Chronic iron overload is a condition in which the body accumulates excessive amounts of iron over time. This can lead to organ damage and potentially life-threatening complications if left untreated. Iron accumulation occurs when the body absorbs more iron than it needs, either through excessive dietary intake, repeated blood transfusions, or genetic mutations that affect iron regulation.
Last updated on : 13 Dec, 2024
Read time : 14 mins

| Category | Details |
| Also Referred as | Hereditary Haemochromatosis, Iron Overload Disorders |
| Commonly Occurs In | People of European descent, particularly those of Northern European ancestry |
| Affected Organ | Liver, Heart, Pancreas, Skin, Joints, Pituitary |
| Type | Primary (Hereditary) and Secondary (Acquired) |
| Common Signs | Liver enlargement and cirrhosis, congestive heart failure, diabetes, skin |
| Consulting Specialist | Gastroenterologist, Haematologist, Endocrinologist |
| Treatement Procedures | Regular venesections (phlebotomy), iron chelation therapy in some cases |
| Mimiciking Condition | Chronic liver disease, malignancy, infections, kidney failure, rheumatic conditions |
Chronic iron overload is a condition characterised by excessive accumulation of iron in the body, potentially leading to organ damage.
The main causes of chronic iron overload include hereditary haemochromatosis, repeated blood transfusions, excessive iron supplementation, and certain medical conditions that impair red blood cell production.
Symptoms of chronic iron overload may include unexplained fatigue, bronze-coloured skin, joint pains, liver disease, heart problems, diabetes mellitus, hypogonadism, and skin hyperpigmentation.
Diagnosis of chronic iron overload involves blood tests (serum ferritin and transferrin saturation), genetic testing for hereditary haemochromatosis, imaging studies (MRI), and possibly liver biopsy.
Untreated chronic iron overload can lead to serious complications, such as liver cirrhosis, liver cancer, heart failure, diabetes, arthritis, and endocrine disorders.
Treatment for chronic iron overload includes regular phlebotomy (blood removal), iron chelation therapy, and dietary modifications to reduce iron intake.
Preventive measures for chronic iron overload include avoiding excessive iron supplementation, maintaining a balanced diet, and regular monitoring of iron levels in high-risk individuals.
Haemochromatosis is a specific genetic condition leading to chronic iron overload in the body. Chronic iron overload can also result from other factors, such as repeated blood transfusions or certain types of anaemia.
A diet low in iron-rich foods (red meat, organ meats) and avoiding iron supplements, vitamin C with meals, and alcohol is advised.
Individuals with hereditary haemochromatosis, those receiving frequent blood transfusions, and people with certain blood disorders have a higher risk of developing chronic iron overload.
Haemochromatosis. (2019). National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/liver-disease/haemochromatosis
Pietrangelo, A. (2017). Hereditary haemochromatosis: Pathogenesis, diagnosis, and treatment. Gastroenterology, 139(2), 393-408.e2. https://doi.org/10.1053/j.gastro.2010.06.013
Bacon, B. R., Adams, P. C., Kowdley, K. V., Powell, L. W., & Tavill, A. S. (2011). Diagnosis and management of haemochromatosis: 2011 practice guideline by the American Association for the Study of Liver Diseases. Hepatology, 54(1), 328-343. https://doi.org/10.1002/hep.24330
Brissot, P., Pietrangelo, A., Adams, P. C., de Graaff, B., McLaren, C. E., & Loréal, O. (2018). Haemochromatosis. Nature Reviews Disease Primers, 4(1), 1-15. https://doi.org/10.1038/nrdp.2018.16
European Association for the Study of the Liver. (2010). EASL clinical practice guidelines for HFE haemochromatosis. Journal of Hepatology, 53(1), 3-22. https://doi.org/10.1016/j.jhep.2010.03.001




















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