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Heredity and Environment in Idiopathic Hemochromatosis FREE

JAMA. 1969;210(5):898-898. doi:10.1001/jama.1969.03160310086020
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When in 1927 and again in 19351 Sheldon suggested that idiopathic hemochromatosis was attributable to an inborn error of iron metabolism, he based the concept on a small number of cases in which there appeared to be a familial occurrence of this disease. And although the incidence of overt familial involvement subsequently reported by other observers remained small, the genetic etiology found support in the elevated values of serum iron detected in immediate relatives of sufferers from this disease. Liver biopsies studies by Williams and associates2 in families of 16 patients provided additional evidence. In 28 of the 46 relatives examined, biopsy sections gave a positive reaction for free iron, and in a further six cases electron microscopy demonstrated excess of iron.

The genetic etiology of idiopathic hemochromatosis was questioned by MacDonald and Mallory,3 who expressed the view that this disease is not a distinct entity but

REFERENCES

Sheldon, J.H.: Hemochromatosis , London: Oxford University Press, 1935;.
Williams, R.; Scheuer, P.J., and Sherlock, S.:  The Inheritance of Idiopathic Hemochromatosis: A Clinical and Liver Biopsy Study of 16 Families , Quart J Med 36:249-265 ( (July) ) 1962;.
MacDonald, R.A., and Mallory, G.K.:  Hemochromatosis and Hemosiderosis: Study of 211 Autopsied Cases , Arch Intern Med 105:686-699 ( (May) ) 1960;.
MacDonald, R.A.: Hemochromatosis and Hemosiderosis , Springfield, Ill: Charles C Thomas, Publisher, 1964;.
Sinniah, R.:  Environmental and Genetic Factors in Idiopathic Hemochromatosis , Arch Intern Med 124:455-460 1969;.
Nixon, R.K., and Olson, J.P.:  Diagnostic Value of Marrow Hemosiderin Patterns , Ann Intern Med 69:1249-1254 ( (Dec) ) 1968;.

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Sheldon, J.H.: Hemochromatosis , London: Oxford University Press, 1935;.
Williams, R.; Scheuer, P.J., and Sherlock, S.:  The Inheritance of Idiopathic Hemochromatosis: A Clinical and Liver Biopsy Study of 16 Families , Quart J Med 36:249-265 ( (July) ) 1962;.
MacDonald, R.A., and Mallory, G.K.:  Hemochromatosis and Hemosiderosis: Study of 211 Autopsied Cases , Arch Intern Med 105:686-699 ( (May) ) 1960;.
MacDonald, R.A.: Hemochromatosis and Hemosiderosis , Springfield, Ill: Charles C Thomas, Publisher, 1964;.
Sinniah, R.:  Environmental and Genetic Factors in Idiopathic Hemochromatosis , Arch Intern Med 124:455-460 1969;.
Nixon, R.K., and Olson, J.P.:  Diagnostic Value of Marrow Hemosiderin Patterns , Ann Intern Med 69:1249-1254 ( (Dec) ) 1968;.
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