Diagnosis and treatment in hereditary hemochromatosis

被引:1
作者
von Figura, G. [1 ]
Kulaksiz, H. [1 ]
机构
[1] Univ Ulm Klinikum, Innere Med Klin 1, Innere Med Abt 1, D-89081 Ulm, Germany
关键词
hemochromatosis; cirrhosis; iron; genetic testing; HFE; HEPATIC IRON INDEX; JUVENILE HEMOCHROMATOSIS; OVERLOAD; MUTATIONS; HEPCIDIN; GENE; SURVIVAL; DISEASE; LIVER;
D O I
10.1055/s-0029-1243062
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hereditary hemochromatosis is one of the commonest inherited diseases. The underlying genetic defects lead to an accumulation of iron and subsequent damaging in various organs, especially in the liver. About 14 years ago a genetic test was introduced in Germany that detects hereditary forms of hemochromatosis with a high sensitivity and specificity. This test allows to diagnose hemochromatosis even before end-organ damage is present. The aim is to identify hemochromatosis patients at early disease stages to start a therapy, since an early diagnosis and treatment results in a normal life expectancy. In this article the clinical features, diagnostic approaches and therapy of hereditary hemochromatosis are summarized. © Georg ThiemeVerlag KG Stuttgart.
引用
收藏
页码:2565 / 2572
页数:8
相关论文
共 28 条
[1]   Haemochromatosis [J].
Adams, Paul C. ;
Barton, James C. .
LANCET, 2007, 370 (9602) :1855-1860
[2]   Hemochromatosis and iron-overload screening in a racially diverse population [J].
Adams, PC ;
Reboussin, DM ;
Barton, JC ;
McLaren, CE ;
Eckfeldt, JH ;
McLaren, GD ;
Dawkins, FW ;
Acton, RT ;
Harris, EL ;
Gordeuk, VR ;
Leiendecker-Foster, C ;
Speechley, M ;
Snively, BM ;
Holup, JL ;
Thomson, E ;
Sholinsky, P ;
Acton, RT ;
Barton, JC ;
Dixon, D ;
Rivers, CA ;
Tucker, D ;
Ware, JC ;
McLaren, CE ;
McLaren, GD ;
Anton-Culver, H ;
Baca, JA ;
Bent, TC ;
Brunner, LC ;
Dao, MM ;
Jorgensen, KS ;
Kuniyoshi, J ;
Le, HD ;
Masatsugu, MK ;
Meyskens, FL ;
Morohashi, D ;
Nguyen, HP ;
Panagon, SN ;
Phung, C ;
Raymundo, V ;
Ton, T ;
Walker, AP ;
Wenzel, LB ;
Ziogas, A ;
Adams, PC ;
Bloch, E ;
Chakrabarti, S ;
Fleischhauer, A ;
Harrison, H ;
Jia, K ;
Larson, S .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (17) :1769-1778
[3]   Variable phenotypic presentation of iron overload in H63D homozygotes: are genetic modifiers the cause? [J].
Aguilar-Martinez, P ;
Bismuth, M ;
Picot, MC ;
Thelcide, C ;
Pageaux, GP ;
Blanc, F ;
Blanc, P ;
Schved, JF ;
Larrey, D .
GUT, 2001, 48 (06) :836-842
[4]   HFE-associated hereditary hemochromatosis [J].
Alexander, Jacob ;
Kowdley, Kris V. .
GENETICS IN MEDICINE, 2009, 11 (05) :307-313
[5]   Iron-overload-related disease in HFE hereditary hemochromatosis [J].
Allen, Katrina J. ;
Gurrin, Lyle C. ;
Constantine, Clare C. ;
Osborne, Nicholas J. ;
Delatycki, Martin B. ;
Nicoll, Amanda J. ;
McLaren, Christine E. ;
Bahlo, Melanie ;
Nisselle, Amy E. ;
Vulpe, Chris D. ;
Anderson, Gregory J. ;
Southey, Melissa C. ;
Giles, Graham G. ;
English, Dallas R. ;
Hopper, John L. ;
Olynyk, John K. ;
Powell, Lawrie W. ;
Gertig, Dorota M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (03) :221-230
[6]  
[Anonymous], BLOOD CELLS MOL DIS
[7]   Management of hemochromatosis [J].
Barton, JC ;
McDonnell, SM ;
Adams, PC ;
Brissot, P ;
Powell, LW ;
Edwards, CQ ;
Cook, JD ;
Kowdley, KV .
ANNALS OF INTERNAL MEDICINE, 1998, 129 (11) :932-939
[8]  
Beutler Ernest, 1996, Blood Cells Molecules and Diseases, V22, P187, DOI 10.1006/bcmd.1996.0027
[9]   The gene TFR2 is mutated in a new type of haemochromatosis mapping to 7q22 [J].
Camaschella, C ;
Roetto, A ;
Cali, A ;
De Gobbi, M ;
Garozzo, G ;
Carella, M ;
Majorano, N ;
Totaro, A ;
Gasparini, P .
NATURE GENETICS, 2000, 25 (01) :14-15
[10]   Towards explaining "unexplained hyperferritinemia" [J].
Camaschella, Clara ;
Poggiali, Erika .
HAEMATOLOGICA-THE HEMATOLOGY JOURNAL, 2009, 94 (03) :307-309