Iron overload indicates accumulation of iron in the
body. The primary cause of iron overload is hereditary haemochromatosis (HHC),
a genetic disorder. The secondary causes of iron overload include chronic
haemolysis, transfusion iron overload due to repeated blood transfusion, excess
parenteral iron supplements and excess dietary iron. Patients with early
hemochromatosis may not present any symptoms the disease may be discovered when
elevated iron blood levels are noted during other routine blood testing.
The symptoms also differ based on the organ, which
is affected by the accumulation of iron. Iron overload affects each person
differently based on other predisposition factors. Most people absorb only as
much iron as they need from their diet. People of both genders are prone to
have iron overload regardless of their age. If left untreated, iron overload
can result in some serious long-term effects on your health. Venesection
(phlebotomy) is the major treatment option in cases of iron overload along with
drug therapy like iron chelation.
Early diagnosis ill help in starting the treatment
in the beginning stage, which will help prevent the accumulation of iron in
internal organs. Iron overload is
commonly diagnosed by testing serum iron, serum transferring, and serum
ferritin. Here are some of the complications and symptoms that may be presented
when you have iron overload.
Symptoms Of Iron Overload |
Fatigue:
Accumulation
of iron in the internal organs will disturb the normal functioning of the body
and cause fatigue. But, in most cases fatigue will not help to rule out iron
overload because it is considered a general symptom.
Diabetes:
Iron will get deposited in the pancreas and this will affect the normal
functioning of the cells including the beta cells. This causes decreased
production of insulin resulting in diabetes mellitus. Continuous damage of the pancreas
will result in pancreatitis.
Cardiomyopathy:
Iron will be accumulated in the heart muscles causing deterioration in the
function of myocardium. Heart failure and abnormal heart rhythm in patients
with iron overload are due to this reason.
Jaundice:
Impaired liver function will result in an increased level of bilirubin in
blood. This will be clinically presented as jaundice. The level of bilirubin is
generally used for understanding the state of improvement of the liver function
of the patient with iron overload.
Liver
cirrhosis: One of the major complications that will occur due
to increased accumulation of iron in the liver is cirrhosis. Since cirrhosis is
irreversible, treatments focus on reducing complications associated with it.
Impotence:
Iron accumulation that occurs in the pituitary gland and testicles will result
in gradual shrinkage of the testicles. Erectile dysfunction is also seen in
patients with iron overload. This will ultimately cause impotence in men.
Abdominal
pain: Increases iron accumulation is the abdominal organs
results in abdominal pain. Hepatomegaly (increase in the size of the liver)
will cause abdominal enlargement also. Enlarged spleen also contributes to
abdominal pain.
Grey
or bronze skin: Colour changes of the skin are common
findings in cases with iron overload. Skin will have a tanned appearance in such
persons. In most cases skin will look grey or bronze in colour due to iron
accumulation.
Arthritis:
Accumulated iron in the joints will cause arthritis, a form of joint disorder. The
general symptoms of arthritis due to iron overload include pain, swelling,
joint stiffness, and constant ache around the joint.
Hypothyroidism:
Under active pituitary and thyroid glands are common findings in patients with
iron overload. This will result in decreased thyroid hormones and will affect
the body functions associated with it.
My article in http://www.boldsky.com/health/wellness/2013/symptoms-of-iron-overload-035425.html
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