Iron overload disorders: Growth and gonadal dysfunction in childhood and adolescence

Author:

Tenuta Marta1ORCID,Cangiano Biagio23ORCID,Rastrelli Giulia4ORCID,Carlomagno Francesco1ORCID,Sciarra Francesca1ORCID,Sansone Andrea5ORCID,Isidori Andrea M.1ORCID,Gianfrilli Daniele1ORCID,Krausz Csilla4ORCID

Affiliation:

1. Department of Experimental Medicine Sapienza University Rome Italy

2. Department of Medical Biotechnology and Translational Medicine University of Milan Milan Italy

3. Department of Endocrine and Metabolic Medicine IRCCS Istituto Auxologico Italiano Milan Italy

4. Department of Experimental and Clinical Biomedical Sciences "Mario Serio” University of Florence Florence Italy

5. Department of Systems Medicine University of Rome Tor Vergata Rome Italy

Abstract

AbstractHemochromatosis (HC) is characterized by the progressive accumulation of iron in the body, resulting in organ damage. Endocrine complications are particularly common, especially when the condition manifests in childhood or adolescence, when HC can adversely affect linear growth or pubertal development, with significant repercussions on quality of life even into adulthood. Therefore, a timely and accurate diagnosis of these disorders is mandatory, but sometimes complex for hematologists without endocrinological support. This is a narrative review focused on puberty and growth disorders during infancy and adolescence aiming to offer guidance for diagnosis, treatment, and proper follow‐up. Additionally, it aims to highlight gaps in the existing literature and emphasizes the importance of collaboration among specialists, which is essential in the era of precision medicine.

Publisher

Wiley

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