]> 2026-07-31T11:51:18+00:00 WBR0952 0 en Deferoxamine Liver transplant D-penicillamine Phlebotomy Dietary iron restriction ''' Incorrect ''' : Dietary modifications would have very little impact on total body iron stores even if no foods containing iron are consumed. Primary Care Office A 43 year old male, comes to the office with complaints of severe fatigue and lethargy over the past 1 month. On further review of history, he says he had intermittent fatigue, lethargy, nausea, abdominal pain and joint pains for several years to which he never consulted a doctor. He also says he has loss of libido and erectile dysfunction for the past few years. His family history is unremarkable. He does not smoke and drink. His temperature is 36.7 C, blood pressure is 130/70 mmHg, pulse is 72/min and respiration's are 16/min. Abdominal examination reveals profound hepatomegaly. His skin has golden blue hue. The patient is admitted and treated suppourtively. His serum biochemistry results shows Na:135 mEq/L, K: 3.5 mEq/L, Cl:104mEq/L, Bi: 24 mEq/L, BUN: 30 mg/dl, glucose:226 mg/dl, Mg:1mg/dl and Ca: 8mg/dl. His tranferrin saturation is 72%, serum ferritn is 500 ng/ml and serum iron levels are 300 µg/dl. Liver function tests are bilirubin: 1.5 mg/dl, AST : 100 IU/L , ALT : 122 IU/L, serum albumin 3.5 g/dl and prothrombin time : 11 sec. What is the best appropriate treatment for this patient? D Hepatology 2020-10-28T02:10:35Z 2459150.5906829 WBR0952