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Milesian
Sunday, July 4th, 2004, 09:48 PM
Irish descendants at higher risk for disease

By John Hejkal

As St. Patrick's Day draws near, Irish blood may be a cause for pride in many people. But Irish livers may be a cause for problems. Those of Celtic origin are at a particularly high risk for hereditary hemochromatosis, or HH, said Sandra Thomas, founder and president of the American Hemochromatosis Society in Delray Beach, Fla. She has dubbed the disease the Celtic Curse.

HH is a gene mutation that causes the body to store abnormally high levels of iron. Iron gets stored mostly in the liver, pancreas or pituitary gland in the brain. If too much iron accumulates, these organs can become damaged. Dr. Mark Hutchins of the Nebraska Hematology-Oncology center in Lincoln said HH usually won't be detected until the disease manifests itself in noticeable damage to the body.

Thomas, whose mother died from liver cancer because of HH in 1999, said the key to making sure people didn't suffer from the disease was getting the word out to the nearly 32 million people who could be at risk. "People say, 'How can this be so prevalent, and I've never heard about it?'" she said. "Well, that's what we want to know and what we're trying to change." If found early, HH is easily treated, but if left undetected, liver cancer or heart failure could be the eventual result, Hutchins said.

"Iron is one of the metals in the body that we don't have a normal way of excreting," Hutchins said. "When you absorb iron into your system, it's there until you bleed." The normal treatment for HH is regular blood-letting. The bleeding is done just like a donation to blood bank, Thomas said. "Diet is not the way to manage hemochromatosis," she said. "Usually it's the blood-letting. That's the treatment for this disease."

The blood-letting creates a deficit of blood in the body. People with HH can draw iron out of the large stores in their bodies to make more blood. Blood from HH patients is acceptable for donation to blood banks, Thomas said, so increasing awareness about HH could have dual benefits. "That would be a great way to end the blood shortage in this country, if we could diagnose the patients and get them to donate the blood," she said.

Researchers believe Celtic people formed the HH mutation in their genes as long as 40,000 years ago in the area that is modern day Ireland, Thomas said. The diet of the people may have been low in iron because of famine conditions at the time. To compensate, people developed this way to store as much iron as possible in their bodies. Irish people are not the only ones who may inherit the disease. Those of French, Scandinavian or German descent also are at high risk.

"I know the Celtic curse sounds a little ominous," Thomas said. "But diagnosed early, this disease is curable. Diagnosed late, it's deadly." Hutchins said people usually don't notice problems from HH until age 40 or 50, but he recommended testing between the ages of 20 and 30 for people with family histories of liver damage or heart failure. HH rarely causes problems in young women, he said, because menstruation gives iron a ready place to go as women replace the lost blood.

Thomas said the HH mutation is easily detectable with a simple lab test. Those who want more information should call the American Hemochromatosis Society at 1-888-655-IRON.

Johannes de León
Sunday, July 4th, 2004, 09:58 PM
HH is a gene mutation that causes the body to store abnormally high levels of iron. Iron gets stored mostly in the liver, pancreas or pituitary gland in the brain. If too much iron accumulates, these organs can become damaged. WOW... that happened to my grandmother. unfortunately she is not among us anymore. :|

well, no one lives forever, she died with 94. :)

Milesian
Sunday, July 4th, 2004, 10:25 PM
WOW... that happened to my grandmother. unfortunately she is not among us anymore. :|

well, no one lives forever, she died with 94. :)

That's sad to hear :(
A relative of mine died last year from a very agressive liver cancer and they never really came up with an explanation for it. My concern is that it may be HH and I'm thinking of being tested for it as the carrier rates are relatively very high for someone like me.

Still, if I could be guaranteed to live to 94 years old, I would be exteremely happy. I might not live to see half of that ;)

Johannes de León
Sunday, July 4th, 2004, 10:33 PM
That's sad to hear :(
A relative of mine died last year from a very agressive liver cancer and they never really came up with an explanation for it. My concern is that it may be HH and I'm thinking of being tested for it as the carrier rates are relatively very high for someone like me. I think i will go do the same. anyway, i don't believe it has much influence in me, since i'm not fully-blooded celt, it's just a minority in my blood, it's more like a cultural link. but one never knows.


Still, if I could be guaranteed to live to 94 years old, I would be exteremely happy. I might not live to see half of that ;) I hope to will live at least until i am 90. like most of my family members. :D

Milesian
Sunday, July 4th, 2004, 10:36 PM
I think i will go do the same. anyway, i don't believe it has much influence in me, since i'm not fully-blooded celt, it's just a minority in my blood, it's more like a cultural link. but one never knows.

Sure, it is more prevalent in Ireland and the British Isles and to a lesser degree in Northern Europe (possibly carried back by the Vikings?).
But it still pays to get checked out anyway


I hope to will live at least until i am 90. like most of my family members. :D

At least I'll have the young, good-looking corpse.....well, a young corpse at least ;)