Block 2 Case 14

In clinic, you meet a new patient who just transferred clinics due to insurance. You are struck by how tan his skin seems to be after noticing the difference between the younger picture of himself in his chart as a younger man. To your surprise, he mentions he has not been able to see the Phlebotomist as often as he usually does.

a. Based on the following liver pathology sample stained in Prussian Blue, what genetic condition does this patient likely have? Name the clinical finding you noticed on his skin. 

b. Looking through his chart, you find there is also a significant piece of family history. You notice previous work ups and note the findings of a cardiac biopsy report, show below. Name the disease process and one major cardiac clinical finding. 

c. You also see this second pathology report. What type of staining did they do and summarize the findings.

d. What disease process do these two conditions have in common? 

e. What the pathophysiology behind this disease process? Name one of two.

f. Name two other etiologies of this disease process