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.