Summary:
cases as a consequence of increased influx of iron in the body, eg. in patients with hereditary hemochromatosis or in
red blood cell transfusion dependent patients with anaemias with hyperplastic ineffective erythropoiesis (thalassemia,
myelodysplastic syndrome). Diagnosis of iron overload is based on laboratory methods (serum ferritin, transferrin
saturation), invasive methods (liver biopsy) or on non-invasive quantification of iron amount in liver or heart
(magnetic resonance imaging). Clinical symptoms usually reflect the degree of organ iron load. The treatment of iron
overload is based on early administration of sufficient dosis of chelating agents for prolonged time period. At present
time, new oral iron chelatrors (deferiprone, deferasirox) with efficency comparable to desferioxamine are available
as an alternative treatment of iron overload.
Key words:
iron overload, diagnosis, treatment, chelation, desferioxamine, deferiprone
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