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Published on: February 23, 2024
A child with hyperferritinemia: case report.
Melania Serra1, Filomena Longo, Antonella Roetto
1Division of Pediatrics and Thalassemia Center, Department of Clinical and Biological Sciences, University of Torino, S, Luigi Gonzaga Hospital, Orbassano (TO), 10043, Italy. antonio.piga@unito.it
Hereditary hyperferritinemia cataract syndrome (HHCS) is a rare genetic disorder. Early diagnosis is crucial, especially when children present with high ferritin levels and a family history of cataracts.
Area of Science:
- Genetics
- Pediatrics
- Ophthalmology
Background:
- Hereditary hyperferritinemia cataract syndrome (HHCS) is a rare autosomal dominant disorder.
- It results from mutations in the ferritin light chain gene (FTL).
- HHCS is characterized by elevated serum ferritin levels without iron overload and bilateral cataracts.
Observation:
- A 6-year-old Italian boy presented with unexplained, persistently high serum ferritin levels.
- Diagnostic uncertainty persisted until family history revealed cataracts in five relatives.
- Genetic testing confirmed the A37C mutation, diagnosing HHCS.
Findings:
- The case highlights HHCS as a differential diagnosis for isolated hyperferritinemia in children.
- Family history is a critical clue for diagnosing rare genetic syndromes.
- Genetic confirmation is essential for accurate diagnosis.
Implications:
- Emphasizes the importance of considering rare genetic conditions in pediatric diagnostics.
- Highlights the need for thorough family history assessment in cases of unexplained hyperferritinemia.
- Suggests early screening for cataracts in families with a history of HHCS.
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