PEDIATRICS Vol. 58 No. 1 July 1976, pp. 127-130
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The Dauphin of Munchausen: Factitious Passage of Renal Stones in a Child

R. C. Sneed M.D.1 and Roy F. Bell M.S.S.W.2

1 The Children's Clinic, P.A., Jackson, Tennessee
2 College of Community Health Sciences and Social Work, University of Alabama, Tuscaloosa, Alabama

The urinary tract appears to play an infrequent role in adult malingering and in Munchausen syndrome, an elaborate, highly organized form of malingering.1-3 We have found only a small number of reports of factitious hematuria4-6 and only two cases of genuine renal stones factitiously passed.7.8 Herring reported in a series of 10,000 analyzed urinary calculi that only 85 were artificial in nature, the commonest being pebbles."9 Only a small number of these "stones" were felt to be innocent errors. We know of no reports of these symptoms in children on the basis of conscious malingering. We have treated a child with a clinical picture of renal colic complete with hematuria and "passed stones" which proved to be factitious.




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