Background

Hereditary hemochromatosis typically presents in adulthood with organ damage secondary to iron overload. In women, menstrual periods are a protective mechanism allowing for monthly loss of iron stores.

Case

We report the case of a female adolescent whose family history, clinical presentation, and laboratory investigation revealed a diagnosis of hereditary hemochromatosis and von Willebrand disease. For control of heavy menstrual bleeding, menstrual suppression was started with a subsequent increase of her ferritin levels.

Summary and Conclusion

No significant data exist regarding the management of women with hereditary hemochromatosis who require menstrual suppression. This case highlights the difficulty in balancing the need for hormonal menstrual suppression with its effect on treatment choices, monitoring, and managing iron levels.

中文翻译：

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完美的平衡？遗传性血色素沉着病和von Willebrand病患者的重度月经出血和痛经

背景

遗传性血色素沉着症通常出现在成年期，继发于铁超负荷的器官损害。在女性中，月经期是一种保护机制，可以每月减少铁的储存。

案件

我们报告了一个女性青少年的病例，其家族史，临床表现和实验室检查显示出遗传性血色素沉着病和von Willebrand病的诊断。为了控制月经大量出血，开始抑制月经并随后增加其铁蛋白水平。

总结与结论

没有关于需要月经抑制的遗传性血色素沉着症妇女治疗的重要数据。该病例突出了在平衡激素对月经抑制的需求及其对治疗选择，监测和管理铁水平的影响方面的困难。