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IEMbase 0582: TFR2-related transferrin receptor 2 deficiency

Scope

Field Value
IEMbase ID 582
Nosology 22.2.04.01
Gene TFR2
External IDs OMIM:604250; ORPHA:225123
Generated mapping MAPPED; Hemochromatosis.yaml
Candidate DisMech targets Hemochromatosis.yaml#Type 3
Review date 2026-07-07

IEMbase phenotype signal

IEMbase represents TFR2-related transferrin receptor 2 deficiency, corresponding to hereditary hemochromatosis type 3 / HFE3. The record is autosomal recessive, classified under disorders of iron metabolism, marked as a juvenile subtype, has unknown treatability, and lists iron chelation and phlebotomy.

Biochemical rows include normal-to-increased ferritin, normal-to-increased transferrin saturation, normal-to-increased glucose, and normal-to-increased liver iron. Clinical rows include abdominal pain and hyperpigmentation.

DisMech phenotype coverage

Hemochromatosis.yaml is the correct local target, specifically the Type 3 subtype. It models biallelic TFR2-related hemochromatosis, increased intestinal iron absorption, liver/heart/pancreas/endocrine organ iron accumulation, transferrin saturation and ferritin elevation, abdominal pain, bronze hyperpigmentation, diabetes or hyperglycemia, and phlebotomy with chelation as a selected alternative.

Concordance and completeness

Judgement: correct subtype-level mapping.

IEMbase and DisMech agree on TFR2, autosomal recessive type 3 hemochromatosis, iron-index abnormalities, liver iron loading, glucose involvement, hyperpigmentation, abdominal pain, and iron-depletion therapy. The normal-to-increased IEMbase rows are useful because they preserve variable stage or penetrance at individual biomarker level.

Curation actions

  • Resolve this record to Hemochromatosis.yaml#Type 3.
  • Preserve IEMbase normal-to-high ferritin, transferrin-saturation, glucose, and liver-iron staging prompts for future subtype review.