Other hypereosinophilic syndrome
ICD-10 D72.118 is a billable code used to indicate a diagnosis of other hypereosinophilic syndrome.
Other hypereosinophilic syndrome (HES) is characterized by an elevated eosinophil count in the blood, typically exceeding 1,500 eosinophils per microliter, and is associated with various clinical manifestations. This condition can lead to organ damage due to eosinophilic infiltration, particularly affecting the skin, lungs, heart, and gastrointestinal tract. Patients may present with symptoms such as fever, weight loss, fatigue, and respiratory issues. The etiology of HES can be idiopathic or secondary to other conditions, including infections, malignancies, or autoimmune disorders. Neutropenia, a reduction in neutrophils, can occur in some patients, complicating the clinical picture and increasing susceptibility to infections. White blood cell disorders, including leukemias and lymphomas, must be ruled out as they can mimic HES. Spleen disorders may also be present, as splenomegaly can occur due to eosinophilic infiltration. Immunodeficiencies may arise as a consequence of prolonged eosinophilia, necessitating careful monitoring and management. Accurate diagnosis often requires a combination of clinical evaluation, laboratory tests, and imaging studies to assess organ involvement and rule out other causes of eosinophilia.
Detailed blood work results, including eosinophil counts and differential white blood cell counts.
Patients presenting with unexplained eosinophilia and associated symptoms.
Ensure comprehensive documentation of all laboratory findings and clinical assessments.
History of immunodeficiencies, autoimmune conditions, and any relevant family history.
Patients with recurrent infections or autoimmune symptoms alongside eosinophilia.
Document any immunological assessments performed to rule out underlying conditions.
Used to evaluate eosinophil levels in patients suspected of having hypereosinophilia.
Document the reason for the CBC and the results, specifically eosinophil counts.
Hematologists should ensure that differential counts are clearly documented.
Common causes include allergic reactions, infections, malignancies, and autoimmune diseases. It is essential to evaluate the patient thoroughly to determine the underlying cause.
