How is hemochromatosis treated?
Treatment is simple, inexpensive, and safe. The first step is to rid the body of excess iron. This process is called phlebotomy, which means removing blood thesame way it is drawn from donors at blood banks. Based on the severity of the iron overload, a pint of blood will be taken once or twice a week for severalmonths to a year, and occasionally longer. Blood ferritin levels will be tested periodically to monitor iron levels. The goal is to bring blood ferritin levelsto the low end of normal and keep them there. Depending on the lab, that means 25 to 50 micrograms of ferritin per liter of serum.
Once iron levels return to normal, maintenance therapy begins, which involves giving a pint of blood every 2 to 4 months for life. Some people may needphlebotomies more often. An annual blood ferritin test will help determine how often blood should be removed. Regular follow-up with a specialist is alsonecessary.
If treatment begins before organs are damaged, associated conditions-such as liver disease, heart disease, arthritis, and diabetes-can be prevented. Theoutlook for people who already have these conditions at diagnosis depends on the degree of organ damage. For example, treating hemochromatosis can stop theprogression of liver disease in its early stages, which leads to a normal life expectancy. However, if cirrhosis, or scarring of the liver, has developed, theperson's risk of developing liver cancer increases, even if iron stores are reduced to normal levels.
People with complications of hemochromatosis may want to receive treatment from a specialized hemochromatosis center. These centers are located throughout thecountry. Information is available from the organizations listed under For More Information.
People with hemochromatosis should not take iron or vitamin C supplements. And those who have liver damage should not consume alcoholic beverages or rawseafood because they may further damage the liver.
Treatment cannot cure the conditions associated with established hemochromatosis, but it will help most of them improve. The main exception is arthritis, whichdoes not improve even after excess iron is removed.