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Arch Dis Child 94:171 doi:10.1136/adc.2008.147272
  • Letter
    • PostScript

Case reports of factitious illness are unlikely to be published in the UK

  1. M G Coulthard1,
  2. C de San Lazaro2
  1. 1
    Department of Paediatric Nephrology, Royal Victoria Infirmary, Newcastle upon Tyne, UK
  2. 2
    Department of Child Health, University of Newcastle upon Tyne, Newcastle upon Tyne, UK
  1. Malcolm G Coulthard, Department of Paediatric Nephrology, Royal Victoria Infirmary, Newcastle upon Tyne, UK; malcolm.coulthard{at}nuth.nhs.uk
  • Accepted 11 July 2008

We managed two boys whose carer encouraged us to undertake renal biopsies on them because they had frank haematuria over a prolonged period. However, although routine urine testing did not detect any suspicious findings, near-patient phase-contrast microscopy showed urinary epithelial cells which are not normally present in males, and karyotyping revealed that these cells were female. This was explained by the carer biting her cheek and spitting blood (and buccal epithelial cells) into the urine. Because this method of …