Both hepatic and body iron stores are increased in dysmetabolic iron overload syndrome. A case-control study

Caroline Jézéquel, Fabrice Lainé, Bruno Laviolle, Anita Kiani, Edouard Bardou-Jacquet, Yves Deugnier, Caroline Jézéquel, Fabrice Lainé, Bruno Laviolle, Anita Kiani, Edouard Bardou-Jacquet, Yves Deugnier

Abstract

Background & aims: Hepatic iron is increased in dysmetabolic iron overload syndrome (DIOS). Whether this reflects elevated body iron stores is still debated. The study was aimed at assessing body iron stores in DIOS patients by calculating the amount of mobilized iron (AMI).

Methods: We conducted a prospective case-control study comparing AMI in 12 DIOS patients and 12 overweight normoferritinemic subjects matched on BMI and age. All participants were phlebotomized until serum ferritin dropped ≤ 50μg/L.

Results: The two groups were comparable with respect to metabolic abnormalities and differed according to serum ferritin levels only. AMI was significantly (p<0.0001) higher in DIOS (2.5g±0.7) than in controls (0.8g±0.3). No side effects were related to phlebotomies.

Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1. Amount of mobilized iron (g)…
Fig 1. Amount of mobilized iron (g) in DIOS patients (on the left) and in overweight controls with normal serum ferritin levels (on the right).
Box represents interquartile range, horizontal line inside the box indicates the median value and diamond indicates the mean value, horizontal lines above and below the box indicate maximum and minimum values.

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Source: PubMed

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