A member asked:

Iron serum high (180) yet ferritin levels low (113). suffering symptoms akin to haemochromatosis. can treatment (phlebotomy) be justified?

A doctor has provided 1 answer
Dr. Haluk Tezcan answered

Specializes in Medical Oncology

Not necessarily: Serum iron levels are not a good test to make treatment decisions as it is very variable and do not reflect inappropriate iron deposition. Ferritin level is the standard. If there is a concern for hemachromatosis genetic test is available. If indicated, liver biopsy with iron studies can be considered.

Answered 10/14/2015

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