Sickle-cell thalassemia, unspecified, with dactylitis
ICD-10 D57.414 is a billable code used to indicate a diagnosis of sickle-cell thalassemia, unspecified, with dactylitis.
Sickle-cell thalassemia is a genetic blood disorder characterized by the presence of both sickle cell disease and thalassemia, leading to a complex form of hemolytic anemia. Patients with this condition experience abnormal hemoglobin production, resulting in sickle-shaped red blood cells that can cause vaso-occlusive crises, pain, and various complications. Dactylitis, or hand-foot syndrome, is a common manifestation in children with sickle cell disease, presenting as painful swelling of the fingers and toes due to vaso-occlusion in the small blood vessels. This condition can lead to significant morbidity, requiring careful management and monitoring. The unspecified nature of this code indicates that the specific type of thalassemia (alpha or beta) is not documented, which can complicate treatment and management strategies. Genetic factors play a crucial role in the inheritance of both sickle cell disease and thalassemia, necessitating thorough family history assessments and genetic counseling for affected individuals.
Detailed lab results, genetic testing, and clinical notes on symptoms.
Management of pain crises, blood transfusions, and monitoring for complications.
Understanding the interplay between sickle cell disease and thalassemia for treatment planning.
Growth and development assessments, family history, and vaccination status.
Management of dactylitis and routine health maintenance in children.
Monitoring for developmental delays and psychosocial impacts of chronic illness.
Used for routine blood tests to monitor hemoglobin levels.
Document the reason for blood draw and any relevant patient history.
Hematologists may require additional tests for hemoglobin electrophoresis.
Dactylitis is a common early manifestation of sickle cell disease in children, indicating vaso-occlusive events. It is important for diagnosis and management, as it can lead to further complications if not addressed.
