HOYLE LEIGH, M.D.
To the editor: Most published reports of Munchausen's syndrome fall into one of three types originally described by Asher; acute abdominal, hemorrhagic, and neurologic (1-3). We here present an additional factitious symptom—hypokalemia. This may be a new type of Munchausen's syndrome, a "chemical type."
A 22-year-old married white woman was admitted to the Yale-New Haven Hospital complaining of fatigue and "persistent hypokalemia," repeatedly documented at a local hospital, for which she had been treated with intravenous potassium. Several months before she had arrived at the emergency room in a comatose state, in cardiac arrest; she was immediately revived by intracardiac potassium
LEIGH H. Factitious Hypokalemia. Ann Intern Med. ;80:111–112. doi: 10.7326/0003-4819-80-1-111_2
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Published: Ann Intern Med. 1974;80(1):111-112.
Endocrine and Metabolism, Fluid and Electrolyte Disorders, Nephrology.
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