Haemochromatosis Flashcards

1
Q

What is haemochromatosis?

A

Iron storage disorder: - excessive total body iron - deposition of iron in tissues.

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2
Q

What causes haemochromatosis?

A

Normally a gene mutation: - Human haemochromatosis protein gene (HFE gene) - Chromosome 6

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3
Q

What is the inheritance pattern of haemochromatosis?

A

Autosomal recessive

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4
Q

When does haemochromatosis usually present?

A

After 40 years old

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5
Q

Why does haemochromatosis usually present later in women?

A

Menstruation causes a loss of iron with the blood loss

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6
Q
A
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7
Q

How does haemochromatosis present?

A
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8
Q

Which bloods are used for haemochromatosis diagnosed?

A
  • Serum ferritin
  • Transferrin saturation
  • Genetic testing (usually if a cause is needed)
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9
Q

Why is haemochromatosis raised?

A

Acute phase reactant (high in inflammation)

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10
Q

What does a high ferritin saturation mean?

A

Iron overload (indicates haemochromatosis)

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11
Q

What should you do if ferritin saturation is high?

A

Genetic testing (HLE Gene)

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12
Q

What does a liver biopsy show?

A

Iron deposit in parenchymal cells

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13
Q

What stain is used in liver biopsy for haemochromatosis?

A

Pearl Stain

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14
Q

How is MRI used for haemochromatosis?

A

Visualise the iron deposits in the liver and the heart

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15
Q

What are the complications of haemochromatosis?

A
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16
Q
A
17
Q

How is haemochromatosis managed?

A
  • Venesection
  • Monitoring serum ferritin, and monitor for complications
  • Genetic counselling
  • Avoid alcohol