Table 2

Patients with grade 3 or 4 iron staining (explant liver)

PretransplantExplantHFE analysis
OLT number Histological iron grade I (0–4) Transferrin saturation* Serum ferritin Spur cell haemolytic anaemia Units transfused before surgery Histological iron grade I (0–4) Hepatic iron concentration Hepatic iron index§ C282Y H63D
42562330No3881.95CCHD
37344365No31022.54CCHH
39222-160 74510Yes23  (2–3+)1301.87CCHH
43242-160 972980Yes44541.35CCHH
276871036Yes4 (2–4)550.93CCHH
29632-160 841380Yes104 (2–4)951.70CCHH
4012761200Yes44 (3–4)1703.40CCHD
313841775Yes174 (3–4)2325.10CCHH
  • Normal values: *15–55%; 25–350 μl; <25 μmol/g;§<1.9.

  • 2-160 Transjugular liver biopsy.

  • HFE: C282Y gene mutation (CC = homozygous normal); H63D gene mutation (HH = homozygous normal, HD = heterozygous).

  • HII, hepatic iron index (μmol/g dry weight/age in years).3

  • I, histological assessment.20