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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

ageofonset adult https://raremedicalnews.com/wp-content/uploads/2026/03/Depositphotos_658876140_L.jpg

ICD-10

E83.110

Inheritance Pattern

Autosomal dominant

no https://raremedicalnews.com/wp-content/uploads/2026/03/Depositphotos_658876140_L.jpg

Autosomal recessive

rnn autosomalrecessive https://raremedicalnews.com/wp-content/uploads/2026/03/Depositphotos_658876140_L.jpg

Mitochondrial/Multigenic

no https://raremedicalnews.com/wp-content/uploads/2026/03/Depositphotos_658876140_L.jpg

X-linked dominant

no https://raremedicalnews.com/wp-content/uploads/2026/03/Depositphotos_658876140_L.jpg

X-linked recessive

no https://raremedicalnews.com/wp-content/uploads/2026/03/Depositphotos_658876140_L.jpg

5 Facts you should know

FACT

1

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

2

Progressive iron accumulation results in organ damage, especially in the liver, heart, pancreas, joints, and endocrine glands

FACT

3

Clinical features may include fatigue, arthralgia, skin hyperpigmentation (“bronze diabetes”), cirrhosis, cardiomyopathy, and diabetes mellitus, often presenting in adulthood

FACT

4

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

Hereditary hemochromatosis is also known as...

Hereditary hemochromatosis is also known as:

  • HH
  • Iron overload disorder

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What is the primary treatment for hereditary hemochromatosis?

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:

  1. Pietrangelo A. Hereditary hemochromatosis. N Engl J Med. 2004.
  2. Bacon BR, et al. Hemochromatosis. Hepatology. 2011.