Hepatic iron overload following liver transplantation of a C282y homozygous allograft: a case report and literature review

Liver Int. 2011 Nov;31(10):1589-92. doi: 10.1111/j.1478-3231.2011.02606.x. Epub 2011 Jul 29.

Abstract

Hereditary haemochromatosis is a common genetic disease associated with progressive iron overload and parenchymal organ damage including liver, pancreas and heart. We report a case of inadvertent transplantation of a liver from a haemochromatosis donor to a 56-year-old Asian female. Progressive iron overload occurred over a 2 year follow up as assessed by liver biopsy and iron studies in the absence of a secondary cause of iron overload, supporting a primary role of liver rather than small intestine in the regulation of iron homeostasis in hereditary haemochromatosis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Amino Acid Substitution / genetics*
  • Biopsy, Needle
  • Female
  • Ferritins / blood
  • Hemochromatosis / genetics*
  • Hemochromatosis Protein
  • Histocompatibility Antigens Class I / genetics*
  • Homeostasis / physiology*
  • Humans
  • Iron / metabolism
  • Liver Transplantation / adverse effects*
  • Membrane Proteins / genetics*
  • Middle Aged
  • Necrosis / etiology*
  • Phlebotomy / methods
  • Tissue Donors

Substances

  • HFE protein, human
  • Hemochromatosis Protein
  • Histocompatibility Antigens Class I
  • Membrane Proteins
  • Ferritins
  • Iron