Dr. Goswami Parth Rajendragiri
Pathology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 50-year-old female who has had an elevated ferritin level for many years now. My last ferritin level was 342, 20 days back. My ferritin level has been as high as 390. My TIBC, UIBC, iron, and iron saturation have always been within normal range. My glucose has always ranged from 100 to 104. I was tested for hemochromatosis and results are negative. My doctors keep telling me that we will just watch my ferritin level and I have bloodwork done every six months. I was diagnosed with fibromyalgia last year. I am looking for some answers and some help.
Hello,
Welcome to icliniq.com.
Elevated ferritin could be from congenital hemochromatosis but HFE gene mutation is negative, so it is excluded (attachment removed to protect patient identity). Secondly, a hemolytic condition also can be a possibility but serum LDH (lactic acid dehydrogenase), reticulocyte count normal and HB (hemoglobin) also within range, so excluded. If you are having repeated blood transfusion history then provide history regarding that.
I suggest you investigate with transferrin saturation as well next time when you investigate for ferritin. Do not worry about high serum ferritin as all other related parameters are also within range. If ferritin constantly remains elevated than phlebotomy can be done to decrease the ferritin level. Once transferrin saturation investigation has been done, provide history regarding that. Take care.
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Pathology
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