title: [Epileptic seizures and hematemesis in a young patient with sickle cell disease].
abstract: BACKGROUND
  Sickle cell disease is a multi-faceted disease, which can affect all organs. Here, we report the case of a young woman whose clinical presentation was confusing.
  
  
  METHODS
  An 18-year-old patient from Martinique in Caribbean area presented to the emergency room with widespread pain, as part of a vaso-occlusive crisis. She reported being followed for SS sickle cell anemia, with a history of vaso-occlusive crises and exchange transfusions in the past. Her hemoglobin rate was 83g/L. She was treated with opioid analgesics. Then, she presented several generalized tonic-clonic seizures and major episodes of hematemesis, which proved to be simulated by the patient, whose hemoglobin electrophoresis result was finally AS.
  
  
  CONCLUSIONS
  This patient had therefore the Münchausen syndrome, mimicking sickle cell anemia, like eight other cases reported in the literature.
authors.affiliation: Service de médecine interne et de maladies infectieuses, CHI Robert-Ballanger, 1, avenue Robert-Ballanger, 93603 Aulnay-sous-Bois, France.
authors.forename: J
authors.initials: J
authors.lastname: Chevalier
authors.affiliation: Service de médecine interne et de maladies infectieuses, CHI Robert-Ballanger, 1, avenue Robert-Ballanger, 93603 Aulnay-sous-Bois, France.
authors.forename: J
authors.initials: J
authors.lastname: Villeneuve
authors.affiliation: Service de médecine interne et de maladies infectieuses, CHI Robert-Ballanger, 1, avenue Robert-Ballanger, 93603 Aulnay-sous-Bois, France.
authors.forename: A-L
authors.initials: AL
authors.lastname: Lecapitaine
authors.affiliation: Service de médecine interne et de maladies infectieuses, CHI Robert-Ballanger, 1, avenue Robert-Ballanger, 93603 Aulnay-sous-Bois, France.
authors.forename: H
authors.initials: H
authors.lastname: Gros
authors.affiliation: Service de médecine interne et de maladies infectieuses, CHI Robert-Ballanger, 1, avenue Robert-Ballanger, 93603 Aulnay-sous-Bois, France.
authors.forename: R
authors.initials: R
authors.lastname: Bakir
authors.affiliation: Laboratoire de biologie médicale, CHI Robert-Ballanger, 1, avenue Robert-Ballanger, 93603 Aulnay-sous-Bois, France.
authors.forename: A
authors.initials: A
authors.lastname: Delaval
authors.affiliation: Service de médecine interne et de maladies infectieuses, CHI Robert-Ballanger, 1, avenue Robert-Ballanger, 93603 Aulnay-sous-Bois, France. Electronic address: marie-anne.bouldouyre@ch-aulnay.fr.
authors.forename: M-A
authors.initials: MA
authors.lastname: Bouldouyre
mesh_terms: D000293:Adolescent; D000755:Anemia, Sickle Cell / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004827:Epilepsy / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006396:Hematemesis / Q000175:diagnosis* / Q000209:etiology; D006801:Humans
keywords: Drépanocytose; Factitious disorder; Hematemesis; Hémoptysie; Munchausen syndrome; Pathomimie; Sickle cell disease; Syndrome de Lasthénie de Ferjol; Syndrome de Münchausen