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Living with Juvenile hemochromatosis

An inherited condition in which too much iron builds up in the body, affecting the liver, heart, and pancreas, with symptoms starting in childhood.

Understanding Juvenile hemochromatosis

Juvenile hemochromatosis (hemochromatosis type 2) is an inherited condition in which too much iron builds up in the body.

Extra iron can damage organs, especially the liver, heart, and pancreas. Symptoms usually start in childhood and can include liver disease, heart disease, and low sex hormones, which can mean missed periods or delayed puberty. Other symptoms may include abdominal pain, diabetes, and skin darkening. Diagnosis can use blood tests, MRI, or liver biopsy, and is confirmed by genetic testing.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Low sex hormones (hypogonadism)
  • Diabetes
  • Stretched, thinned heart muscle (dilated cardiomyopathy)
  • Joint disease
  • Darkened skin
  • Tiredness and muscle weakness

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for HFE2 (HJV) or HAMP confirm my diagnosis?
Which tests will track iron levels and organ health?
Which specialists, such as liver, heart, and hormone doctors, should be on my team?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Recessive

Changes in the HFE2 (HJV) or HAMP genes cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticGastrointestinalInherited Metabolic

Also known as: hemochromatosis type 2; hfe2; hjv or hamp-related hemochromatosis; jhh; juvenile hereditary hemochromatosis

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Juvenile hemochromatosisGARD ID 10092 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Juvenile hemochromatosis.

Explore the Juvenile hemochromatosis blog

Explore research for Juvenile hemochromatosis

Explore actively recruiting Juvenile hemochromatosis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Juvenile hemochromatosis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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