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A 17 year, but hes turning old came out with a level of 160 on a scale of 20-100. I have never seen this scale before. He has no other indicators of hemochromatosis at all which is strange. He has extrememly low testosterone and low ceruloplasmin and copper like myself. He definitely has low t4 to t3 conversion which could indicate adrenal issues which are being explored. He has normal t4 total but low free t3 and total t3 which may indicate rt3 issue. Question if this is high ferritin levels affecting are his testosterone levels and potentially thyroid. On scale for quest it shows >1000 for testosterone his was 500 with high shbg 40.
He also was anorexic at age of 12-14 when puberty was just hitting which could have caused this hormonal issue. His body may have gotten stuck in this mood and may be has never disengaged. Adrenal saliva test are being conducted to rule out adrenal issues.@hardasnails1973 410 wrote:
A 17 year, but hes turning old came out with a level of 160 on a scale of 20-100. I have never seen this scale before. He has no other indicators of hemochromatosis at all which is strange. He has extrememly low testosterone and low ceruloplasmin and copper like myself. He definitely has low t4 to t3 conversion which could indicate adrenal issues which are being explored. He has normal t4 total but low free t3 and total t3 which may indicate rt3 issue. Question if this is high ferritin levels affecting are his testosterone levels and potentially thyroid. On scale for quest it shows >1000 for testosterone his was 500 with high shbg 40.
He also was anorexic at age of 12-14 when puberty was just hitting which could have caused this hormonal issue. His body may have gotten stuck in this mood and may be has never disengaged. Adrenal saliva test are being conducted to rule out adrenal issues.I would consider an evaluation for hemochromatosis in a teenager with a high ferritin level.
However, realize that a teenager does not have a fully developed reproductive system. Thus, a low testosterone does not necessarily indicate what the adult level will be.
However, if there is a question about hypogonadism, I would refer the patient to a pediatric endocrinologist. Sometimes, in cases of hypogonadism, penile development is a concern for example. Transdermal testosterone application to the penis may be necessary to allow penis growth before the testosterone receptors in the penis disappear in adulthood and penile growth halts.
@DrMariano 429 wrote:
I would consider an evaluation for hemochromatosis in a teenager with a high ferritin level.
However, realize that a teenager does not have a fully developed reproductive system. Thus, a low testosterone does not necessarily indicate what the adult level will be.
However, if there is a question about hypogonadism, I would refer the patient to a pediatric endocrinologist. Sometimes, in cases of hypogonadism, penile development is a concern for example. Transdermal testosterone application to the penis may be necessary to allow penis growth before the testosterone receptors in the penis disappear in adulthood and penile growth halts.
After our first consultation we will be referred to a hemotologist to get this ruled out. After reading how it can really affect the body it is not a condition to be taken lightly. Is it still possible to have hemochromatosis with normal RBC and CBC panels? The liver enzyme are not elevated at all. Could this condition cause alteration in the conversion of t4 to t3? Upon the phyiscal examination I will note to Dr to look for that small penile size.
@hardasnails1973 437 wrote:
After our first consultation we will be referred to a hemotologist to get this ruled out. After reading how it can really affect the body it is not a condition to be taken lightly. Is it still possible to have hemochromatosis with normal RBC and CBC panels? The liver enzyme are not elevated at all. Could this condition cause alteration in the conversion of t4 to t3? Upon the phyiscal examination I will note to Dr to look for that small penile size.
Yes, it is possible to have hemachromatosis and a normal Complete Blood Count (CBC).
@DrMariano 443 wrote:
Yes, it is possible to have hemachromatosis and a normal Complete Blood Count (CBC).
That is very disturbing because a lot of Dr’s only check RBC and CBC panel while never checking ferritin levels. In the teenage case he has had numerous blood test, but no one even looked at the ferritin levels. If such a young person had this disorder for a long time could it eventually if untreated for years eventually cause destruction of his whole endocrine system?
Upon further examinng the teenagers diet it was found that he was consuming a lb of london broil a day along with 6 cups of oatmeal which each cup with 12 mgs of iron. So when this is all calculated out it would have been excessive of 80-90 mgs of iron for the past 3-4 months was enough to cause this imbalance. We have since lowered his red meat consumption as well as oats to a more reasonable amount as well as giving him a variety of more nutritonal dense foods. His testosterone came back at 650 which is reasonable acceptable for a teenager, but we are waiting for the final report.
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