Hereditarna hemokromatoza u pedijatrijskoj praksi
DOI:
https://doi.org/10.13112/pc.975Ključne riječi:
hereditarna hemokromatoza, željezo, feritin, djecaSažetak
Hereditarna hemokromatoza je kliničko-patološki sindrom koji karakterizira prekomjerno nakupljanje željeza u parenhimnim organima s posljedičnim oštećenjem zahvaćenih organa. Cilj rada je ukazati na znakove koji u rutinskoj pedijatrijskoj praksi trebaju pobuditi sumnju na hemokromatozu. Prikazano je troje djece koje je zbog povišenih vrijednosti serumskoga željeza i zasićenosti transferina upućeno na hematološku obradu. Genetskim testiranjem je u
svih ispitanika dokazana homozigotna C282Y varijanta HFE gena kao potvrda dijagnoze. U praćenje i liječenje je uključen multidisciplinarni tim. Zaključak: Pravovremeno postavljanje dijagnoze hereditarne hemokromatoze u asimptomatskih bolesnika ključno je za rano započinjanje terapije i prevenciju ireverzibilnih oštećenja organa.
Reference
1. Pietrangelo A. Hereditary hemochromatosis: pathogenesis, diagnosis, and treatment. Gastroenterology. 2010;139(2):393-408, 408.e1-2. doi: 10.1053/j.gastro.2010.06.013.
2. Katsarou MS, Papasavva M, Latsi R, Drakoulis N. Hemochromatosis: Hereditary hemochromatosis and HFE gene. Vitam Horm. 2019;110:201-222. doi: 10.1016/bs.vh.2019.01.010.
3. Adams P, Altes A, Brissot P, et. al. Contributors and Hemochromatosis International Taskforce. Therapeutic recommendations in HFE hemochromatosis for p.Cys282Tyr (C282Y/C282Y) homozygous genotype. Hepatol Int. 2018;12(2):83-86. doi: 10.1007/s12072-018-9855-0.
4. Kowdley KV, Brown KE, Ahn J, Sundaram V. ACG Clinical Guideline: Hereditary Hemochromatosis. Am J Gastroenterol. 2019;114(8):1202-1218. doi: 10.14309/ajg.0000000000000315.
5. Porter JL, Rawla P. Hemochromatosis. In: StatPearls [Internet]. 2024 Oct 6. Dostupno na: https://www.ncbi.nlm.nih.gov/books/NBK430862/
6. Moyer TP, Highsmith WE, Smyrk TC, Gross JB Jr. Hereditary hemochromatosis: laboratory evaluation. Clin Chim Acta. 2011;412(17-18):1485-92. doi: 10.1016/j.cca.2011.04.007.
7. Srivastava NK, Mukherjee S, Mishra VN. One advantageous reflection of iron metabolism in context of normal physiology and pathological phases. Clin Nutr ESPEN. 2023;58:277-294. doi: 10.1016/j.clnesp.2023.10.006.
8. Haddy TB, Castro OL, Rana SR. Hereditary hemochromatosis in children, adolescents, and young adults. Am J Pediatr Hematol Oncol. 1988;10(1):23-34. doi: 10.1097/00043426-198821000-00006.
9. Štimac D, Milić S. Nasljedna hemokromatoza - mogućnosti u dijagnostici i terapiji. Acta medica Croatica: Časopis Akademije medicinskih znanosti Hrvatske. 2003;57:237-240.
10. Corti P, Ferrari GM, Faraguna MC et al. Haemochromatosis in children: A national retrospective cohort promoted by the A.I.E.O.P. (Associazione Italiana Emato-Oncologia Pediatrica) study group. Br J Haematol. 2024;204(1):306-314. doi: 10.1111/bjh.19208.
11. Piperno A, Bertola F, Bentivegna A. Juvenile Hemochromatosis. In: Adam MP, Feldman J, Mirzaa GM, et al., editors. GeneReviews® [Internet]. 2005. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1170/?utm_source=chatgpt.com
12. Villa Nogueyra S, Trujillo Rodríguez MF, Garcia Oliva ML et al. The Genetic Diagnostics of Hemochromatosis: Disparities in Low- Versus High-Income Countries. Cureus. 2024;16(7):e64074. doi: 10.7759/cureus.64074.
13. Tavill AS, Adams PC. A diagnostic approach to hemochromatosis. Can J Gastroenterol. 2006;20(8):535-40. doi: 10.1155/2006/934098.
14. Turbiville D, Du X, Yo J, Jana BR, Dong J. Iron Overload in an HFE Heterozygous Carrier: A Case Report and Literature Review. Lab Med. 2019;50(2):212-217. doi: 10.1093/labmed/lmy065.
15. Gurrin LC, Bertalli NA, Dalton GW et al. HealthIron Study Investigators. HFE C282Y/H63D compound heterozygotes are at low risk of hemochromatosis-related morbidity. Hepatology. 2009;50(1):94-101. doi: 10.1002/hep.22972.
16. Barton JC, Acton RT. Hemochromatosis and Vibrio vulnificus wound infections. J Clin Gastroenterol. 2009;43(9):890-3. doi: 10.1097/MCG.0b013e31819069c1.
17. Whittington CA, Kowdley KV. Review article: haemochromatosis. Aliment Pharmacol Ther. 2002;16(12):1963-75. doi: 10.1046/j.1365-2036.2002.01371.x.
18. Bassett ML, Hickman PE, Dahlstrom JE. The changing role of liver biopsy in diagnosis and management of haemochromatosis. Pathology. 2011;43(5):433-9. doi: 10.1097/PAT.0b013e3283490e04.
19. Barton JC, Parker CJ. HFE-Related Hemochromatosis. Adam MP, Feldman J, Mirzaa GM, Pagon RA, Wallace SE, Amemiya A, editors. GeneReviews®[Internet]. Seattle (WA): University of Washington, Seattle; 1993–2024. 2000 Apr 3. Dostupno na: https://pubmed.ncbi.nlm.nih.gov/20301613/.
20. Adams PC, Barton JC. Haemochromatosis. Lancet. 2007 Dec 1;370(9602):1855-60. doi: 10.1016/S0140-6736(07)61782-6.
21. Babar S, Saboor M. Erythroferrone in focus: emerging perspectives in iron metabolism and hematopathologies. Blood Sci. 2024;6(4):e00198. doi: 10.1097/BS9.0000000000000198.
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Autorska prava (c) 2025 Jelena Roganović, Izabela Kranjčec, Lea Šarić

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