Lab Studies:
Comprehensive metabolic panel, Complete Blood Count with differential, and Iron studies unremarkable except as below:
ALT 158 U/L (elevated) and AST 64 U/L (elevated)
Serum Iron - 204 mcg/dL (elevated)
Transferrin - 963 ng/dL (elevated)
Iron Saturation - 92% (elevated)
Uroporphyrins 1167 nmol/mmol creatinine (elevated)
Other Studies:
Allergy testing - negative
Lesion biopsy - subepidermal blister with rare dyskeratotic keratinocytes, mild lymphocytic infiltrate and red blood cell extravasation
FibroScan - liver stiffness (8.5 kPa) was above normal
Genetic testing for C282Y mutation - positive for a homozygous C282Y HFE mutation
Consultations:
Hematology
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