Situation: A diabetic patient came with deranged liver functions.
Dr Bad: We need to rule out viral hepatitis.
Dr Good: We need to rule out hemochromatosis.
Lesson: All diabetic patients with abnormal liver enzymes should be screened for hemochromatosis. Hemochromatosis is present in 1–2% of all diabetic patients, and often diabetes is the first clinical manifestation of the condition. Liver function abnormalities are the most frequent finding leading to a diagnosis (Clinical Diabetes 2004;22:101–2).
Dr Bad: We need to rule out viral hepatitis.
Dr Good: We need to rule out hemochromatosis.
Lesson: All diabetic patients with abnormal liver enzymes should be screened for hemochromatosis. Hemochromatosis is present in 1–2% of all diabetic patients, and often diabetes is the first clinical manifestation of the condition. Liver function abnormalities are the most frequent finding leading to a diagnosis (Clinical Diabetes 2004;22:101–2).
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