Skin inflammatory (nontumor)
Pigmentary disorders

Topic Completed: 1 July 2011

Revised: 2 April 2019

Copyright: 2002-2019,, Inc.

PubMed Search: Hemochromatosis [title] skin

Mowafak Hamodat, M.B.Ch.B., M.Sc.
Page views in 2018: 296
Page views in 2019 to date: 311
Cite this page: Hamodat M Hemochromatosis. website. Accessed October 16th, 2019.
Definition / general
  • Multisystemic disorder of iron metabolism with cutaneous manifestations in up to 90% of patients
  • Typically bronze pigmentation in the forehead and malar area ("bronzed diabetes"), may also be slate-gray
  • Pigmentation fades as iron levels decline
  • See also Liver chapter
  • Phlebotomy
Microscopic (histologic) description
  • Thinning of the epidermis, increased melanin pigment in the basal layer
  • Golden brown granules of hemosiderin in the basement membrane region of sweat glands and in macrophages in loose connective tissue stroma of these glands
  • A small amount of hemosiderin is associated with sebaceous glands and their stroma
  • Small specks of hemosiderin can be seen in the epidermis with Pearls stain
Additional references
Back to top