How we manage patients with hereditary haemochromatosis.

Abstract:

:A number of disorders cause iron overload: some are of genetic origin, such as hereditary haemochromatosis, while others are acquired, for instance due to repeated transfusions. This article reviews the treatment options for hereditary haemochromatosis, with special attention to the use of erythrocytapheresis. In general, therapy is based on the removal of excess body iron, for which ferritin levels are used to monitor the effectiveness of treatment. For many decades phlebotomy has been widely accepted as the standard treatment. Recent publications suggest that erythrocytapheresis, as a more individualized treatment, can provide a good balance between effectiveness, tolerability and costs. Other treatments like oral chelators and proton pomp inhibitors, which are used in selected patients, create the possibility to further individualize treatment of hereditary haemochromatosis. In the future, hepcidin-targeted therapy could provide a more fundamental approach to treatment.

journal_name

Br J Haematol

authors

Rombout-Sestrienkova E,van Kraaij MG,Koek GH

doi

10.1111/bjh.14376

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

759-770

issue

5

eissn

0007-1048

issn

1365-2141

journal_volume

175

pub_type

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