Factitious sickle cell acute painful episodes: a secondary type of Munchausen syndrome

American Journal of Hematology
S K Ballas

Abstract

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.

References

Apr 1, 1979·General Hospital Psychiatry·T Nadelson
Apr 22, 1974·JAMA : the Journal of the American Medical Association·J Lindenbaum
Feb 10, 1951·Lancet·R ASHER

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Citations

Apr 23, 2004·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·J T ChangS A King
Aug 18, 2004·International Journal of Clinical Practice·M E FalagasC Vlastou

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