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Medicine General 9836fc79

Liver biopsy is indicated in patients with hemochromatosis only if:

A
Elevation of transaminase present
B
Serum ferritin > 1000 g/L
C
Evidence of cirrhosis
D
If percentage saturation of iron is high
High-Yield Explanation
Screening tests for hemochromatosis are: transferrin saturation or ferritin level (Both will be high) Confirmatory test for hemochromatosis: Genetic testing (C282Y homozygote or a compound heterozygote (C282Y/H63D). If the ferritin is >1000 g/L, the patient should be considered for liver biopsy. Ref: Harrison, E-18, P-2603.

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