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Hereditary
Hemochromatosis
     Zane Kaminski
What is hemochromatosis?


  It’s a condition that causes dangerously high
         levels of iron build up in the body.
What is hemochromatosis?


   It’s present in approximately 4.5 out of 1000
  individuals, but much more frequently in men.
What is hemochromatosis?


If untreated, it can lead to organ failure or even death!
Phases of Hemochromatosis


   Early Stage   Late Stage
Phases of Hemochromatosis


   Early Stage   Late Stage
Phases of Hemochromatosis


   Early Stage   Late Stage
Symptoms of
Hemochromatosis
Early Stage        Late Stage
 Fatigue           Arthritis
 Joint pain        Liver disease
 Abdominal pain    Diabetes
 Loss of libido    Heart abnormalities
                    Skin discoloration
                    Organ Failure
Genetic Basis

        The specific genetic cause of hereditary
hemochromatosis are the C282Y mutation, and another
 similar H63D mutation, both in the human HFE gene.
Genetic Basis

The mutation that causes hemochromatosis is inherited
   in a homozygous recessive manner, meaning that
         heterozygotes, while they do not have
  hemochromatosis, serve as carriers for the disease.
Genetic Basis

Hemochromatosis is incompletely dominant, meaning
 that heterozygotes do have higher blood iron levels
     than homozygotes, but not dangerously so.
Treatment


Treatment is relatively simple and straightforward, and
consists of regular phlebotomies, or removal of blood.
Treatment


 This serves to reduce iron levels in the body and
                   bloodstream.
Treatment


If treatment for hemochromatosis is sought promptly,
affected individuals can lead completely normal lives!
Cycle of Treatment
                              High iron levels
                               necessitate a
                               phlebotomy.




                                                           Regular
        Iron levels rise.                               phlebotomies
                                                       are performed.




                    Iron levels
                                             Blood iron levels
                   eventually
                                                decrease.
                 become normal.
Summary
 Hemochromatosis is completely treatable.
 Individuals with the disease, if they seek help promptly, can live
  totally normal lives.
 However, those who do not may suffer organ damage, etc.
 Hemochromatosis is inherited in an autosomal recessive manner.
 Not all individuals with the homozygous recessive genotype have the
  disease, however!
 Treatment consists of regular phlebotomies.
References
Center for Disease Control and Prevention. (2010, September 3). Hemochromatosis (Iron Storage Disease). Retrieved July 25,
     2012, from Center for Disease Control and Prevention: http://www.cdc.gov/ncbddd/hemochromatosis/
Lab Tests Online. (2011, July 12). TIBC & UIBC, Transferrin. Retrieved July 25, 2012, from Lab Tests Online:
     http://labtestsonline.org/understanding/analytes/tibc/tab/test
Moalem, S. (2007). Survival of the Sickest. New York: William Morrow.
National Center for Biotechnology Information. (n.d.). Homo Sapiens Hemochromatosis (HFE), transcript variant 1, mRNA.
     Retrieved July 25, 2012, from https://www.ncbi.nlm.nih.gov/nuccore/NM_000410
Phatak, P. D., Sham, R. L., Raubertas, R. F., Dunnigan, K., O'Leary, M. T., Braggins, C., & Cappuccio, J. D. (1998, December 1).
     Prevalence of Hereditary Hemochromatosis in 16031 Primary Care Patients. Annals of Internal Medicine. Retrieved July
     25, 2012, from http://annals.org/article.aspx?volume=129&page=954
TW French, J. B. (n.d.). Percent Saturation of Transferrin. Retrieved July 25, 2012, from Cornell University College of
     Veterinary Medicine: http://ahdc.vet.cornell.edu/clinpath/modules/chem/sat.htm
U.S. Department of Health and Human Services. (2012, 10 May). Hemochromatosis. Retrieved July 25, 2012, from National
      Digestive Diseases Information Clearinghouse:
      http://digestive.niddk.nih.gov/ddiseases/pubs/hemochromatosis/index.aspx

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Hemochromatosis

  • 2. What is hemochromatosis? It’s a condition that causes dangerously high levels of iron build up in the body.
  • 3. What is hemochromatosis? It’s present in approximately 4.5 out of 1000 individuals, but much more frequently in men.
  • 4. What is hemochromatosis? If untreated, it can lead to organ failure or even death!
  • 5. Phases of Hemochromatosis Early Stage Late Stage
  • 6. Phases of Hemochromatosis Early Stage Late Stage
  • 7. Phases of Hemochromatosis Early Stage Late Stage
  • 8. Symptoms of Hemochromatosis Early Stage Late Stage  Fatigue  Arthritis  Joint pain  Liver disease  Abdominal pain  Diabetes  Loss of libido  Heart abnormalities  Skin discoloration  Organ Failure
  • 9. Genetic Basis The specific genetic cause of hereditary hemochromatosis are the C282Y mutation, and another similar H63D mutation, both in the human HFE gene.
  • 10. Genetic Basis The mutation that causes hemochromatosis is inherited in a homozygous recessive manner, meaning that heterozygotes, while they do not have hemochromatosis, serve as carriers for the disease.
  • 11. Genetic Basis Hemochromatosis is incompletely dominant, meaning that heterozygotes do have higher blood iron levels than homozygotes, but not dangerously so.
  • 12. Treatment Treatment is relatively simple and straightforward, and consists of regular phlebotomies, or removal of blood.
  • 13. Treatment This serves to reduce iron levels in the body and bloodstream.
  • 14. Treatment If treatment for hemochromatosis is sought promptly, affected individuals can lead completely normal lives!
  • 15. Cycle of Treatment High iron levels necessitate a phlebotomy. Regular Iron levels rise. phlebotomies are performed. Iron levels Blood iron levels eventually decrease. become normal.
  • 16. Summary  Hemochromatosis is completely treatable.  Individuals with the disease, if they seek help promptly, can live totally normal lives.  However, those who do not may suffer organ damage, etc.  Hemochromatosis is inherited in an autosomal recessive manner.  Not all individuals with the homozygous recessive genotype have the disease, however!  Treatment consists of regular phlebotomies.
  • 17. References Center for Disease Control and Prevention. (2010, September 3). Hemochromatosis (Iron Storage Disease). Retrieved July 25, 2012, from Center for Disease Control and Prevention: http://www.cdc.gov/ncbddd/hemochromatosis/ Lab Tests Online. (2011, July 12). TIBC & UIBC, Transferrin. Retrieved July 25, 2012, from Lab Tests Online: http://labtestsonline.org/understanding/analytes/tibc/tab/test Moalem, S. (2007). Survival of the Sickest. New York: William Morrow. National Center for Biotechnology Information. (n.d.). Homo Sapiens Hemochromatosis (HFE), transcript variant 1, mRNA. Retrieved July 25, 2012, from https://www.ncbi.nlm.nih.gov/nuccore/NM_000410 Phatak, P. D., Sham, R. L., Raubertas, R. F., Dunnigan, K., O'Leary, M. T., Braggins, C., & Cappuccio, J. D. (1998, December 1). Prevalence of Hereditary Hemochromatosis in 16031 Primary Care Patients. Annals of Internal Medicine. Retrieved July 25, 2012, from http://annals.org/article.aspx?volume=129&page=954 TW French, J. B. (n.d.). Percent Saturation of Transferrin. Retrieved July 25, 2012, from Cornell University College of Veterinary Medicine: http://ahdc.vet.cornell.edu/clinpath/modules/chem/sat.htm U.S. Department of Health and Human Services. (2012, 10 May). Hemochromatosis. Retrieved July 25, 2012, from National Digestive Diseases Information Clearinghouse: http://digestive.niddk.nih.gov/ddiseases/pubs/hemochromatosis/index.aspx