Primary hemochromatosis as isolated dilated cardiomyopathy

Heredity hemochromatosis often presents with a restrictive cardiomyopathy and usually heart involvement is a very rare presentation. a 35 year old male with nonsignificant family history presented to emergency room in state of cardiogenic shock. after initial resuscitation he complained of ongoing sob,jaundice and palpitations for past few weeks. initially he was treated as a case of systolic heart failure but later studies revealed hfe gene negative hemochromatosis presenting only as dilated cardiomyopathy with no evidence of restrictive pattern on echo.