A 52-year-old man with recently diagnosed diabetes mellitus presents with progressive fatigue, arthralgias, and decreased libido. Vital signs: BP 128/82 mmHg, HR 88/min, RR 16/min, Temp 37.2°C. Physical examination reveals bronze skin pigmentation and hepatomegaly. Serum ferritin is elevated at 1,200 ng/mL. He denies alcohol use. Which of the following is the most likely diagnosis?
- A)HemochromatosisGABARITO
- B)Budd-Chiari syndrome
- C)Wilson disease
- D)Acute intermittent porphyria
- E)Gilbert syndrome
Explicação
Hereditary hemochromatosis causes excessive iron absorption and tissue deposition in liver, pancreas, skin, pituitary, and joints causing bronze diabetes. Ver explicação completa e trilha adaptativa →