Table 3:
Target Populations for Diagnosis of Hereditary Hemochromatosis (HH)

1. Patients with clinical manifestations compatible with HH
   a. Unexplained liver disease, hepatomegaly, or elevated liver enzymes
   b. Type II diabetes mellitus with associated liver disease, cardiomyopathy,
       or early-onset sexual dysfunction
   c. Early-onset arthropathy, cardiomyopathy, cardiac dysrhythmias. or sexual dysfunction
2. Patients without clinical manifestations of HH
   a. First-degree relatives of a patient with identified HH
   b. Incidental finding of elevated serum iron markers (eg, iron saturation or serum ferritin)
   c. Incidental finding of elevated liver enzymes or hepatomegaly, or a compatible CT
       or MRI of the liver

Copyright 2002 The Cleveland Clinic Foundation

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