Guess the disease

MBBS
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1

A middle aged man presents with : fatique, bronze coloured skin, joint pain , elevated serum ferritin, and transferin saturation also has diabetes and liver cirrhosis history.

Hint: too much of good thing can turn into toxicity

Guess the diagnosis also comment on the treatment plan

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2

Hemochromatosis

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Bronze-colored skin and elevated ferritin levels are indicative of hemochromatosis, a condition characterized by excessive iron absorption. Treatment should focus on lowering iron levels.

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Disease :- Hemochromatosis
Diagnosis :- Such as blood test
Elevated levels indicated iron overload

5

The disease is Hemochromatosis

  • The trick to identify this disease is this triad in middle aged men -
    fatigue + bronze coloured skin + diabetes
  • The hint also gives it away - iron is good in small amounts but toxic when higher concentration ( hemachromatosis is due to excessive iron absorption)

The treatment plan includes - regular phlebotomy to remove excess iron from blood and then maintain serum feritin levels at 50- 100mg