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[28-year old patient with successfully treated dilatative cardiomyopathy]
Journal
Der Internist
Volume
49
Number
3
Pages / Article-Number
349-52
Keywords
cardiomyopathy, iron overload, hemochromatosis, phlebotomy
Abstract
A 28-year was admitted with heart failure. His medical history included treatment for hypogonadotropic hypogonadism. Echocardiography showed dilatation of all chambers. Elevated serum ferritin levels and liver biopsy indicated hereditary hemochromatosis. Cardiac iron overload was seen on magnetic resonance imaging. Genetic testing revealed homozygosis for G320 V mutation, confirming the diagnosis of juvenile hemochromatosis. Phlebotomy on a biweekly regimen was started and after twelve months of therapy the patient had normal ferritin values as well as normal ejection fraction on echocardiography.
