TY - JOUR T1 - Iron deficiency anaemia and cataracts in a patient with haemochromatosis JF - Gut JO - Gut SP - 686 LP - 686 DO - 10.1136/gutjnl-2013-305049 VL - 63 IS - 4 AU - Kai-Henrik Peiffer AU - Moritz Niemeyer AU - Anna Buslau AU - Thomas Kohnen AU - Martina Ulrike Muckenthaler AU - Stefan Zeuzem AU - Christoph Sarrazin Y1 - 2014/04/01 UR - http://gut.bmj.com/content/63/4/686.abstract N2 - 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 of ferritin (>1000 ng/mL) throughout the period of phlebotomies so that she was referred to our clinic for further diagnostics and therapy. At presentation, physical examination showed signs of anaemia but no signs of liver cirrhosis. The levels for γ-glutamyltransferase, alanine transaminase, bilirubin, international normalised ratio (INR) and thrombocytes were within the normal … ER -