The Iron Fist, Part 1: Hemochromatosis and the Rheumatologist

Healio Rheuminations

Autoimmune Rheumatology Fitness Adam J. Brown, MD Adam J. Brown Medicine Science Arthritis Lupus Rheumatoid

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In this episode, we dig into hemochromatosis to better understand what it is, how it affects the joints, available screening methods, as well as clues to presentation and physical exam findings.

Brought to you by GSK.

Intro :10
Today’s episode :26
What is hemochromatosis? 1:42
What does the iron do? 3:03
How much iron is in the body? 5:30
When do you suspect it? 7:46
What do we want to know about the joints? 9:33
About Ralph Schumacher Jr., MD, and his work 12:15
How have Schumacher’s observations held up? 14:42
What about radiographs … can they help? 16:09
What about hand OA and the gene mutation? 16:44
So, what about people with undiagnosed hemochromatosis? What do their hands look like? 18:09
What about chondrocalcinosis? 19:13
Tune in next time for part two 21:59
Episode wrap-up 22:25

Disclosures: Brown reports no relevant financial disclosures.

We’d love to hear from you! Send your comments/questions to Dr. Brown at rheuminationspodcast@healio.com. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum

References:

Bulaj ZJ, et al. N Engl J Med. 2000;343:1529-1535.

Carroll GJ, et al. Arthritis Care Res. 2012;64:9-14.

Hamilton EB, et al. Q J Med 1981;199:321–329.

Jordan JM. Curr Opin Rheumatol. 2004;16:62-66.

Rametta R, et al. Int J Mol Sci. 2020;21:3505.

Ross JM, et al. J Rheumatol. 2003;30:121-5.

Schumacher HR. Arthritis Rheum. 1964;7:41–50.

Timms AE, et al. Ann Rheum Dis. 2002;61:745–747.

Ulvik RJ. Tidsskr Nor Laegeforen. 2016;136:2017-2021.

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