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Clinical Guidelines:
Brian Schmitt, Robert M. Golub, and Richard Green
Screening Primary Care Patients for Hereditary Hemochromatosis with Transferrin Saturation and Serum Ferritin Level: Systematic Review for the American College of Physicians
Ann Intern Med 2005; 143: 522-536 [Abstract] [Full text] [PDF]
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[Read Rapid Response] Targeted testing for hemochromatosis
Daniel Halevy   (19 May 2006)

Targeted testing for hemochromatosis 19 May 2006
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Daniel Halevy,
MD
ActiveHealth Management

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Re: Targeted testing for hemochromatosis

dhalevy{at}activehealth.net Daniel Halevy

The review and guidelines for hemochromatosis screening published in the Annals identified several gaps in our knowledge of the disease. However, one particular scenario was not addressed: the patient with incidentally noted hepatic dysfunction and abnormal iron indices. This type of patient is often encountered in the course of routine clinical practice, but has not been the focus of any study. Would these supposed high-risk patients warrant genetic testing, as suggested in the previous AASLD guidelines from 2001?

Conflict of Interest:

None declared


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