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Retired NBME 27 Answers

nbme27/Block 3/Question#13 (reveal difficulty score)
A 57-year-old man with a 4-year history of ...
Iron ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—shak360(19)
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Hemochromatosis is an autosomal recessive disease and a loss of the HFE gene, located on chromosome 6.

Presents with increased intestinal absorption of iron leading to increased ferritin, increased iron, and a decreased TIBC (or increased transferrin saturation).

Classic triad of cirrhosis, diabetes mellitus, and skin pigmentation ("bronze diabetes"). It can also cause restrictive cardiomyopathy (classic) or dilated cardiomyopathy (reversible).

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