Haemochromatosis

Case contributed by Prof Oliver Hennessy

Presentation

Joint pains ? erosive arthropathy.

Patient Data

Age: 90
Gender: Female
Modality: X-ray

There are changes of advanced osteoarthritis involving the metacarpophalangeal joints of the index and middle fingers. Chondrocalcinosis is present at the wrist joint

There are no fractures identified.

The appearances are in keeping with haemochromatosis.

Case Discussion

Haemochromatosis is the accumulation of excess iron in the body. Most cases are genetically inherited, predominantly in an auto recessive manner. Acquired haemochromatosis usually results from repeated haemolysis and blood transfusions. Excess iron deposition is most often seen in the liver, heart, pancreas and joints.

Joint changes result from calcium pyrophosphate deposition leading destructive arthropathy in the hands and feet.

Imaging features in the hands:

  • chondrocalcinosis
  • marked narrowing of the metacarpophalangeal joints of the second and third digits
  • prominent bony beaks arising from metacarpal heads of affected joints is a prominent feature
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Case Information

rID: 33478
Case created: 14th Jan 2015
Last edited: 5th Mar 2017
Inclusion in quiz mode: Included

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