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Factitious hyperamylasuria by a nurse: symptom of Munchausen’s syndrome
  1. N J Nasser1,
  2. S H Israelit2,
  3. M Muhammad1,
  4. F Basis1
  1. 1Department of Emergency Medicine, Rambam Medical Center, Haifa, Israel
  2. 2Department of Surgery, Rambam Medical Center, Haifa, Israel
  1. Correspondence to:
 Dr F Basis
 Department of Emergency Medicine, Rambam Health Care Campus, PO Box 9602, Haifa 31096, Israel; f_basis{at}


A 30-year-old nurse presented with abdominal pain and tenderness. Her blood tests, including amylase, were normal. Urinary amylase was extremely high. The source of the increased urinary amylase was found to be the patient’s saliva — she had spit into her urine sample. Subsequent investigation showed that she had Munchausen’s syndrome.

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  • Competing interests: None declared.

  • Informed patient consent received.