• Der Internist · Mar 2020

    Case Reports

    [Hypoglycaemia and seizures in a 32-year-old woman with maple syrup urine disease].

    • Johannes Krämer and Sarah Krämer.
    • Stoffwechselambulanz, Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Ulm, Eythstr. 24, 89075, Ulm, Deutschland. johannes.kraemer@uniklinik-ulm.de.
    • Internist (Berl). 2020 Mar 1; 61 (3): 321-325.

    AbstractA 32-year-old woman with maple syrup urine disease presented with recurring episodes with hypoglycaemia and cerebral seizures. In most cases a connection to the inborn metabolic disorder is assumed, resulting in symptomatic treatment. Due to these treatments invasive procedures are required. This leads to prescriptions of multiple medications and medical aids. After 2 years of unexplained symptoms a routine examination led to the diagnosis of factitious disorder. The patient received the offer for psychiatric/psychotherapeutic treatment. Further prognosis remains uncertain.

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