Abstract
A 35-year-old man was admitted in October, 2000, with an elevated serum potassium: 7·3 mmol/L (NR: 3·5–5·0) on routine blood test following a venesection. 4 years previously, he had been diagnosed with haemochromatosis. A liver biopsy showed micronodular cirrhosis and grade 4 iron overload. His serum ferritin was more than 5000 μg/L (NR: 41–480), and he had a homozygous mutation in the haemochromatosis gene (HFE). He had weekly venesections, and his ferritin level had returned to normal range. 6 months before admission, tests had shown evidence of hypogonadotrophic hypogonadism and mild adrenal insufficiency.
Published Version
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