Nail surgery in haemochromatosis

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Hi, I have a patient who needs nail surgery and has Haemochromatosis. Does anyone have any information as to whether nail surgery is contra indicated with this condition or any particular precautions which should be taken?
Grateful for any info, quite difficult to find any so far...
Thanks.

 

Re: nail surgery haemochromatosis

No contraindications but be careful to flush with alcohol and not saline otherwise the digit will oxidate.

 

From http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001368/

Hemochromatosis
Iron overload
Last reviewed: March 4, 2012.

Hemochromatosis is too much iron in the body. It is also called iron overload.
Treatment

The goal of treatment is to remove excess iron from the body and treat any organ damage.

A procedure called phlebotomy is the best method for removing excess iron from the body.

One-half liter of blood is removed from the body each week until the body iron level is normal. This may take many months or even years to do.
After that, the procedure may be done less often to maintain normal iron levels. ​

Expectations (prognosis)

Untreated, iron overload can lead to liver damage.

Extra iron may also build up in other areas of the body, including the thyroid gland, testicles, pancreas, pituitary gland, heart, or joints. Early treatment can help prevent complications such as liver disease, heart disease, arthritis or diabetes.

How well you do depends on the amount of organ damage. Some organ damage can be reversed when hemochromatosis is detected early and treated aggressively with phlebotomy.​

Complications

Complications include:

Liver cirrhosis
Liver failure
Liver cancer
The disease may lead to the development of:

Arthritis
Diabetes
Heart problems
Increased risk for certain bacterial infections
Testicular atrophy
Skin coloring changes​

So, if it is treated and there is no organ damage, then there should be no problem doing the nail surgery. If there is liver damage, then do what you would do in presence of cirrhosis.

Eric

 

Eric

Over thirty years ago I wrote a song about an Edinburgh climber who (fictitiously) lost his manhood through frostbite and had a replacement stainless steel member fitted instead. It went on to be used to great advantage on difficult ice routes. Now, as if cursed by the writer's pen, I have developed - or rather discovered to be suffering from haemochromatosis but alas having iron is not quite the same as having wood with or without a trophy. Doing a fabulous sideline in Black Puddings though....

Mark