Management
• Aim to reduce iron stores to <50jg/L and prevent complications of overload.
• Achieved by regular venesection (500mL blood) on weekly basis until iron deficiency develops (may take many months).
• Hb should be measured prior to each venesection and response to therapy can be monitored by intermittent measurement of the serum ferritin.
• Once iron deficiency develops a maintenance regimen can be commenced with venesection every 3-4 months.
Post a comment