Citation

Tsai HL, Yang LY, Chin TW, Chen PH, Yen HJ, Liu CS, Wang HH, Chang JW. Pediatrics 2012; 130(1): e224-9.

Affiliation

aDivision of Pediatric Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan;

Copyright

(Copyright © 2012, American Academy of Pediatrics)

DOI

10.1542/peds.2011-3271

PMID

22732177

Abstract

Two sisters, aged 15 and 13 years, had previous epithelioid angiomyolipoma of the kidney and suspected thin basement membrane disease, respectively. They presented with 2 years of gross hematuria and new-onset heavy proteinuria. Extensive investigations failed to find an overt cause of their urinary manifestations. The diagnosis of child abuse in a medical setting was confirmed by DNA short tandem repeats analysis, which are the first documented cases in which factitious hematuria was thus diagnosed. Complex forms of child abuse in a medical setting may require forensic tests such as DNA short tandem repeats analysis for diagnosis.

Language: en