A Diagnostic Approach to Hemochromatosis

In the present clinical review, a diagnostic approach to hemochromatosis is discussed from the perspective of two clinicians with extensive experience in this area. The introduction of genetic testing and large-scale population screening studies have broadened our understanding of the clinical expre...

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Main Authors: Anthony S Tavill, Paul C Adams
Format: Article
Language:English
Published: Wiley 2006-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2006/934098
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author Anthony S Tavill
Paul C Adams
author_facet Anthony S Tavill
Paul C Adams
author_sort Anthony S Tavill
collection DOAJ
description In the present clinical review, a diagnostic approach to hemochromatosis is discussed from the perspective of two clinicians with extensive experience in this area. The introduction of genetic testing and large-scale population screening studies have broadened our understanding of the clinical expression of disease and the utility of biochemical iron tests for the detection of disease and for the assessment of disease severity. Liver biopsy has become more of a prognostic test than a diagnostic test. The authors offer a stepwise, diagnostic algorithm based on current evidence-based data, that they regard as most cost-effective. An early diagnosis can lead to phlebotomy therapy to prevent the development of cirrhosis.
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spelling doaj-art-97bc9f6a6a594773b2a717dcbea591e52025-02-03T01:13:03ZengWileyCanadian Journal of Gastroenterology0835-79002006-01-0120853554010.1155/2006/934098A Diagnostic Approach to HemochromatosisAnthony S Tavill0Paul C Adams1Case Western Reserve School of Medicine and Cleveland Clinic Foundation, Cleveland, Ohio, USAUniversity Hospital, University of Western Ontario, London, Ontario, CanadaIn the present clinical review, a diagnostic approach to hemochromatosis is discussed from the perspective of two clinicians with extensive experience in this area. The introduction of genetic testing and large-scale population screening studies have broadened our understanding of the clinical expression of disease and the utility of biochemical iron tests for the detection of disease and for the assessment of disease severity. Liver biopsy has become more of a prognostic test than a diagnostic test. The authors offer a stepwise, diagnostic algorithm based on current evidence-based data, that they regard as most cost-effective. An early diagnosis can lead to phlebotomy therapy to prevent the development of cirrhosis.http://dx.doi.org/10.1155/2006/934098
spellingShingle Anthony S Tavill
Paul C Adams
A Diagnostic Approach to Hemochromatosis
Canadian Journal of Gastroenterology
title A Diagnostic Approach to Hemochromatosis
title_full A Diagnostic Approach to Hemochromatosis
title_fullStr A Diagnostic Approach to Hemochromatosis
title_full_unstemmed A Diagnostic Approach to Hemochromatosis
title_short A Diagnostic Approach to Hemochromatosis
title_sort diagnostic approach to hemochromatosis
url http://dx.doi.org/10.1155/2006/934098
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