Hemochromatosis physical examination: Difference between revisions

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==Overview==
==Overview==
==Physical Examination==
==Physical Examination==
* [[Erectile dysfunction]] and [[hypogonadism]]
* Congestive [[heart failure]], [[arrhythmia]]s or [[pericarditis]]
* [[Deafness]]<ref name=Jones_1983>{{cite journal |author=Jones H, Hedley-Whyte E |title=Idiopathic hemochromatosis (IHC): dementia and ataxia as presenting signs |journal=Neurology |volume=33 |issue=11 |pages=1479-83 |year=1983 |pmid=6685241}}</ref>
*[[Dyskinesia]]s, including [[Parkinsonian]] symptoms<ref name=Costello_2004>{{cite journal |author=Costello D, Walsh S, Harrington H, Walsh C |title=Concurrent hereditary haemochromatosis and idiopathic Parkinson's disease: a case report series |journal=J Neurol Neurosurg Psychiatry |volume=75 |issue=4 |pages=631-3 |year=2004 |pmid=15026513}}</ref><ref name=Jones_1983 /><ref name=Nielsen_1995>{{cite journal |author=Nielsen J, Jensen L, Krabbe K |title=Hereditary haemochromatosis: a case of iron accumulation in the basal ganglia associated with a parkinsonian syndrome |journal=J Neurol Neurosurg Psychiatry |volume=59 |issue=3 |pages=318-21 |year=1995 |pmid=7673967}}</ref>
* Dysfunction of certain [[endocrine organs]]:
** [[Pancreas|Pancreatic gland]], as above, manifesting as [[diabetes]]
** [[Adrenal gland]] (leading to [[adrenal insufficiency]])
** [[Parathyroid gland]] (leading to [[hypocalcaemia]])
** [[Pituitary gland]]
** [[Testes]] or [[ovary]] (leading to [[hypogonadism]])
* A darkish color to the skin (see pigmentation, hence its name '''''Diabete bronze''''' when it was first described by [[Armand Trousseau]] in 1865)
* An increased susceptibility to certain [[infectious disease]]s caused by siderophilic microoganisms:
** ''[[Vibrio vulnificus]]'' infections from eating seafood
** ''[[Listeria monocytogenes]]''
** ''[[Yersinia enterocolica]]''
** ''[[Salmonella enteritidis]]'' (serotype Typhymurium)
** ''[[Klebsiella pneumoniae]]''
** ''[[E. coli|Escherichia coli]]''
** ''[[Rhizopus arrhizus]]''
** ''Mucor'' species
Males are usually diagnosed after their forties, and women about a decade later, owing to regular iron loss by [[menstruation]] (which ceases in [[menopause]]).  Cases of [[iron]] overload have been found in young children as well.
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 13:48, 29 August 2012

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Overview

Physical Examination

Males are usually diagnosed after their forties, and women about a decade later, owing to regular iron loss by menstruation (which ceases in menopause). Cases of iron overload have been found in young children as well.

References

  1. 1.0 1.1 Jones H, Hedley-Whyte E (1983). "Idiopathic hemochromatosis (IHC): dementia and ataxia as presenting signs". Neurology. 33 (11): 1479–83. PMID 6685241.
  2. Costello D, Walsh S, Harrington H, Walsh C (2004). "Concurrent hereditary haemochromatosis and idiopathic Parkinson's disease: a case report series". J Neurol Neurosurg Psychiatry. 75 (4): 631–3. PMID 15026513.
  3. Nielsen J, Jensen L, Krabbe K (1995). "Hereditary haemochromatosis: a case of iron accumulation in the basal ganglia associated with a parkinsonian syndrome". J Neurol Neurosurg Psychiatry. 59 (3): 318–21. PMID 7673967.

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