Hipocortisolismo hipofisario por sobrecarga férrica en un paciente con Anemia de Blackfan-Diamond
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Complexo Hospitalario Universitario de Pontevedra
info
ISSN: 0304-4866, 1989-3922
Year of publication: 2022
Volume: 83
Issue: 1
Pages: 40-41
Type: Article
More publications in: Galicia Clínica
Abstract
Iron overload in the context of a Blackfan-Diamond anemia is a extremely uncommon cause of central adrenal insufficiency. We report a patient with Blackfan-Diamond anemia diagnosis during his childhood. Ten years later, as a consequence of iron overload caused by repeated transfusions, he developed central hypocortisolism. Blackfan-Diamond anemia is a hereditary syndrome characterized by erythroid aplasia, predisposition to hematologic and solid organ malignancies and congenital abnormalities. Endocrine complications of Blackfan-Diamond anemia are reported in the literature and highly variable. Hypocortisolism is considered as an uncommon complication (0.7-4 %). Therefore, in a patient with repeated transfusions, we must considerer in a possible ACTH deficiency in the context of hemochromatosis due to iron overload