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Hereditary hemochromatosis
Hereditary hemochromatosis is a genetic iron overload disorder characterized by excessive intestinal iron absorption leading to iron deposition in organs, particularly the liver, heart, and pancreas
Prevalence
1 / 300
N/A
US Estimated
1 in 200–300
Europe Estimated
Age of Onset
Adult
ICD-10
E83.110
Inheritance Pattern
Autosomal dominant
Autosomal recessive
Mitochondrial/Multigenic
X-linked dominant
X-linked recessive
5 Facts you should know
FACT
Hereditary hemochromatosis is a common genetic iron overload disorder, most often caused by mutations in the HFE gene (particularly C282Y), leading to increased intestinal iron absorption
FACT
Progressive iron accumulation results in organ damage, especially in the liver, heart, pancreas, joints, and endocrine glands
FACT
Clinical features may include fatigue, arthralgia, skin hyperpigmentation (“bronze diabetes”), cirrhosis, cardiomyopathy, and diabetes mellitus, often presenting in adulthood
FACT
Diagnosis is based on elevated transferrin saturation and serum ferritin, followed by confirmatory genetic testing for HFE mutations
FACT
5
Treatment consists of regular therapeutic phlebotomy, which effectively reduces iron levels and can prevent or reverse complications if started early
Interest over time
Google searches
Common signs & symptoms
Fatigue
Joint pain
Liver disease
Skin hyperpigmentation (“bronze diabetes”)
Diabetes
Current treatments
Therapeutic phlebotomy (standard of care)
Iron chelation (rare cases)
References:
- Pietrangelo A. Hereditary hemochromatosis. N Engl J Med. 2004.
- Bacon BR, et al. Hemochromatosis. Hepatology. 2011.