Biochemical munchausen’s - a “baffling” case of recurrent hypokalemia and lactic acidosis - secondary to surreptitious salbutamol abuse in a 36-year-old female
Abstract:Factitious medical disorders with the well-known eponym of Munchausen's syndrome represent a challenge in both diagnosis and management for the clinician. Here, we report a case of "Biochemical Munchausen's" in a 36-year-old female, characterised by recurrent and multiple presentations with symptomatic hypokalaemia, supraventricular tachycardia and lactic acidosis that required the use of biochemical laboratory expertise and liquid chromatography/mass spectrophotometry to unravel and break the cycle of costly … Show more
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