Round # 11
The patient is a 54 y.o man who presents to his primary care physician complaining of a loss of libido and progressive joint pain and stiffness in his hands. He also reports that his family and colleagues have noted a change in the color of his skin over the last year. Routine laboratory testing reveals a blood glucose level of 198, and abnormal liver function tests. Physical examination reveals a moderately enlarged liver, subtle cutaneous hyperpigmentation, and degenerative changes at the MCP joints bilaterally. Recalling a similar case in the past, the physician ordered a complete iron panel which showed a markedly elevated serum transferring saturation and an increased ferritin level. Plain radiographs of the hands and a CT scan of the abdomen were promptly performed.
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ACR 2007 Highlights
Pathophysiology 2007