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Munchhausen Syndrome: A Case Report of an Unusual Cause of Vitamin K Antagonist Intoxication

Authors
  • Carlier, Laurence;
  • Rex, Steffen; 77044;
  • Vanassche, Thomas; 64927;
  • Verelst, Sandra;
  • Desmet, Koen;
  • Van Elslande, Jan;
  • Verhamme, Peter; 2766;
  • Vandenbriele, Christophe; 50496;
Publication Date
Apr 01, 2020
Source
Lirias
Keywords
License
Unknown
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Abstract

Psychiatric disorders must be considered in the differential diagnosis of patients presenting to the emergency department with unexplainable somatic symptoms. Physicians should be aware of Münchhausen syndrome as a possible diagnosis. A 46-year-old female patient presented at the emergency department with signs of coagulopathy. She denied taking any anticoagulant drugs as well as rat poison. Urine toxicology revealed the presence of vitamin K antagonists (VKAs). After an extensive workup, she was diagnosed with Münchhausen syndrome. Intentional intoxication with VKA is rare. / status: published

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