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Case Study
Andrew is a 49-year-old Caucasian male who is seen by a primary care doctor. He reports that for the last 1-2 years or longer he has experienced moderate fatigue, aches and pains in multiple joints, impotence, and mild depression. He has a family history including diabetes in both parents, and an older brother who died of liver disease at age 60. Andrew is unsure of his brother’s complete medical condition, but thought he was a heavy drinker. Andrew denies personal use of tobacco and is taking neither prescribed or over-the-counter drugs. He states he drinks alcoholic beverages, mostly on weekends. The physician orders routine lab tests including a chemistry panel, CBC, lipid panel, and urinalysis.
The results of the lab tests were mostly normal with the following notable exceptions which were all elevated (above reference intervals): Enzymes related to liver function, serum iron, fasting glucose (slightly elevated).
What disorder is most consistent with this patient’s history, clinical presentation, and initial laboratory test results?

Please select the single best answer