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Revista de Gastroenterología del Perú
Print version ISSN 1022-5129
Abstract
MARTINEZ-AVILA, María Cristina; TORO-TRUJILLO, Esteban and ALVAREZ-LONDONO, Angelina. Non-HFE hemochromatosis: a case report. Rev. gastroenterol. Perú [online]. 2021, vol.41, n.4, pp.261-264. ISSN 1022-5129. http://dx.doi.org/10.47892/rgp.2021.414.1288.
Hereditary hemochromatosis (HH) consists of a progressive iron overload that leads to an abnormal accumulation of iron in different target organs; and, if not treated in time, can cause multi-organ dysfunction. Various genetic mutations associated with HH have been described, the most frequent is associated with the HFE-gene, which is found in 90% of cases. At present, therapeutic phlebotomy continues to be the treatment of choice for the management of this pathology. We report the case of a patient under follow-up for severe liver fibrosis, with persistence of a high ferrokinetic profile, who five years later was diagnosed with HH not associated to a mutation in the HFE-gene; He was managed with periodic phlebotomies, rapidly presenting a significant clinical improvement and decrease of ferritin levels.
Keywords : Hemochromatosis; Hemochromatosis protein; Ferritins; Phlebotomy.