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October 7, 1974

Munchausen Syndrome With Renal Stones

Author Affiliations

From the Department of Endocrinology and Metabolism, Walter Reed Army Medical Center, Washington, DC. MAJ Atkinson is now with the US Army Hospital, Fort Campbell, Ky.

JAMA. 1974;230(1):89. doi:10.1001/jama.1974.03240010057034

HEMATURIA as a presenting symptom of Munchausen syndrome is unusual. Ireland et al,1 in a review of all the reported cases of Munchausen syndrome, could only find four cases with hematuria. Several cases with hematuria have been reported since then,2-5 but we have found no cases previously reported in which the patient presented an actual renal stone that was supposedly passed. We have treated such a patient who exhibited factitious urinary tract infection, hematuria, and a number of stones that she "passed."

Report of a Case  A 37-year-old white woman was referred to Walter Reed General Hospital (WRGH) from a nearby Army Hospital because of frequent passage of kidney stones. She gave a history of bilateral stag-horn calculi requiring nephrotomies when she was 16 and 17 years old. Since then, she allegedly passed one or two stones a year until she had a nephrectomy for a nonfunctioning right