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. 2020 Apr 5;5:25. doi: 10.21037/tgh.2019.11.15

Table 3. Hereditary iron overload disorders divided according to TSAT, anemia, pathophysiology, and iron distribution.

TSAT Anemia (iron restricted erythropoiesis) No anemia Pathophysiological mechanisms Cellular iron distribution
High/very high Atransferrinemia, DMT1 deficiency Hemochromatosis Increased iron absorption and macrophage iron release Parenchymal and diffuse; can be mixed in later and severe stages
• Type 1
• Type 2A, 2B
• Type 3
• Type 4 (formerly type 4B)
Low/normal Aceruloplasminemia Defective iron export from storage cells Parenchymal and diffuse with brain iron overload
Ferroportin disease (formerly hemochromatosis type 4A) Reticulo-endothelial; can be mixed in later stages

TSAT, transferrin saturation.