Iron Loading Anaemia

This article outlines the key factors of the three major forms of anaemia capable of causing severe iron overload in patients, even without chronic transfusion therapy: the thalassemia syndromes, sideroblastic anaemias, and congenital dyserythropoietic anaemia.

Keywords: iron; haemoglobin; haemochromatosis; anaemia; thalassemia

Figure 1. Regulation of iron absorption by the intestinal enterocyte. (Reproduced from Andrews, 2004 with permission from Elsevier)
Figure 2. The iron–transferrin cycle. Iron cycling (a) tissue and organ level, (b) at the cellular and intracellular level. (Reproduced from Andrews, 2004 with permission from Elsevier)
Figure 3. Posttranscriptional regulation of tissue iron uptake, utilization and storage by IRE. (Reproduced from Huang and Benz, 2003 with permission from Cambridge University Press)
Figure 4. Possible role of hepcidin in regulating iron absorption. (Reproduced from Andrews, 2004 with permission from Elsevier)
Figure 5. Haem biosynthesis. (Reproduced from Huang and Benz, 2003 with permission from Cambridge University Press)
Figure 6. Pathophysiology of thalassemia. The clinical manifestations of thalassemia are driven in the inclusion bodies found from excess globin chains. Excess globin can in turn result from impaired globin production (o, + thalassemia) and /or excess globin synthesis (/, /, /); conversely, (inheritance of thalassemia) (––/, –/) or increased globin can reduce excess globin.
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 References
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    book Andrews NC (2004) "Pathology of iron metabolism". In: Hoffman R, Benz EJ Jr, Shattil SJ et al. (eds) Hematology: Basic Principles and Practice, 4th edn. Philadelphia: Elsevier Science.
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    book Brittenham G (2004) "Disorders of iron metabolism". In: Hoffman R, Benz EJ Jr, Shattil SJ et al. (eds) Hematology: Basic Principles and Practice, 4th edn. Philadelphia: Elsevier Science.
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    book Huang SC and Benz EJ Jr (2003) "Posttranscriptional factors influencing the hemoglobin content of the red cell". In: Steinberg M, Forget FG, Higgs DR et al. (eds) Disorders of Hemoglobin, vol. 8, pp. 146–173. Cambridge, UK: Cambridge University Press.
    book Wiley JS and Moore MR (2004) "Haem biosynthesis and its disorders". In: Hoffman R, Benz EJ Jr, Shattil SJ et al. (eds) Hematology: Basic Principles and Practice, 4th edn. Philadelphia: Elsevier Science.
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Benz, Edward J Jr(Jan 2006) Iron Loading Anaemia. In: eLS. John Wiley & Sons Ltd, Chichester. http://www.els.net [doi: 10.1038/npg.els.0002272]