Table 1

Clinical characteristics of patients with primary iron overload 

NumberCase numberAgeSexIron TestEnd-organ manifestationsPatterns of iron deposition on liver biopsyIron overload presented on MRIStage*Known mutation or predicted deleterious variant in HH related gene†
Serum ferritin (ng/ml)Transferrin saturation (%)
1H1‡67M110292.3Liver fibrosisPredominant in hepatocytesLiver and Spleen3 SUGP2 p.R639Q
DENND3 p.L708V (homozygote)
2H1-2 (sister)77F36531.1AsymptomaticNDND2 SUGP2 p.R639Q
3H13‡26M700492.1Lethargy, dyspnea, diabetes, cardiopathyPredominant in hepatocytesLiver3 HJV p.Q6H/C321X/I281T
4H13-1 (brother)27M626995.4Skin pigmentation, loss of libido, abnormal liver function testPredominant in hepatocytesLiver and pancreas3 HJV p.Q6H/C321X/I281T
5H22‡18M6678100.0Abnormal liver function testPredominant in hepatocytesND3 HJV p.Q6H/C321X/H104R
TFR2 p.A75V
6H22-1 (father)46M26656.2AsymptomaticNDND2 HJV p.H104R
TFR2 p.A75V
7H25‡33M42184.0Abnormal liver function testNDLiver3 HJV p.E3D
TMPRSS6 p.T331M
8H35‡53F140249.0Lethargy, jaundice, abnormal liver function testPredominant in hepatocytesLiver and spleen3 HJV p.E3D
BMP4 p.R269Q
9H35-1 (son)30M79.346.0AsymptomaticNDND2 HJV p.E3D
BMP4 p.R269Q
10H40‡57M400193.0Abnormal liver function testPredominant in hepatocytesLiver3 HJV p.Q6H/C321X/V274M
11H246M110042.5AsymptomaticNDLiver and Spleen2 DENND3 p.L708V
12H522F299589.1Lethargy, skin pigmentation, amenorrhea, abnormal liver function testPredominant in hepatocytesLiver and pancreas3 HJV p.Q312X (homozygous)
13H958M594928.4Lethargy, diabetes and abnormal liver function testPredominant in hepatocytesLiver and spleen3 SLC40A1 p.V162del
14H1062F534699.0Abnormal liver function testPredominant in hepatocytesLiver, spleen and pancreas3 -
15H1148F707899.6Diabetes, amenorrhea and abnormal liver function testPredominant in hepatocytesLiver and spleen3 SLC40A1 IVS3+10delGTT
16H1950F927281.6Cardiac failure, diabetes, abnormal liver function testPredominant in hepatocytesLiver, spleen and pancreas3-
17H3128M73846.4Jaundice, abnormal liver function testPredominant in hepatocytesND3 DENND3 p.L708V
18H3438F84396.2Skin pigmentation, liver cirrhosis, diabetes, amenorrheaPredominant in hepatocytesND3 SLC40A1 IVS1-8C/G
DENND3 p.L708V
19H4153M103096.8Cardiac failure, diabetes, liver fibrosisPredominant in hepatocytesLiver3 -
20H4546M200085Abnormal liver function testNDLiver, spleen3 -
21H4636F200096Abnormal liver function test, amenorrheaPredominant in hepatocytesLiver3 HJV p.F103L (homozygous)
22H4949M744597Abnormal liver function testPredominant in hepatocytesLiver, spleen3 SLC40A1 p.Y333H
  • *According to 2011 hemochromatosis guidelines from the AASLD, stages are defined as follows: Stage one refers to those patients with the genetic disorder with no increase in iron stores; Stage two refers to those patients with the genetic disorder who have phenotypic evidence of iron overload but who are without tissue or organ damage; Stage three refers to those individuals who have the genetic disorder with iron overload and have iron deposition to the degree that tissue and organ damage occurs.

  • †Whole exome sequencing was conducted for cases with HJV E3D (Cases H1, H25, and H35).

  • ‡Cases with family genetic analysis.

  • HH, hereditary haemochromatosis; ND, not done.