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Iron deficiency anaemia and cataracts in a patient with haemochromatosis
  1. Kai-Henrik Peiffer1,
  2. Moritz Niemeyer2,
  3. Anna Buslau1,
  4. Thomas Kohnen2,
  5. Martina Ulrike Muckenthaler3,
  6. Stefan Zeuzem1,
  7. Christoph Sarrazin1
  1. 1Department of Gastroenterology and Hepatology, J. W. Goethe-University Hospital, Frankfurt am Main, Germany
  2. 2Department of Ophthalmology, J. W. Goethe-University Hospital, Frankfurt am Main, Germany
  3. 3Department of Pediatric Oncology, Hematology and Immunology, University Hospital of Heidelberg, Heidelberg, Germany
  1. Correspondence to Dr Kai-Henrik Peiffer, Department of Gastroenterology and Hepatology, J. W. Goethe-University Hospital, Haus 11, Theodor-Stern-Kai 7, Frankfurt am Main 60590, Germany; kai-henrik.peiffer{at}kgu.de

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Clinical presentation

A 55-year-old woman presented to our hepatology outpatient clinic with symptoms of anaemia. Her medical history included hereditary haemochromatosis type 1, psoriatic arthropathy and bilateral cataracts since early adulthood. There was a family history of early-onset cataracts. Haemochromatosis was treated by frequent phlebotomies (2–4 per month) since diagnosis 2.5 years earlier, limited by several episodes of severe symptomatic anaemia (minimal haemoglobin: 7.0 g/dL). Despite anaemia, she presented with constantly high levels …

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