Videos: Hereditary Hemochromatosis

In October 2016, the Canadian Hemochromatosis Society held an Information Session in Guelph, Ontario, featuring Dr. Paul Adams, Professor of Medicine and Chief of Gastroenterology, University of Western Ontario. The Canadian Hemochromatosis Society recorded this session and presents it here in a series of 8 videos that cover a wide range of topics from ancestral links to research, diagnosis,  treatment, ferritin and diet.

Special acknowledgements and thanks to James Brodie Productions for producing these videos.

1. Ancestral Links

In this video segment, Dr. Adams speaks on the possible origins of the hemochromatosis gene, its migration and its modern day prevalence.

2. Proviso

In this proviso to the upcoming video segments, Dr. Adams discusses the degree of uncertainty related to science and medicine, and the various approaches to diagnose and treat hemochromatosis.

3. Research

Dr. Paul Adams goes into the discovery of the C282Y gene, symptoms of hemochromatosis, the reasons there is no mass population screening, and lessons learned from the HEIRS (Hemochromatosis and Iron-Overload Screening) study.

4. Family

Dr. Adams presents the familial risks of hemochromatosis and the potential stigmatization that arises from genetically testing children.

5. Diagnosis

Dr. Adams discusses how diagnoses are generally made…. and why some are missed. Also: what do most people have when their ferritin levels are found to be between 300 and 1000 ng/mL? Hemochromatosis surprisingly does NOT top the list.

6. Ferritin Tests

Here, Dr. Adams answers audience questions on ferritin, iron overload and liver biopsies.

7. Treatment

Scarring of the liver caused by iron overload can be reversed by treatment with phlebotomies, but Dr. Adams explains why many do not see improvement of joint pain. Also, Dr. Adams discusses situations where some individuals do not require maintenance once de-ironed.

8. Diet

Dr. Adams discusses hepcidin’s role in regulating body’s iron balance and the effects of diet in hemochromatosis.