3.3-Third Case:
Biochemical workup revealed neutrophilic leukocytosis with a WBC count
of 10,500/mm3 and 87% neutrophils. CRP was elevated
with a value of 10.3 mg/dL. Liver enzymes and the remainder of the blood
tests were within normal range. Stool culture using selective CIN agar
grew Yersinia enterocolitica . Serum iron was 96 U g/dL with
a ferritin level of 1,420 ng/mL. TIBC was 196 U g/dL with a TSAT
of 49%, favoring a state of iron-overload. HFE gene testing
revealed homozygosity for C282Y, corroborating a diagnosis of HH. MRI of
the abdomen revealed marked signal loss of the liver, favoring a
diagnosis of liver hemochromatosis.