TABLE 1.
Summary of hemochromatosis phenotypes with their corresponding genes and clinical manifestationsa.
Types | Main clinical manifestations | Inheritance | |
Type 1 | HFE * | Late onset, >30 years old, mild to severe hepatomegaly, elevated aminotransferase levels, arthralgia, arthritis | Recessive |
Type 2 | Hemojuvelin (HJV)/ Hepcidin (HAMP) | Early onset, <30 years old, severe cardiomyopathy, arrhythmia, diabetes, hypogonadism | Recessive |
Type 3 | TFR2 | Late onset, >30 years old, mild to severe hepatomegaly, elevated aminotransferase levels | Recessive |
Type 4 | Ferroportin (SLC40A1) | Late onset, >40 years old, mild hepatomegaly, elevated aminotransferase levels, arthralgia, arthritis | Dominant |
aPietrangelo, 2004; Brissot and de Bels, 2006; Andrews, 2008; Fix and Kowdley, 2008; Powell et al., 2016.
*Variation in this gene including C282Y, H63D, and S65C are associated with increasing risk of neurodegenerative disorders particularly Parkinson’s disease.