychiatric evaluation to assess for psychological factors.

Main Results:

All investigations ruled out organic pathology within the urinary tract.

Keywords:

Factitious disorder Munchausen's syndrome oligoanuria oliguria

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Psychiatric assessment indicated the symptoms were intentionally produced, pointing to factitious disorder.

Conclusions:

The patient's persistent oliguria was determined to be factitious in nature.
Factitious disorder with physical symptoms should be considered in pediatric cases with unexplained, chronic physical complaints.