Protein-calorie malnutrition of moderate and mild degree
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E44 is a billable code used to indicate a diagnosis of protein-calorie malnutrition of moderate and mild degree.
Protein-calorie malnutrition (PCM) of moderate and mild degree is characterized by a deficiency in both protein and caloric intake, leading to a state of undernutrition. This condition can arise from various factors, including inadequate dietary intake, malabsorption syndromes, chronic illnesses, or socioeconomic factors. In children, PCM can manifest as kwashiorkor or marasmus, which are severe forms of malnutrition. Kwashiorkor is primarily due to protein deficiency despite adequate caloric intake, leading to edema, fatty liver, and skin changes. Marasmus, on the other hand, results from a deficiency in both protein and calories, leading to significant weight loss and muscle wasting. Clinically, patients may present with symptoms such as fatigue, weakness, growth retardation in children, and increased susceptibility to infections. Diagnosis is typically based on clinical assessment, dietary history, and anthropometric measurements. Treatment involves nutritional rehabilitation, addressing underlying causes, and monitoring for complications.
Detailed growth charts, dietary assessments, and clinical evaluations.
Children presenting with growth failure, recurrent infections, or developmental delays.
Ensure accurate age-related growth standards are applied.
Comprehensive evaluation of malabsorption syndromes and dietary history.
Patients with chronic diarrhea, inflammatory bowel disease, or celiac disease.
Document any gastrointestinal symptoms that may contribute to malnutrition.
Used for patients diagnosed with protein-calorie malnutrition requiring dietary counseling.
Document the patient's nutritional status, dietary history, and goals of therapy.
Nutritionists or dietitians should provide detailed notes on dietary interventions.
Kwashiorkor is primarily due to protein deficiency with adequate caloric intake, characterized by edema and skin changes, while marasmus results from a deficiency in both protein and calories, leading to significant weight loss and muscle wasting.
