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Dr Basu
Dr Basu, Experienced Specialist
Category: Health
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Experience:  MD
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My daughter has iron overload (ferrutin level was 1950). She

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My daughter has iron overload (ferrutin level was 1950). She has been tested for the gene for hemochromitosis & this came back negative. She is undergoing phlebotomies every two weeks. During this treatment her blood pressure drops from 139/80 to 98/70. What else could cause this iron overload?

mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

mysticdoc :

Hello,

mysticdoc :

Thanks for your question.

mysticdoc :

Porphyrea Cytanea Tarda (PCT) is one possible cause besides hemochromatosis.

mysticdoc :

The underlying defect is an enzyme deficiency in the liver.

mysticdoc :

Another hereditary condition called ferroportin mutation can cause iron overload.

mysticdoc :

Best wishes,


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Customer:

How will her dr. test for these other possibilities?

mysticdoc :

Plasma porphyrin levels can be checked to diagnose PCT

mysticdoc :

Checking for genetic mutations for ferroportin

mysticdoc :

Also transferrin receptor 2 mutation.

Customer:

Will she suffer terrible damage to her organs because the levels are so high?

mysticdoc :

unlikely since she is getting phlebotomies

mysticdoc :

A liver biopsy can be considered since this is major organ that may get affected .

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