Metal storage disorders: Wilson disease and hemochromatosis

Med Clin North Am. 2014 Jan;98(1):87-102. doi: 10.1016/j.mcna.2013.09.008. Epub 2013 Oct 28.

Abstract

Hereditary hemochromatosis and Wilson disease are autosomal recessive storage disorders of iron and copper overload, respectively. These metals are involved in multiple redox reactions, and their abnormal accumulation can cause significant injury in the liver and other organs. Over the last few decades clinicians have developed a much better understanding of these metals and their mechanism of action. Moreover, sophisticated molecular genetic testing techniques that make diagnostic testing less invasive are now available. This article updates and discusses the pathogenesis, diagnosis, and management of these metal storage disorders.

Keywords: Cirrhosis; Copper; Ferritin; Hemochromatosis; Hepcidin; Wilson disease.

Publication types

  • Review

MeSH terms

  • Biopsy
  • Chelating Agents / therapeutic use*
  • Disease Progression
  • Genetic Predisposition to Disease
  • Genetic Testing
  • Hemochromatosis* / blood
  • Hemochromatosis* / genetics
  • Hemochromatosis* / pathology
  • Hemochromatosis* / therapy
  • Hepatolenticular Degeneration* / blood
  • Hepatolenticular Degeneration* / genetics
  • Hepatolenticular Degeneration* / pathology
  • Hepatolenticular Degeneration* / therapy
  • Humans
  • Liver / pathology
  • Liver Failure* / diagnosis
  • Liver Failure* / etiology
  • Liver Failure* / physiopathology
  • Liver Failure* / therapy
  • Liver Transplantation
  • Penicillamine / therapeutic use
  • Phlebotomy / methods*
  • Prognosis
  • Trientine / therapeutic use

Substances

  • Chelating Agents
  • Penicillamine
  • Trientine