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Related Concept Videos

Pigmentation01:19

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The color of the skin is influenced by a number of pigments, including melanin, carotene, and hemoglobin. Recall that melanin is produced by cells called melanocytes, which are found scattered throughout the stratum basale of the epidermis. The melanin is transferred to the keratinocytes via melanosomes.
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Related Experiment Video

Updated: Jun 15, 2026

Quantifying Abdominal Pigmentation in Drosophila melanogaster
08:41

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Published on: June 1, 2017

A pigmented octogenarian.

Maya Wolf1, Sarah E Brice, Michael Fertleman

  • 1Care of the Elderly Department, North Middlesex University Hospital NHS Trust, Sterling Way, London, Greater London N181QX, UK. maya@doctormayawolf.com

Age and Ageing
|March 11, 2010
PubMed
Summary
This summary is machine-generated.

Hereditary haemochromatosis (HH) can be challenging to diagnose in elderly patients due to non-specific symptoms. Early diagnosis in older adults is crucial for effective treatment, reducing morbidity and mortality.

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Area of Science:

  • Geriatrics
  • Medical Genetics
  • Hepatology

Background:

  • Hereditary haemochromatosis (HH) is a genetic disorder characterized by excessive iron absorption.
  • Typical presentation of HH is in middle-aged men or postmenopausal women.
  • Diagnosis in the elderly is often delayed due to overlapping symptoms with common geriatric conditions.

Observation:

  • An 81-year-old woman presented with cachexia, malaise, abnormal liver function tests, hepatomegaly, and hyperpigmentation.
  • Initial symptoms mimicked other age-related conditions, complicating the diagnostic process.
  • Genetic testing confirmed hereditary haemochromatosis as the underlying diagnosis.

Findings:

  • Hereditary haemochromatosis can present with subtle or atypical symptoms in individuals over 80.
  • The protean nature of HH symptoms can lead to misdiagnosis or delayed diagnosis in geriatric populations.
  • Genetic testing is essential for confirming HH in older adults presenting with relevant clinical signs.

Implications:

  • Timely diagnosis of HH in the elderly is vital, despite its perceived rarity in this age group.
  • Prompt treatment of HH in older patients can prevent significant long-term health complications.
  • Increased longevity necessitates awareness and consideration of HH in geriatric differential diagnoses to improve patient outcomes and facilitate family screening.