Diagnostic and Therapeutic Phlebotomy in Hemochromatosis with Anemia

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Abstract
THIS report is concerned principally with the correction, by means of repeated phlebotomies, of moderate anemia and neutropenia, probably caused by hypersplenism, in a patient with idiopathic hemochromatosis. It also emphasizes that anemia per se is not a contraindication to embarking on a therapeutic phlebotomy program. Finally, it illustrates how the diagnosis of iron-storage disease may be established in a patient in whom a liver biopsy could not be performed.Numerous cases in the literature have emphasized the clinical and histologic improvement that follows the removal of excess iron stores.1 Similarly, a striking clinical improvement was observed in this patient. . . .

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