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Yet another case of haemochromatosis?
  1. A J Fowell1,
  2. A C Bateman2,
  3. W J Griffiths3,
  4. K L Nash1
  1. 1Department of Hepatology, Southampton University Hospitals NHS Trust, Southampton, UK
  2. 2Department of Cellular Pathology, Southampton University Hospitals NHS Trust, Southampton, UK
  3. 3Department of Hepatology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  1. Correspondence to Dr Andrew J Fowell, Southampton University Hospitals NHS Trust Level E South Block (MP811), Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK; afowell{at}hotmail.com

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Clinical presentation

A 38 year old Caucasian woman whose father and two brothers had been diagnosed with hereditary haemochromatosis was found to have chronic fatigue and a serum ferritin of 1490 μg/l. Her transferrin saturation was 32% and her full blood count, liver biochemistry, international normalised ratio and C-reactive protein were all normal. She had regular menstrual periods and no other medical history of note. She had no specific risk factors for chronic liver disease, her alcohol consumption was less than 5 units a week and there was no history of receipt of blood transfusion. Clinical examination …

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