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A 43-year-old white man was seen at this hospital because of hypogonadism.
The patient had felt well until 6 months earlier, when he noted the gradual onset of fatigue, decreased libido, and erectile dysfunction. Ten weeks before the evaluation at this hospital, he saw his primary care physician. The levels of serum lipids, electrolytes, calcium, phosphorus, and magnesium and the results of tests of renal function were normal. The results of other laboratory tests are shown in Table 1. Seven weeks after the visit to his primary care physician, the patient saw an endocrinologist at this hospital. At that
Differential Diagnosis
Hereditary Hemochromatosis
Clinical Manifestations of HFE-Related Hereditary Hemochromatosis
Pathophysiology of HFE-Related Hereditary Hemochromatosis
Diagnosis of Hereditary Hemochromatosis
Dr. Raymond T. Chung's Diagnosis
Pathological Discussion
Discussion of Management
Anatomical Diagnosis
Source Information
From the Gastrointestinal Unit (R.T.C.) and the Departments of Pathology (J.M.) and Radiology (D.V.S.), Massachusetts General Hospital; and the Departments of Medicine (R.T.C.), Pathology (J.M.), and Radiology (D.V.S.), Harvard Medical School.
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