Table 2: Causes of raised serum ferritin with iron overload [19].

Personal history of iron overload	Heavy oral, intravenous iron supplements or many transfusion history.
Chronic Anemia with ineffective erythropoiesis (thalassemia intermedia, sideroblastic anemia, chronic hemolytic anemia	Full blood count, blood film, haemoglobinopathy studies.
Hereditary haemochromatosis	Check for fatigue, lethargy, arthralgia, diabetes, loss of libido, impotence, amenorrhoea, right upper quadrant abdominal pain, hepatomegaly, cirrhosis, chondrocalcinosis, skin hyperpigmentation, heart failure.
Family history of iron overload	Check for positive family history.
Porphyria cutanea tarda	Check for cutaneous photosensitivity. Check for liver dysfunction.