Hello doctor,
I am a 61 year old male. For many years, I was treated for hemochromatosis. Then, about 12 years ago, I had a genetic test. The results prompted the hematologist to abruptly stop the recurring phlebotomies. I do not recall the test result and apparently, it cannot be located. But, I remember it was something about the homozygotic versus heterozygotic situation. My current iron level is high at 216 mcg/dL, IBC is normal at 259 and iron saturation is high at 83%. The ferritin is also high at 1042 mg/dL. All blood count factors are in the normal range. Should anything be done to pull out some of the iron? Currently, I am taking Losartan, Hydrochlorothiazide and Relpax.
Hi,
Welcome to icliniq.com.
I understand your concern.
- Your iron saturation and serum ferritin is high and these are suggestive of iron overload or hereditary hemochromatosis (HH).
- You talked about a test that was done and then the hematologist stopped the phlebotomy. I think, probably he must have found a homozygous variant.
- Studies have shown that the majority of the patients who are found to have homozygous HH during a population screening studies are likely to be asymptomatic. They usually have a normal lifespan even if they do not undergo phlebotomy.
- However, since your ferritin levels are high, I would suggest that you go for a weekly phlebotomy after talking to your hematologist.
- I would also like to know a few details, so that we can confirm if you are symptomatic or asymptomatic.
- Do you have any history of liver disease or deranged liver enzyme? Also, please let me know whether you started on Relpax (Eletriptan) for a headache?
- Do you have any history of decreased vision, dizziness or vertigo and diabetes?
- Is there any history of a similar disease in the family?
Revert back with the details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
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