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Correspondence
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Volume 329:2037-2038 December 30, 1993 Number 27
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Screening for Hemochromatosis

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 by Edwards, C. Q.
To the Editor: Edwards and Kushner (June 3 issue)1 advocate universal screening for presymptomatic hemochromatosis. Such screening would probably identify 10 times the number of people with this condition now identified. This recommendation is based on their view that hemochromatosis should be defined genetically rather than clinically, as is currently the standard, and the fact that early intervention with an effective and inexpensive treatment (phlebotomy) is possible. Identifying asymptomatic persons at risk, they argue, is likely to result in lower morbidity and an increased life span. Unfortunately, this approach may also increase the likelihood of adverse genetic discrimination.

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