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June 28, 2005; 64 (12) Clinical/Scientific Notes

Restless legs syndrome in patients with hereditary hemochromatosis

Peter Shaughnessy, John Lee, Shaun T. O’Keeffe
First published June 27, 2005, DOI: https://doi.org/10.1212/01.WNL.0000165954.42289.03
Peter Shaughnessy
From the Departments of Gastroenterology (Drs. Shaughnessy and Lee) and Geriatric Medicine (Dr. O’Keeffe), University College Hospital, Galway, Ireland.
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John Lee
From the Departments of Gastroenterology (Drs. Shaughnessy and Lee) and Geriatric Medicine (Dr. O’Keeffe), University College Hospital, Galway, Ireland.
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Shaun T. O’Keeffe
From the Departments of Gastroenterology (Drs. Shaughnessy and Lee) and Geriatric Medicine (Dr. O’Keeffe), University College Hospital, Galway, Ireland.
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Citation
Restless legs syndrome in patients with hereditary hemochromatosis
Peter Shaughnessy, John Lee, Shaun T. O’Keeffe
Neurology Jun 2005, 64 (12) 2158; DOI: 10.1212/01.WNL.0000165954.42289.03

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Iron deficiency is important in the pathogenesis of restless legs syndrome (RLS), and iron supplementation improves its symptoms.1,2 Hereditary hemochromatosis (HH) is an autosomal recessive condition caused by mutations of the HFE gene in which excessive intestinal iron absorption leads to iron deposition in multiple organs.3 Iron therapy for RLS precipitated symptoms of iron overload in one patient with previously unrecognized HH,4 suggesting that monitoring of iron indexes may be required during iron therapy in RLS.

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We investigated the frequency of RLS and the relationship between RLS and iron indexes in consecutive adult patients with HH attending a large teaching hospital for therapeutic phlebotomy over a 3-month period. All 61 HH patients seen agreed to participate; 48 (79%) were men, and the median (range) age was 53 (24 to 82) years. The median (range) duration of phlebotomy was 12 (2 to 108) months, and 35 (62%) had serum ferritin level of <50 ng/mL. …

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