It is estimated that about 1 in 250 people have a mutation in the HFE gene, which is responsible for hemochromatosis (iron overload). However, not everyone with this mutation will develop the disease. The incidence of hemochromatosis is higher in some populations, such as those of Northern European descent.
What is hemochromatosis?
Hemochromatosis, or iron overload is a condition in which the body absorbs too much iron from the diet. This excess iron can build up in the body over time, causing damage to the organs. Hemochromatosis is an inherited condition, but it can also be caused by other factors, such as frequent blood transfusions. The signs and symptoms of hemochromatosis can vary depending on the severity of the condition and how long it has been present.
The HFE gene mutation causes a problem with the body’s regulation of iron absorption. The HFE gene helps regulate the amount of iron that is absorbed from the diet. When this gene is mutated, it can cause the body to absorb too much iron. This excess iron is then stored in the organs, which can lead to hemochromatosis.
How hemochromatosis is diagnosed
Blood tests are the most common way to diagnose hemochromatosis. These tests measure the levels of iron and ferritin in the blood. Ferritin is a protein that stores iron in the body. High levels of ferritin can be a sign of hemochromatosis.
Symptoms of hemochromatosis
Erectile dysfunction and loss of sex drive are common symptoms of male hemochromatosis. Other symptoms of hemochromatosis include fatigue, joint pain, abdominal pain, and heart problems.
In women, hemochromatosis can cause irregular periods, weight loss, and infertility.
Causes of hemochromatosis
There are a few different causes of hemochromatosis. The most common cause is the HFE gene mutation I mentioned before. However, hemochromatosis can also be caused by other genetic mutations, blood transfusions, and other medical conditions. Some people can also develop hemochromatosis without any known cause. It’s estimated that around 20% of cases of hemochromatosis don’t have a known cause.
HFE gene mutation
This is the most common cause of hemochromatosis. The HFE gene is responsible for regulating the amount of iron absorbed from the diet. When this gene is mutated, it doesn’t work properly, and too much iron is absorbed from the diet. This leads to an excess of iron in the body, which can cause hemochromatosis.
Other genetic mutations that can cause hemochromatosis
There are several different genes that have been linked to hemochromatosis, including the HJV, HAMP, and TFR2 genes. Mutations in these genes can also lead to an excess of iron in the body. These genetic mutations are much less common than the HFE gene mutation, but they can still cause hemochromatosis.
Blood transfusions
Sometimes, people who receive frequent blood transfusions can develop hemochromatosis. This is because blood transfusions contain iron, and this iron can build up in the body over time. People who have hemoglobin disorders, such as sickle cell anemia, are especially at risk for developing hemochromatosis from blood transfusions.
Risk factors for hemochromatosis
There are several risk factors for hemochromatosis. The most common risk factor is having a family history of the disease. If a person has a first-degree relative, such as a parent or sibling, with hemochromatosis, they are at increased risk for the disease. Other risk factors include having European ancestry, being a man, and having liver disease.
Treatment for hemochromatosis
The main goal of treatment is to remove excess iron from the body. This can be done through blood donations, medication, and a low-iron diet. Sometimes, treatment also involves chelation therapy, which is a process that helps remove excess iron from the body.
Possible complications of hemochromatosis
If hemochromatosis is left untreated, it can lead to a number of health problems. These include liver disease, heart disease, diabetes, arthritis, reproductive problems, and skin color changes. It’s important to treat hemochromatosis early to avoid these complications.
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