Abstract
Hemochromatosis is an autosomal recessive disorder that often results in accumulation of excessive amounts of storage iron in parenchymal organs. 1-14 The end-stage of the disease in individuals who are homozygous for the HLA-linked hemochromatosis allele is characterized by massive iron overload associated with organ damage. The frequency of homozygosity for hemochromatosis in some populations, including the U.S. Caucasian population, is estimated to be about 5 per 1000. 15 Massive iron overload, however, with multiple organ failure occurs less frequently. 15-21 The disparity between the frequency of the homozygous genotype and the observed frequency of massive iron over-load is due in part to physiologic iron loss in women, and may be due to variable penetrance of the clinical phenotype in homozygotes of both sexes. 15,20
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References
J.H. Sheldon, “Haemochromatosis,” Oxford University Press, London (1935).
S.C. Finch, and C.A. Finch, Idiopathic hemochromatosis, an iron storage disease, Medicine. 34: 381 (1955).
R. Saddi, J. Feingold, Idiopathic haemochromatosis: an autosomal recessive disease, Clin Genet. 5: 234 (1974).
M. Simon, M. Bourel, B. Genetet, and R. Fauchet, R., Idiopathic hemochromatosis: demonstration of recessive transmission and early detection by family HLA typing, N Engl J Med. 297: 1017 (1977).
L.S. Valberg, D.A. Lloyd, C.N. Ghent, P.R. Flanagan, N.R. Sinclair, C.R. Stiller, and M.J. Chamberlain, M.J., Clinical and biochemical expression of the genetic abnormality in idiopathic hemochromatosis, Gastroenterology. 79: 884 (1980).
M.L. Bassett, J.W. Halliday, and L.W. Powell, HLA typing in idiopathic hemochromatosis: distinction between homozygotes and heterozygotes with biochemical expression, Hepatology 1: 120 (1981).
M.S. Milder, J.D. Cook, S. Stray, and C.A. Finch, Idiopathic hemochromatosis, an interim report, Medicine. 59: 34 (1985).
C. Niederau, R. Fischer, A. Sonnenberg, W. Stremmel, H.J. Trampisch, and G. Strohmeyer, Survival and causes of death in cirrhotic and in noncirrhotic patients with primary hemochromatosis, N Engl J Med. 313: 1256 (1985)
L.R. Weintraub, M. Krikker, and C.Q. Edwards, eds. “Haemochromatosis: Proceedings of the First Intertnational Conference,” Ann N Y Acad Sci. 526: 1–370 (1988).
T.H. Bothwell, R.W. Charlton, and A.G. Motulsky, Hemochromatosis, in: “The Metabolic Basis of Inherited Disease,” 6th ed., C.R. Scriver, A.L. Beaudet, W.S. Sly, D. Valle, eds., McGraw-Hill, New York (1989).
N. Milman, Hereditary haemochromatosis in Denmark 1950-1985, Dan Med Bull. 38: 385 (1991).
E. Czink, E.K. Gyodi, K. Nemet, and S. Hollan, HLA antigens in Hungarian patients with idiopathic haemochromatosis, J Clin Pathol. 44: 79 (1991).
S. Fargion, C. Mandelli, A. Piperno, B. Cesana, A.L. Fracanzani, M. Fraquelli, P.A. Bianchi, G. Fiorelli, and D. Conte, Survival and prognostic factors in 212 Italian patients with genetic hemochromatosis, Hepatology. 15: 655 (1992).
C.Q. Edwards, Hemochromatosis and other iron storage disorders, in: “Wintrobe’s Clinical Hematology,” 9th ed., G.R. Lee, T.C. Bithell, J. Foerster, J.W. Athens, J.N. Lukens, eds., Lea & Febiger, Philadelphia (1993).
C.Q. Edwards, L.M. Griffen, D. Goldgar, C. Drummond, M.H. Skolnick, and J.P. Kushner, Prevalence of hemochromatosis among 11,065 presumably healthy blood donors, N Engl J Med. 318: 1355 (1988).
M.M. Dadone, J.P. Kushner, C.Q. Edwards, D.T. Bishop, and M.H. Skolnick, Hereditary hemochromatosis: analysis of laboratory expression of the disease by genotype in 18 pedigrees, Am J Clin Pathol. 78: 196 (1982).
K.S. Olsson, B. Ritter, U. Rosen, and P. A. Heedman, Screening for iron overload using transferrin saturation, Acta Med Scand. 215: 105 (1984).
P.C. Adams, A.E. Kertesz, and L.S. Valberg, Clinical presentation of hemochromatosis: a changing scene, Am J Med. 90: 445 (1991).
C.Q. Edwards, L.M. Griffen, and J.P Kushner, Comparison of stainable liver iron beteen symptomatic and asymptomatic hemochromatosis homozygotes and their homozygous relatives, Am J Med Sci. 301: 44 (1991).
C.Q. Edwards and J.P. Kushner, Screening for hemochromatosis, N Engl J Med. in press (1993).
C.Q. Edwards, M.M. Dadone, M.H. Skolnick, and J.P. Kushner, Hereditary haemochromatosis, Clinics Haematol. 11: 411 (1982).
P.J. Scheuer, R. Williams, and A.R. Muir, Hepatic pathology in relatives of patients with haemochromatosis, J Pathol Bacteriol. 84: 53 (1962).
C.Q. Edwards, M. Carroll, P.J. Bray, and G.E. Cartwright, Hereditary hemochromatosis: diagnosis in siblings and children, N Engl J Med. 297:7 (1975).
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Edwards, C.Q., Griffen, L.M., Kushner, J.P. (1994). The Morbidity of Hemochromatosis among Clinically Unselected Homozygotes: Preliminary Report. In: Hershko, C., Konijn, A.M., Aisen, P. (eds) Progress in Iron Research. Advances in Experimental Medicine and Biology, vol 356. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2554-7_32
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DOI: https://doi.org/10.1007/978-1-4615-2554-7_32
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