Rare Diagnosis? Anyone With The Same Kind?

Posted , 5 users are following.

     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

21 Replies

  • Posted

    Hiya Jenne. Mike here in England. I have Haemochromatosis. First of all good to hear from you. You've joined a great community here of people who care, and all have their own story.

    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.

    • Posted

      Thanks Mike, I've read all the replies today and all of them said that I do not need a liver biopsy. That does help me. I believe I'm supposed to start treatment next week. We don't have all the money in the world to travel to the hospital and pay for it, which is why I haven't gone there in months.  
    • Posted

      Gosh, Jenne, phlebotomies are imperitive if your ferritin levels are high.  Try to find a way to have it done close to you.  Do you have a blood bank or pathology nearby?  If so, get your hematologist to refer you to them, or maybe your local gp can do it.  However, I am aware that it might cost a lot for you in the US.  With a level like you have, you should be having phlebs weekly.

      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.

       

    • Posted

      Hi Jenne....whatever happens you gotta get your blood removed soon with weekly venesections......those iron levels are high. Not sure how it works in the US...over here the NHS have been superb...and soon I'm becoming a blood donor....chat with your doctor....needs sorting soon....all the best...
    • Posted

      I have heard that I am able to donate blood and have the extra iron taken out of the blood so I can donate blood and iron transfusions. I'm not sure how that works. I am having an appointment scheduled with my hematologist this week so I can discuss getting blood removed and ask other questions about HH.
    • Posted

      I am hoping that I am eligible to donate blood soon. I think I have to be 16 to donate blood. Either way, I am going to see my hematologist soon and discuss treatment. I am looking forward to being a blood donor soon though. I'm going on 16 in a few months thankfully. 
  • Posted

    Hey Jenne,

    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.

    • Posted

      I should also point out that I'm the only person out of my friends group that has a high iron problem (that I know of, obviously not everyone has been tested for it despite me telling me to do it).

      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.

    • Posted

      crap. I can't type properly today. 
    • Posted

      I started to just avoid cereals and a lot of red meats because there are clearly better things out there to eat. I'm thinking about getting some extra calcium supplements for if I go out to eat and there isn't any milk. The irony here is the fact that I'm lactose intolerant. My iron levels must have shot up ever since I started to avoid dairy since I was diagnosed with lactose intolerance
  • Posted

    Hi Jenne

    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

    • Posted

      Hi Mary...not sure if it was you who mentioned spinach. It's actually fine to eat...despite the iron content our bodies can't absorb it. Spinach contains something that totally prevents us from absorbing any of its iron...so if you like it...eat away!
    • Posted

      I am definitely in the right place. I didn't think I would get any responses at all. It's great to know that people are willing to help and talk to me. I'm glad that I don't feel so alone anymore. There's one girl in my school with HH but it's nothing like my case. She's also not the nicest girl in the classroom. I've tried talking to her but she always gave me an attitude. haha, its okay though. I have a bunch of friends that care about me. My partner has the most understanding about me (even though the only "medical problem" he deals with is back aches) He's willing to listen to me. I just need to talk to people with the same thing as me so I don't feel alone. 
  • Posted

    Hi Jenne, I understand that Juvenile HH is different to HFE hemochromatosis, so some things may be different for you than to the rest of us who have responded here.

    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

    • Posted

      Thanks for telling me this. I will start recording when I get blood tests and phlebotomies. I'm super hyped to start treatment soon. I believe I'm starting next week. I'm not sure how long I have to do it but my iron level is about 1,300. It might take a few months. I'm going into sophomore year of high school and I signed up for the girls field hockey team. Because of my fatigue, I haven't been doing sports well but lately, I've been high in spirits and I cannot wait to start playing a sport that I love. 
    • Posted

      Hi Jenne. There is a brilliant App you can download on your phone. It's called Iron Tracker. It keeps a record of all your levels, appointments, which arm you've used etc etc. It's puts it all into a graph...so you can see your levels drop week by week. Once you get started, your energy levels will rise again. Hopefully in time, it should not really impact your life that much, apart from having to give blood from time to time. It's all looking good. Keep in touch!
    • Posted

      Mike that sounds like a great app, I'll check that out once I find my phone haha! I am looking forward to giving blood soon. Having this app and watching my iron levels going down would make me feel better and successful. 
    • Posted

      Hi Jenne. Yeah, I love the app. When do you start giving blood? It'll be great once you start, as you'll soon get back to normal. I've been giving blood weekly for a year now...level was 2000. It was 63 last week. I'm aiming for 50...might even reach it next week! I'll be over the moon when I do! Then I become a blood donor. I'm donating blood the first time in July. Nice to know my blood can now be used. Anyway, keep me updated on your progress. All the best. Mike.
    • Posted

      Hi Mike. Yeah I should start a phlebotomy soon. Most likely going to start next week. I can't donate the blood until I am 16. I'm not sure how it works in different countries. My school has this program where you can donate blood (but you can only donate once) and I remember the announcements saying "you must be 16 to donate". Quick question though, how much iron do you get taken from you when you donate? 
    • Posted

      Hi Jenne. That's a good question about how much iron gets taken out. It really really does fluctuate each week. I was at 2000 when I started. Some weeks it might drop by 150 or 200. Other weeks by 10 or 20. I think on average it might be by 25-50. It's different for everyone. Some weeks you're really happy cos it's gone down by over a 100. Other weeks it might just go down a little. Just stick with it. Don't be disappointed if it's really slow going from time to time...that's so normal for many of us...but enjoy the days you get told it's dropped by 200!! Or even more!

      Great thing is, you'll get there in the end!

    • Posted

      I cannot wait to start donating blood. I'm really hyped about it! I cant wait to watch my iron levels go down. With an iron level of 1,300.. how long do you think it might take for it to go down to 50? 

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