Chelation therapy for iron overload

被引:29
作者
Barton J.C. [1 ]
机构
[1] Southern Iron Disorders Center, Birmingham, AL 35243
关键词
Sickle Cell Disease; Iron Overload; Hemochromatosis; Chelation Therapy; Deferasirox;
D O I
10.1007/s11894-008-0024-9
中图分类号
学科分类号
摘要
Iron overload is characterized by excessive iron deposition and consequent injury and dysfunction of the heart, liver, anterior pituitary, pancreas, and joints. Because physiologic mechanisms to excrete iron are very limited, patients with iron overload and its complications need safe, effective therapy that is compatible with their coexisting medical conditions. The availability of three licensed iron chelation drugs (one parenteral, two oral) and the development and clinical investigation of other oral chelators represent new opportunities to prevent or manage iron overload in patients with heritable types of severe anemia, such as β-thalassemia major and sickle cell disease, and for the formulation of alternatives to phlebotomy therapy for patients with iron overload associated with the HFE gene and other adult age-of-onset types of hemochromatosis, African iron overload, and African-American iron overload. Copyright © 2007 by Current Medicine Group LLC.
引用
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页码:74 / 82
页数:8
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