Hemochromatosis type 3

General Information (adopted from Orphanet):

Synonyms, Signs: HFE3
Hemochromatosis due to defect in transferrin receptor 2
TFR2-related hemochromatosis
Number of Symptoms 28
OrphanetNr: 225123
OMIM Id: 604250
ICD-10: E83.1
UMLs: C1858664
MeSH: C537248
MedDRA:
Snomed:

Prevalence, inheritance and age of onset:

Prevalence: 0.1 of 100 000
Inheritance: Autosomal recessive
15747119 [IBIS]
Age of onset: Adult
15747119 [IBIS]

Disease classification (adopted from Orphanet):

Parent Diseases: Rare hereditary hemochromatosis
 -AARSKOG SYNDROME, AUTOSOMAL DOMINANT
 -Rare genetic disease
 -Rare hepatic disease

Comment:

Hemochromatosis type 3 (HFE3) is caused by mutations in the transferrin receptor-2 gene (TFR2) (OMIM).

Symptom Information: Sort by abundance 

1
(HPO:0001513) Obesity 19144662 IBIS 172 / 7739
2
(HPO:0000833) Glucose intolerance 19144662 IBIS 20 / 7739
3
(HPO:0001638) Cardiomyopathy 11313241 IBIS 192 / 7739
4
(HPO:0000822) Hypertension 19144662 IBIS 224 / 7739
5
(HPO:0011031) Abnormality of iron homeostasis Very frequent [IBIS] 10216143 IBIS 16 / 7739
6
(HPO:0012465) Elevated hepatic iron concentration 19549277; 18245657 IBIS 8 / 7739
7
(HPO:0012463) Elevated transferrin saturation Very frequent [IBIS] 10216143; 11313241; 11984516; 19549277; 18245657; 16923517; 18450729; 19144662 IBIS 10 / 7739
8
(HPO:0003281) Increased serum ferritin Very frequent [IBIS] 10216143; 11313241; 11984516; 19549277; 18245657; 16923517; 18450729; 19144662 IBIS 32 / 7739
9
(HPO:0002155) Hypertriglyceridemia 19144662 IBIS 67 / 7739
10
(HPO:0001397) Hepatic steatosis 19144662 IBIS 75 / 7739
11
(HPO:0003473) Fatigable weakness 18450729 IBIS 39 / 7739
12
(HPO:0012378) Fatigue 19549277; 18245657 IBIS 50 / 7739
13
(HPO:0000802) Impotence 10216143; 19549277 IBIS 20 / 7739
14
(HPO:0001262) Somnolence 19549277 IBIS 20 / 7739
15
(HPO:0002315) Headache 19549277 IBIS 175 / 7739
16
(HPO:0002829) Arthralgia 19549277 IBIS 79 / 7739
17
(HPO:0001369) Arthritis 11313241; 11984516 IBIS 44 / 7739
18
(HPO:0001394) Cirrhosis 10216143; 11313241; 19144662 IBIS 102 / 7739
19
(HPO:0001410) Decreased liver function 11313241 IBIS 59 / 7739
20
(HPO:0002910) Elevated hepatic transaminases 19549277 IBIS 158 / 7739
21
(HPO:0001395) Hepatic fibrosis 11313241 IBIS 67 / 7739
22
(HPO:0002240) Hepatomegaly 19549277 IBIS 467 / 7739
23
(HPO:0001433) Hepatosplenomegaly 19144662 IBIS 78 / 7739
24
(HPO:0000135) Hypogonadism 10216143; 11313241; 11984516 IBIS 89 / 7739
25
(HPO:0000044) Hypogonadotrophic hypogonadism 19549277 IBIS 56 / 7739
26
(HPO:0000141) Amenorrhea 10216143 IBIS 16 / 7739
27
(HPO:0000819) Diabetes mellitus 10216143; 19549277 IBIS 131 / 7739
28
(HPO:0002904) Hyperbilirubinemia 11984516 IBIS 32 / 7739

Associated genes:

TFR2;

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Clinical Description OMIM Camaschella et al. (1999) described 2 iron-loaded sibs from a consanguineous Italian family. Both had a severe phenotype. The first sib presented with amenorrhea at age 31; liver biopsy and treatment were performed at age 36. In the ...
Molecular genetics OMIM Camaschella et al. (2000) identified a tyr-to-ter substitution at codon 250 of the TFR2 gene (604720.0001) in 2 Sicilian families segregating HFE3, one consanguineous.

Mattman et al. (2002) studied a group of hemochromatosis patients without a ...

Diagnosis GeneReviews TFR2-related hereditary hemochromatosis (TFR2-HHC) should be suspected in any individual with findings of iron overload (including hepatomegaly, hepatic cirrhosis, diabetes mellitus, cardiomyopathy, hypogonadism, arthritis - especially if involving the metacarpophalangeal joints, and progressive increase in skin pigmentation) in whom HFE-associated hereditary hemochromatosis has been excluded. ...
Clinical Description GeneReviews TFR2-related hereditary hemochromatosis (TFR2-HHC) is characterized by deregulated, increased intestinal iron absorption resulting in iron accumulation in the liver, heart, pancreas, and endocrine organs [Camaschella et al 2000, Camaschella & Poggiali 2009]....
Genotype-Phenotype Correlations GeneReviews The limited number of individuals reported and the private nature of the mutations do not permit genotype-phenotype correlations....
Differential Diagnosis GeneReviews TFR2-related hereditary hemochromatosis (TFR2-HHC, sometimes called type 3 HHC) needs to be distinguished from other primary iron overload disorders as well as from secondary iron overload disorders. No specific studies have evaluated the percentage of TFR2 mutations detected in individuals with non-HFE-associated hereditary hemochromatosis. ...
Management GeneReviews To establish the extent of disease in an individual diagnosed with TFR2-related hereditary hemochromatosis (TFR2-HHC), the following are recommended (based on recommendations for HFE-associated hereditary hemochromatosis):...
Molecular genetics GeneReviews Information in the Molecular Genetics and OMIM tables may differ from that elsewhere in the GeneReview: tables may contain more recent information. —ED....