Understanding Haemochromatosis

A Guide to Iron Overload Disorder

Internal Medicine

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Last updated: Mar 24, 2025

What is Haemochromatosis?

Haemochromatosis is an inherited condition where the body absorbs too much iron from food, leading to iron overload in various organs.

Key Facts

  • Most common inherited genetic condition in people of Northern European descent
  • Affects approximately 1 in 200 people
  • More common in men than women
  • Usually becomes apparent between ages 30-60

Symptoms

Early Signs

  • Fatigue and weakness
  • Joint pain
  • Abdominal discomfort

Advanced Symptoms

  • Skin bronzing/darkening
  • Liver problems
  • Diabetes
  • Heart abnormalities
  • Arthritis

Diagnosis

  1. Blood Tests
    • Transferrin saturation test
    • Serum ferritin level
  2. Genetic Testing
    • HFE gene mutation analysis
  3. Liver Biopsy (if necessary)

Treatment Options

Primary Treatment

  • Therapeutic phlebotomy (regular blood removal)
  • Initial frequency: weekly
  • Maintenance: 2-4 times per year

Lifestyle Changes

  • Limit alcohol consumption
  • Avoid iron supplements
  • Restrict vitamin C supplements with meals

Prevention for Family Members

  • Genetic screening for relatives
  • Early detection through regular testing
  • Lifestyle modifications if gene mutation present

Long-term Management

  • Regular monitoring of iron levels
  • Annual health check-ups
  • Ongoing phlebotomy as needed
  • Organ function monitoring

Complications if Untreated

  • Liver cirrhosis
  • Heart failure
  • Diabetes
  • Arthritis
  • Endocrine problems

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