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NDT Plus Advance Access originally published online on October 21, 2008
NDT Plus 2009 2(1):43-45; doi:10.1093/ndtplus/sfn161
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Haemochromatosis in end-stage renal disease: when waste is a treatment option

Tobias Oettl and Michael Dickenmann

Transplantation Immunology and Nephrology, University Hospital, Basel, Switzerland

Correspondence: Correspondence and offprint requests to: Tobias Oettl, Transplantation Immunology and Nephrology, University Hospital, Petersgraben 4, CH-4031 Basel, Switzerland. Tel: +41-61-265-2525; Fax: +41-61-265-2410; E-mail: oettlt{at}uhbs.ch


  Abstract

For patients with end-stage renal disease and hereditary haemochromatosis, prevention and treatment of anaemia differ from usual nephrologic guidelines. Monitoring of individual disease progression and ferritin levels is crucial. We describe a case of a young haemodialysis patient with early-stage organ dysfunction caused by hereditary haemochromatosis, in whom iron stores have successfully been depleted with phlebotomy and supplemental erythropoietin over 22 months. Target ferritin levels could finally be reached without severe, persisting or symptomatic anaemia.

Key Words: haemochromatosis • haemodialysis • phlebotomy

Received for publication August 7, 2008. Accepted for publication September 25, 2008.


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