Rheumatic manifestations of genetic hemochromatosis

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Dalila Mrabet
Imen Zouch
Héla Sahli
Leila Fendri
Elhème Chéour
Nihel Meddeb
Slaheddine Sellami

Abstract

Background: Rheumatic manifestations of genetic hemochromatosis are frequent with axial or peripheral arthropathies (mono-, oligo- or polyarticular). These manifestations are characterized by articular damage and osteoporosis.
Aim: To review the rheumatic manifestations of genetic hemochromatosis.
Methods: A narrative review of literature.
Results: The diagnosis should be brought to mind when we discover arthropathy resembling degenerative joint disease with involvement of unusual articular sites, almost identical to the arthropathy in calcium pyrophosphate dihydrate crystals deposition disease (chondrocalcinosis).
Conclusion: There is a significant bone loss in HC that cannot solely be explained by hypogonadism or cirrhosis and must lead to measure bone mass density to each patient with HC.

Keywords:

Hemochromatosis- Arthropathy- Osteopathy

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References

  1. Donnel MC, Preston BL, Jewell SA, et al. A survey of 2851 with hemochromatosis: symptom and response to treatment. Am J med. 1999; 106: 619-24.
  2. Guggenbuhl P, Albert JD, Chalés G. Manifestations rhumatologiques au cours de l'hemochromatose génétique. Presse Med. 2007; 36: 1313-8.
  3. Pawlotsky Y, Le Dantec P, Moirand R, et al. Elevated parathyroid hormone 44-68 and osteoarticular changes in patients with genetic hemochromatosis. Arthritis Rheum. 1999; 42: 799-806.
  4. Adams PC, Kertesz AE, Valberg LS. Clinical presentation of hemochromatosis: a changing scene. Am J Med. 1991; 90: 445-9.
  5. Schumacher HRJr. Haemochromatosis. Baillieres Best pract Res Clin Rheumatol. 2000; 14: 277-84.
  6. Vaiopoulos G, George Papanikolaou, Politou M, Jibreel I, Sakellaropoulos N, Loukopoulos D. Arthropathy in juvenile hemochromatosis. Arthritis Rheum. 2003; 48: 227-30.
  7. Chalès G, Guggenbuhl P, Pawlotsky Y. Iron overload and arthropathy. Rev Prat. 2006; 56: 2135-40.
  8. Papakonstantinou O, Mohana-Borges AV, Campell L, Trudell D, Haghighi P, Resnick D. Hip arthropathy in a patient with primary hemochromatosis: MR imaging findings with pathologic correlation. Skeletal Radiol. 2005; 34: 180-4.
  9. Duval H, Lancien G, Marin F, Ropars M, Guggenbuhl P, Chales G. Hip involvement in hereditary hemochromatosis: A clinical-pathologic study. Joint Bone Spine 2009; 76: 703-6.
  10. Montgomery KD, Williams JR, Sculco TP, Di Carlo E. Clinical and pathologic findings in hemochromatosis hip arthropathy. Clin Orthop Relat Res. 1998; 347: 179-87.
  11. Sinigaglia L, Fargion S, Fracanzani AL, et al. Bone and Joint Involvement in Genetic haemochromatosis: Role of Cirrhosis and Iron Overload. J. Rheumatol. 1997; 24: 1809-13.
  12. Diamond T, Stiel D, Posen S. Osteoporosis in hemochromatosis. Iron excess. Gonadal deficiency or other factors? Ann Med Int. 1989; 110: 430-36.
  13. Angelopoulos N, Goula AK, Papanikolaou G, Tolis G. Osteoporosis in HFE2 juvenile hemochromatosis. A case report and review of the litteraure. Osteoporosis Int. 2006; 17: 150-155.
  14. Sinigaglia L. Bone and joint involvement in genetic hemochromatosis: role of cirrhocis and overload. J Rheumatol. 1997; 24: 1809-13.
  15. Guggenbuhl P , Deugnier Y, Boisdet JF, et al. Bone mineral density in men with haemochromatosis and HFE gene mutation. Osteoporosis Int. 2005; 16: 1809-14.
  16. Eyres KS, Mc Closkey EV, Fern ED, et al. Osteoporosis fractures: an unusual presentation of haemochromatosis. Bone. 1992; 13: 431-3.
  17. Weinberg ED. Iron loading: A risk factor for osteoporosis. Biometals. 2006; 19: 633-5.
  18. Chalés G, Guggenbuhl P. Os et foie. Encycl Med Chirg. 2003; Hépatologie, 7-034-D-85: 1-8.