Hereditary hemochromatosis is a common genetic disorder. A large numbe
r of homozygous patients with early disease are asymptomatic, but with
early diagnosis and treatment, their life expectancy is normal. The b
est screening test is determination of the percent saturation of trans
ferrin or the transferrin index. Liver biopsy with measurement of hepa
tic irron concentration is required for definitive diagnosis. Once the
diagnosis is confirmed, treatment by phlebotomy at regular intervals
is straightforward.