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A Novel Phenotype of a Hereditary Hemochromatosis Type 4 with Ferroportin-1 Mutation, Presenting with Juvenile Cataracts

Hereditary hemochromatosis (HH) is an inherited disorder usually seen in Northern Europeans, which results in iron overload syndrome. A few cases have also been reported in Japan. We herein report a Japanese man presenting with fever, arthritis, liver dysfunction, and hyperferritinemia who was diagn...

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Bibliographic Details
Published in:Internal Medicine 2016/09/15, Vol.55(18), pp.2697-2701
Main Authors: Yamakawa, Noriyuki, Oe, Kengo, Yukawa, Naoichiro, Murakami, Kosaku, Nakashima, Ran, Imura, Yoshitaka, Yoshifuji, Hajime, Ohmura, Koichiro, Miura, Yasuo, Tomosugi, Naohisa, Kawabata, Hiroshi, Takaori-Kondo, Akifumi, Mimori, Tsuneyo
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Language:English
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Summary:Hereditary hemochromatosis (HH) is an inherited disorder usually seen in Northern Europeans, which results in iron overload syndrome. A few cases have also been reported in Japan. We herein report a Japanese man presenting with fever, arthritis, liver dysfunction, and hyperferritinemia who was diagnosed with type 4 HH. He was heterozygous for the 1520A>G (His507Arg) mutation in the ferroportin-1 gene (SLC40A1). He had a familial cataract as an infant, but hereditary hyperferritinemia cataract syndrome was excluded. This is the first report of type 4 HH with juvenile cataracts and suggests that there is an association between hyperferritinemia and early cataract formation.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.55.6565