Training & Education - Case Studies
Case Study 2: A 69-year-old woman with no significant family history who may be susceptible.
Marie is a 69-year-old French-American woman with complaints of fatigue and feeling "weak and tired." She states she has "lost interest in doing the things I normally enjoy." She also complains of pain in her knees.
Past Medical History:
- Patient has been healthy and active.
- Denies blood donation.
- Mother died at age 75 of cancer.
- Father died of a stroke at age 78.
- Brother age 65, alive and apparently healthy.
- Three adult children apparently alive and healthy.
- Denies tobacco use, denies alcohol consumption, denies recreational drug use.
- Mild effusion in left knee.
- Height: 5'2" Weight: 105 lbs.
- Vital signs within normal limits.
After reviewing Marie’s medical record, please respond to the questions below with your best possible answers. Response formats vary within the case study. Some questions will be open-ended, requiring you to compare your response to the expert opinion. Other questions will be multiple choice or drop-down choices.
- The patient’s genotype is unknown.
- Her family history is not suggestive of hemochromatosis.
- She exhibits evidence of iron overload through biochemical measurements.
- Regardless of genotype, her hemochromatosis should be treated with phlebotomy.
- This case study demonstrates the importance of monitoring serum ferritin levels and other appropriate blood tests over the course of phlebotomy treatment.
- Anemia may result if treatment is too aggressive. Elderly adults of small build may require adjustment in the amount of phlebotomy.
- The patient should be encouraged to urge family members to have their iron status evaluated with biochemical testing.
- Centers for Disease Control and Prevention
National Center on Birth Defects and Developmental Disabilities
Division of Blood Disorders
1600 Clifton Road
Atlanta, GA 30333
TTY: (888) 232-6348
- Contact CDC-INFO