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.