Rare Diagnosis? Anyone With The Same Kind?
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I was diagnosed with Juvenile Hereditary Hemochromatosis last September after genetic testing and an MRI on my heart and liver. I live in the US and I'm only 15. Genetic testing showed gene mutation. MRI showed that my heart and liver are just fine and there is no damage to any of my organs. My iron levels were at 1,300 (I forgot the unit of measurement... I remember its supposed to be around 80) Last time I had my iron levels checked was September, two days before my MRI. At the moment, I suffer from fatigue and joint pains... usually in my knees and knuckles (right hand.... even though I'm left-handed). I'm going back to see my hematologist next week to see what's the next step. I'm very afraid that my next step is a liver biopsy. After doing research for months on end, I read that a liver biopsy might be done... None of my friends understand what I'm going through, I had to change my diet recently to avoid consuming a lot of iron.
My main question is. Do I really need a liver biopsy?
And well, I feel alone. Nobody understands. I'm a 15-year-old girl trying to stay focused in school. I want a friend with this disease... and about my age. I don't even care at this point if this friend lives miles away from me.
I'm trying to spread awareness. Maybe there could be better treatments, and maybe a cure.
1 like, 21 replies
mike80628 Jenne
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In short, it sounds highly unlikely that you'll need a liver biopsy. You're young..and it sounds like your organs are fine. I also hear these days, that it's not common to do biopsies on the liver unless absolutely necessary..mri scans etc are enough. So, don't worry too much about that at the moment. 1300 sounds like your ferritin level..the amount of iron being stored in your body, should be between 50 and about 200.
Don't be reading up too much on it, as it's always scary stuff reading about it...when the reality is usually no where near as bad. You're young...you've been diagnosed...no organ damage..so no need for any biopsy. The joint pains and fatigue are very typical. I have pains in my right hand. Once your treatment starts these symptoms often improve, especially the fatigue. Treatment is to take blood from you regularly to get the iron level down. Venesection it's called....don't let that worry you...it's really OK...especially when it starts making you feel better. You're gonna be OK. Please keep in touch...we are all here to help. Don't panic too much about a strict diet. Eat less red meat...no cornflakes and cereal with added iron. Don't have vitamin c when eating..makes you absorb too much iron. Drink lots of milk when you eat cos calcium stops your body absorbing iron! Keep in touch and ask any questions...take care. Mike.
Jenne mike80628
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sheryl37154 Jenne
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Unless Juvenile HH is treated differently, this is serious stuff. You must find a way, and ask your hematologist to find a way for you.
mike80628 Jenne
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Jenne sheryl37154
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Jenne mike80628
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megan36105 Jenne
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I was diagnosed when I was 21. My ferritin was only at 600+ at the time and all they did was do genetic testing on my blood, no liver biopsy was required. I didn't even have an MRI or anything like you. My blood specialist said that due to my age and the (relatively) low ferritin count there was no need for a liver biopsy. If your doctor suggests you having one, get a second opinion. Ask if in the meantime you can have plebotomies (your blood drawn to lower the ferritin amount) instead.
My doctor told me that the potential complications from a liver biopsy weren't worth it for me.
megan36105
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Having HH has barely changed my life. My specialist told me there was pretty much no need for me to watch was I eat - I just need to pay attention to how much red meat/spinach, etc. I've had in a week and I shouldn't eat food cooked in iron cookware (I do realize some people are different, but this is how it is in my case).
Maybe you'll be like me. I haven't had to have a phlebotomy/venesection in two years. When I was initially diagosed, I had them every two weeks, then every four weeks, then every two months, and now I just have my blood tested once every six months. I'm lucky, my ferritin rises quite slowly (unless I eat oatmeal every single morning. When I did that for a few months it jumped about 25 points so don't do that lol). If you have regular menstrual cycles that helps lower it as well since you're losing blood every month.
megan36105
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Jenne megan36105
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mary92507 Jenne
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You are in the right place you will find a friend on here who will understand and I so get it how this thing can make you feel alone, and with you going through probably the toughest years at school you must be feeling a little as if your world is upside down. Good news is with a few changes this shouldn't impact massively or make you give up the fun part of being your age! Stick with it and keep talking you are amongst good friends. Who have the bonus of understanding what your going through. Keep smiling darling we got your back hugs Mary
mike80628 mary92507
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Jenne mary92507
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sheryl37154 Jenne
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If your liver has been found to be fine, then I don't see why a liver biopsy is necessary. That is how gastroentereologists used to prove that we had HH, before genetic testing was available. So resist it if suggested. Agree to a scan instead if they want to know what is going on with your liver. Just reread that you had an MRI of your liver, so there should be no suggestion of a biopsy. An MRI of the heart and liver is the ultimate, so you are lucky to have had it.
I know what you mean about having someone who knows what you are going through. I am the only one out of 5 children who has it and my siblings have no idea what I am going through. I started a support group and found everyone else was so different in their severity and range of problems.
Join your country's HH association and keep up to date with them, you could possibly help spread their brochures, etc. There are lot of researchers in the world, check out Prof Pierre Brissot's (Rennes, France) research studies. A big problem is trying to get funding for research of HH. Somewhere in the world, a group are working on replicating hepcidin (which we are low on, or does not work for us) as a treatment. So there is hope.
In the meantime, concentrate on your studies which are very important for your future. Ask for copies of all your test results, so that you have a record, maybe put them on a spreadsheet so you can follow what is happening. Record your phlebotomies, and also how you feel as your ferritin levels lower. When you are deironed, you will find your optimal level where you feel best at.
Heaps of luck
Jenne sheryl37154
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mike80628 Jenne
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Jenne mike80628
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mike80628 Jenne
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Jenne mike80628
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mike80628 Jenne
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Great thing is, you'll get there in the end!
Jenne mike80628
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