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Pathology
A 36-year-old male presents because his skin has been darkening recently. You notice that his skin has a dark, somewhat bronze color. Workup reveals signs of diabetes mellitus. His serum iron is found to be 1150 mg/dL, and his transferrin saturation is 98%. A liver biopsy is performed and reveals extensive deposits of hemosiderin in the hepatocytes and Kupffer cells. The mechanism most likely responsible for this constellation of findings is
Defective excretion of copper into the bile
Defective synthesis of a1 antitrypsin
Excessive reabsorption of iron from the small intestines
Excessive absorption of galactose from the small intestines
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