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Case Reports
Münchhausen Syndrome: A Case Report of an Unusual Cause of Vitamin K Antagonist Intoxication.
- Laurence Carlier, Steffen Rex, Thomas Vanassche, Sandra Verelst, Koen Desmet, Jan Van Elslande, Peter Verhamme, and Christophe Vandenbriele.
- From the Departments of Anesthesiology.
- A A Pract. 2020 Apr 1; 14 (6): e01189.
AbstractPsychiatric 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.
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