TY - BOOK AU - Gandhi, Kejal AU - Kim, Jeffrey AU - Lee, Zone-en AU - Smith, Hedy P AU - Vobugari, Nikitha TI - Iron-Storage Disorder Presenting as Chronic Diarrhea SN - 2168-8184 PY - 2021/// KW - IN PROCESS -- NOT YET INDEXED KW - MedStar Washington Hospital Center KW - Gastroenterology Fellowship KW - Hematology and Oncology KW - Internal Medicine Residency KW - Medicine/Gastroenterology KW - MedStar General Surgery Residency KW - Case Reports N2 - The involvement of the endocrine pancreas leading to bronze diabetes is well studied. However, little is known about the pathophysiology of iron dysregulation involving the exocrine pancreas. We present a unique association between the exocrine pancreas and iron dysregulation. A 45-year-old female presented with chronic diarrhea and low fecal elastase indicative of pancreatic exocrine dysfunction. MRI of the abdomen/pelvis showed iron deposition in the pancreas, suggesting an associated iron-storage disorder without features suggesting chronic pancreatitis. Association of an iron-storage disorder with pancreatic exocrine dysfunction has been reported only in one other case report. Pancreatic exocrine dysfunction can be directly associated with an iron-storage disorder that involves the pancreas. This should be included in the differential and diagnostic work-up of chronic diarrhea of unclear etiology. Based on the literature, we have highlighted the potential pathophysiology relevant to the case. Copyright (c) 2021, Vobugari et al UR - https://dx.doi.org/10.7759/cureus.18864 ER -