3.2-Second Case:
Blood tests revealed a WBC count of 11,500/mm3 with 85% neutrophils. The patient had an elevated inflammatory marker with a CRP value of 9.3 mg/dL. Liver enzymes and the remainder of the blood tests were within normal range. Stool culture using CIN selective agar medium grew Yersinia enterocolitica . Serum iron was 108U g/dL with a ferritin level of 1,100 ng/mL. Her TIBC was 227U g/dL with a TSAT of 47.5%, indicating a state of iron-overload.HFE gene testing revealed homozygosity for C282Y, establishing a diagnosis of HH. MRI of the abdomen revealed a decreased signal on the T2 weighted sequences at the level of the liver. Findings were in favor of liver hemochromatosis.