Non-HFE hemochromatosis: a case report

Hereditary hemochromatosis (HH) consists of a progressive iron overload that leads to an abnormal accumulation of iron in different target organs; and, if not treated in time, can cause multi-organ dysfunction. Various genetic mutations associated with HH have been described, the most frequent is as...

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Detalles Bibliográficos
Autores: Martínez-Ávila, María Cristina, Toro-Trujillo, Esteban, Alvarez-Londoño, Angelina
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Perú
Institución:Sociedad de Gastroenterología del Perú
Repositorio:Revista de Gastroenterología del Perú
Idioma:español
OAI Identifier:oai:ojs.revistagastroperu.com:article/1288
Acceso en línea:https://revistagastroperu.com/index.php/rgp/article/view/1288
Access Level:acceso abierto
Palabra clave:Hemochromatosis
Hemochromatosis protein
Ferritins
Phlebotomy
Hemocromatosis
Proteína de la hemocromatosis
Ferritinas
Flebotomía
Descripción
Sumario:Hereditary hemochromatosis (HH) consists of a progressive iron overload that leads to an abnormal accumulation of iron in different target organs; and, if not treated in time, can cause multi-organ dysfunction. Various genetic mutations associated with HH have been described, the most frequent is associated with the HFE-gene, which is found in 90% of cases. At present, therapeutic phlebotomy continues to be the treatment of choice for the management of this pathology. We report the case of a patient under follow-up for severe liver fibrosis, with persistence of a high ferrokinetic profile, who five years later was diagnosed with HH not associated to a mutation in the HFE-gene; He was managed with periodic phlebotomies, rapidly presenting a significant clinical improvement and decrease of ferritin levels.