A member asked:

How is a diagnosis for iron overload/hemochromatosis confirmed?

6 doctors weighed in across 2 answers
Dr. Jason Hemming answered

Specializes in Gastroenterology

Labs and Bx: Labs that include ferritin and transferrin saturation. All patients being evaluated for hhc should have c282y and h63d mutation analysis. This may help in determine risk for hhc but is not always diagnostic by itself. Lastly a liver biopsy with a iron index or MRI may help to confirm suspected cases.

Answered 6/5/2019

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Liver biopsy: Although blood testing (measurement of iron studies and hfe assay) combined with family history can be very suggestive, a liver biopsy with iron staining clinches a diagnosis of hemochromatosis and distinguishes it from other iron overload diseases.

Answered 6/26/2020

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