Differential Diagnosis for Patient Number One
Based on the provided medical history, the following differential diagnoses are considered:
- Single Most Likely Diagnosis
- Hereditary Hemochromatosis: Given the patient's heterogeneity for hemochromatosis, a genetic disorder that can lead to iron overload, and the presence of various symptoms such as arthritis, diabetes, and macular degeneration, which are common complications of hemochromatosis.
- Other Likely Diagnoses
- Marfan Syndrome: The patient's tall stature, family history of tall stature, and presence of diverticulum (Killian-Jameson diverticulum) and varicose veins may suggest Marfan syndrome, a genetic disorder that affects the body's connective tissue.
- Ehlers-Danlos Syndrome: The patient's history of varicose veins, diverticulum, and family history of tall stature and arthritis may also suggest Ehlers-Danlos syndrome, a group of genetic disorders that affect the body's connective tissue.
- Lipoprotein(a) Hyperlipoproteinemia: The patient's family history of cardiovascular disease (e.g., stroke, hypertension) and presence of varicose veins may suggest lipoprotein(a) hyperlipoproteinemia, a genetic disorder that increases the risk of cardiovascular disease.
- Do Not Miss Diagnoses
- Lymphangioleiomyomatosis (LAM): Although rare, LAM is a deadly disease that can cause respiratory and digestive symptoms, and the patient's family history of granulomatous growths in the lungs and digestive tract warrants consideration of this diagnosis.
- Tuberous Sclerosis Complex (TSC): The patient's history of Tarlov cysts and family history of granulomatous growths may also suggest TSC, a genetic disorder that can cause tumors to form in various organs.
- Rare Diagnoses
- Stickler Syndrome: The patient's history of macular degeneration, arthritis, and family history of tall stature may suggest Stickler syndrome, a genetic disorder that affects the body's connective tissue.
- Weill-Marchesani Syndrome: The patient's history of varicose veins, diverticulum, and family history of tall stature and arthritis may also suggest Weill-Marchesani syndrome, a rare genetic disorder that affects the body's connective tissue.
Doctors with Published Work in these Areas
The following doctors have published work in the areas of hereditary hemochromatosis, Marfan syndrome, Ehlers-Danlos syndrome, and other related disorders:
- South Carolina:
- Dr. William R. Wilcox, Medical University of South Carolina (MUSC) - www.musc.edu - (843) 792-1414
- Georgia:
- Dr. R. Michael Scola, Emory University School of Medicine - www.emory.edu - (404) 778-5526
- Florida:
- Dr. Roy C. Levitt, University of Miami Miller School of Medicine - www.miami.edu - (305) 243-3900
- North Carolina:
- Dr. James P. Evans, University of North Carolina at Chapel Hill - www.unc.edu - (919) 966-1171
- Elsewhere:
- Dr. David J. Amor, University of Melbourne, Australia - www.unimelb.edu.au - +61 3 8344 0111
- Dr. Peter Byers, University of Washington - www.washington.edu - (206) 543-3576
Please note that this list is not exhaustive, and there may be other doctors with published work in these areas. It is essential to research and verify the credentials and expertise of any doctor before seeking medical care.
Patient Number One's information will be kept in memory for future reference.