Severity of iron overload in hemochromatosis: effect of volunteer blood donation before diagnosis.
BACKGROUND
An effort was made to determine if volunteer blood donation before diagnosis decreases the severity of iron overload at diagnosis in persons with hemochromatosis.


METHODS
A study was performed in 1089 persons in the United States with hemochromatosis who responded to a convenience sample survey and in 124 C282Y/C282Y hemochromatosis probands diagnosed during routine medical care.


RESULTS
Less than half of questionnaire respondents (46.2%) and probands (35.5%) reported that they had been volunteer blood donors; 5.4 percent and 4.0 percent, respectively, had donated >20 units of blood. In either subject group, there were no significant differences according to age in the mean numbers of units that needed to be removed by therapeutic phlebotomy to induce iron depletion in subgroups of men and women, respectively. Similarly, there was no significant correlation of units of voluntary blood donation or of therapeutic phlebotomy index (= therapeutic phlebotomy units/age in years) with the number of therapeutic phlebotomy units needed to induce iron depletion. When questionnaire respondents were stratified by sex, there was no significant correlation of units of blood donation with the number of therapeutic phlebotomy units needed to induce iron depletion or with the therapeutic phlebotomy index.


CONCLUSIONS
Routine blood donation does not, on average, decrease the severity of iron overload in persons with hemochromatosis. These findings have implications for the understanding of the severity of iron overload and its complications in hemochromatosis, for advising persons with hemochromatosis about treatment, and for considering persons with hemochromatosis as possible blood donors.
Barton
J C
JC
Southern Iron Disorders Center and Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, Alabama 35209, USA. ironmd@dnamail.com
Preston
B L
BL
McDonnell
S M
SM
Rothenberg
B E
BE
D000328:Adult; D001782:Blood Donors; D005260:Female; D006432:Hemochromatosis / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D019190:Iron Overload / Q000209:etiology* / Q000378:metabolism* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D018962:Phlebotomy; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires