Alcoholic Hepatitis Mimicking Iron Overload Disorders With Hyperferritinemia and Severely Elevated Transferrin Saturation: A Case Report

Iron overload disorders can present as non-specific symptoms and develop gradually but, if untreated, be very fatal. The common causes include multiple blood transfusions for chronic anemia increased iron absorption, including hereditary hemochromatosis (HH). HH is one of the usually presents with liver cirrhosis in a setting significantly elevated ferritin transferrin saturation. Alcoholic hepatitis clinical syndrome progressive inflammatory injury associated long-term heavy intake ethanol. However, patients alcohol abuse, excessive consumption disrupt metabolism releasing large amounts into circulation. This cause severely due to disruption metabolism, simulating such HH, especially patient also has cirrhosis. Even though high saturation greater than 45% recommended cutoff value sensitivity detecting disorders, it low specificity positive predictive often identifies people other acutely levels disease hepatitis. Recognizing this feature timely management spare from unnecessary phlebotomies prompt treatment alcoholic We an interesting case severe mimicking underlying