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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
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