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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 …
Footnotes
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Contributors K-HP: management of the case, conception and drafting of the manuscript; MN: ophthalmologic examinations and documentations, conception ophthalmologic part of the manuscript; AB: management of family screening, revision of article; TK: ophthalmologic supervision, revision of the manuscript; MUM: genetic testing for HHCS, conception and revision of the manuscript; SZ: revision of the article; CS: supervisor for the management of the case, conception and revision of the manuscript.
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Competing interests None.
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Patient consent Obtained.
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Provenance and peer review Not commissioned; externally peer reviewed.