RT Journal Article SR Electronic T1 Recurrence of neonatal haemochromatosis in half sibs born of unaffected mothers. JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 444 OP 449 DO 10.1136/jmg.33.6.444 VO 33 IS 6 A1 A Verloes A1 I K Temple A1 A F Hubert A1 P Hope A1 S Gould A1 C Debauche A1 G Verellen A1 J L Deville A1 L Koulischer A1 E M Sokal YR 1996 UL http://jmg.bmj.com/content/33/6/444.abstract AB We report two families in which neonatal haemochromatosis was observed in half sibs. In the first family, two successive girls were born of different fathers. In the second family, an affected brother and sister were followed by an affected half brother born after donor insemination. These observations, as well as a previous abstract describing two affected half sisters, revive the debate over the inheritance of neonatal haemochromatosis. Incomplete penetrance or gonadal mosaicism for a dominant disorder, a maternal "environmental factor", or mitochondrial defect may be more suitable explanations than autosomal recessive inheritance in this condition. Alternative modes of fertilisation, such as donor insemination or in vitro fertilisation with donor eggs, should be considered with caution.