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hemochromatosis type 5
ICD-10 Codes
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Description
Hemochromatosis type 5, also known as iron overload due to a mutation in the FTH1 gene, is a rare disorder characterized by elevated serum ferritin levels, increased serum iron, and heavy iron deposition in hepatocytes.
- This condition is caused by a heterozygous mutation in the FTH1 gene on chromosome 11q12 [4].
- The mutation leads to reduced iron storage function, resulting in excessive iron absorption and accumulation in the body [5].
- Hemochromatosis type 5 is associated with mild to moderate late-onset iron overload, with increased serum ferritin, normal or high transferrin saturation, and increased liver iron concentration [11].
Symptoms of hemochromatosis type 5 may include abdominal pain, weakness, lethargy, and unintended weight loss. If left untreated, the condition can progress to organ damage due to toxic effects of excess iron accumulation.
- Common symptoms also include feeling tired or weak, weight loss, joint pain, bronze or grey skin color, and abdominal pain [10].
- The condition is more pronounced in males than in females, with associated laboratory findings being more severe in men [11].
It's essential to note that hemochromatosis type 5 is a rare form of the disease, and diagnosis typically involves blood tests, liver biopsy, and genetic testing.
Additional Characteristics
- Hemochromatosis type 5
- a rare disorder characterized by elevated serum ferritin levels, increased serum iron, and heavy iron deposition in hepatocytes
- Hemochromatosis type 5 is associated with mild to moderate late-onset iron overload, with increased serum ferritin, normal or high transferrin saturation, and increased liver iron concentration
- Symptoms include abdominal pain, weakness, lethargy, and unintended weight loss
- Common symptoms also include feeling tired or weak, weight loss, joint pain, bronze or grey skin color, and abdominal pain
- The condition is more pronounced in males than in females
Signs and Symptoms
Hemochromatosis type 5, also known as ferroportin disease, is a rare genetic disorder that affects the body's ability to regulate iron levels. The signs and symptoms of this condition can be similar to those of other forms of hemochromatosis.
Common Symptoms:
- Joint pain and arthritis [1]
- Abdominal pain and liver problems, including cirrhosis [8]
- Fatigue and weakness [2]
- Erectile dysfunction (trouble having an erection) [9]
- Skin pigmentation changes [9]
Other Possible Symptoms:
- Diabetes mellitus [7]
- Abnormal heartbeat and heart failure [7]
- Unintended weight loss [3]
- Loss of sex drive [1]
It's worth noting that the symptoms of hemochromatosis type 5 can be similar to those of other forms of hemochromatosis, and a definitive diagnosis is typically made through genetic testing. If you're experiencing any of these symptoms, it's essential to consult with a healthcare professional for proper evaluation and treatment.
References: [1] - Context result 1 [2] - Context result 2 [3] - Context result 3 [7] - Context result 7 [8] - Context result 8 [9] - Context result 9
Additional Symptoms
- Diabetes mellitus
- Fatigue and weakness
- Skin pigmentation changes
- Joint pain and arthritis
- Abdominal pain and liver problems, including cirrhosis
- Erectile dysfunction (trouble having an erection)
- Abnormal heartbeat and heart failure
- Loss of sex drive
- weight loss
Diagnostic Tests
Diagnostic Tests for Hemochromatosis
Hemochromatosis, a genetic disorder characterized by excessive iron absorption, requires accurate diagnostic tests to confirm the condition. The following are some of the key diagnostic tests used to diagnose hemochromatosis:
- Blood Tests: Blood tests are critical in diagnosing hemochromatosis. A health care professional will take a blood sample from you and send it to a lab for analysis. Doctors may order blood tests to check levels of iron, including:
- Serum ferritin: This test measures the amount of iron stored in the liver. Levels can be very high in hemochromatosis [1].
- Serum iron: Tests how much iron is in your blood. This must be done after fasting [11].
- Transferrin saturation test: Another type of blood test that measures the amount of iron in your blood [12].
- Liver Biopsy: In some cases, doctors may also order a liver biopsy to confirm the diagnosis and assess any potential damage to the liver.
- Genetic Testing: Genetic testing can confirm the presence of mutations associated with hemochromatosis. This test is particularly useful for individuals with a family history of the condition [7].
- MRI: Magnetic Resonance Imaging (MRI) can be used to quantify hepatic iron overload and assess iron load in other organs, such as the pancreas and heart [9].
It's essential to note that blood tests alone may not be enough to diagnose hemochromatosis. If your serum transferrin saturation and serum ferritin levels are high, a doctor will likely order additional tests to confirm the diagnosis.
References:
[1] Blood tests are critical for the diagnosis of hemochromatosis. [7] The diagnosis may be confirmed with genetic testing. [9] MRI is a useful noninvasive technique for quantifying hepatic iron overload. [11] These tests need to be taken as a panel, not independently, to receive a comprehensive and accurate assessment of a potential hemochromatosis diagnosis. [12] Blood tests include:
Treatment
Treatment Options for Hemochromatosis Type 5
Hemochromatosis type 5, also known as juvenile hemochromatosis, is a rare and severe form of iron overload disorder. The primary goal of treatment is to reduce the excess iron levels in the body and prevent organ damage.
- Phlebotomy: This is the most common treatment for hemochromatosis type 5. Phlebotomy involves regular blood donations to remove excess iron from the body. The frequency and amount of blood drawn depend on individual iron levels.
- Iron Chelation Therapy: In some cases, phlebotomy may not be sufficient to reduce iron levels, and iron chelation therapy may be necessary. This treatment uses medications like deferasirox or deferiprone to bind to excess iron and remove it from the body.
Medications Used in Treatment
- Deferasirox: This is a commonly used medication for treating hemochromatosis type 5. It works by binding to excess iron and removing it from the body.
- Deferiprone: Another medication used to treat hemochromatosis type 5, deferiprone binds to excess iron and helps remove it from the body.
**Precautions and
Recommended Medications
- Phlebotomy
- Iron Chelation Therapy
- deferiprone
- deferasirox
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Differential Diagnosis of Hemochromatosis Type 5
Hemochromatosis type 5, also known as juvenile hemochromatosis, is a rare and severe form of iron overload disorder. When considering the differential diagnosis for this condition, several other causes of secondary iron overload should be taken into account.
- Other causes of secondary iron overload: These include conditions such as:
- Alcoholic liver disease
- Ineffective erythropoiesis with marrow hyperplasia
- Iron overload associated with chronic anemia
- Multiple transfusions
- Porphyria cutanea tarda [3]
- Hereditary hemochromatosis: This is a genetic disorder that causes the body to absorb too much iron from the diet, leading to iron overload. It should be considered in the differential diagnosis of hemochromatosis type 5 [4].
- Aceruloplasminemia and Atransferrinemia: These are rare genetic disorders that affect the metabolism of iron, leading to iron accumulation in tissues [9].
It's essential to note that the differential diagnosis for hemochromatosis type 5 is complex and requires a comprehensive evaluation of the patient's medical history, physical examination, and laboratory results.
References:
[3] - Other findings of severe iron overload include hypogonadism, congestive heart failure, arrhythmias, and progressive increase in skin pigmentation [5]. [4] - Hereditary hemochromatosis is caused by excessive iron absorption and classified according to the genetic cause [10]. [9] - Excess iron accumulates in tissues such as the liver, pancreas, and joints, leading to various clinical manifestations [9].
Additional Information
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