Document Detail

Factitious sickle cell acute painful episodes: a secondary type of Munchausen syndrome.
MedLine Citation:
PMID:  8948666     Owner:  NLM     Status:  MEDLINE    
Three adult patients with factitious acute sickle cell painful episodes are presented and the literature is reviewed. The prevalence of this disorder among patients with sickle cell disease in our program was found to be about 0.9%. The patients described to date were all young adults who demonstrated pathological lying (pseudologico fantastico) and most of them had an underlying authentic medical illness to which the feigned signs and symptoms of sickle cell disease were added, thus making the diagnosis more plausible. It is recommended that all patients who present themselves with the signs and symptoms of sickle cell painful episodes be carefully studied in order to confirm the diagnosis.
S K Ballas
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  American journal of hematology     Volume:  53     ISSN:  0361-8609     ISO Abbreviation:  Am. J. Hematol.     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-01-13     Completed Date:  1997-01-13     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7610369     Medline TA:  Am J Hematol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  254-8     Citation Subset:  IM    
Cardeza Foundation for Hematologic Research, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
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MeSH Terms
Acute Disease
Anemia, Sickle Cell*
Asthma / complications
Blood Protein Electrophoresis
Diabetes Mellitus, Type 1 / complications
Emergency Medical Services
Epilepsy / complications
Hemoglobin SC Disease* / diagnosis
Hemoglobins / analysis
Hypertension / complications
Munchausen Syndrome* / complications,  epidemiology
Pregnancy Complications
Grant Support
Reg. No./Substance:

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