Dietary selenium deficiency
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E59 is a billable code used to indicate a diagnosis of dietary selenium deficiency.
Dietary selenium deficiency is a condition resulting from inadequate intake of selenium, an essential trace mineral that plays a critical role in various bodily functions, including antioxidant defense, thyroid hormone metabolism, and immune function. Selenium is primarily obtained through dietary sources such as Brazil nuts, seafood, meats, and grains. Deficiency can lead to a range of health issues, including Keshan disease, characterized by cardiomyopathy, and Kashin-Beck disease, which affects joint health. Symptoms of selenium deficiency may include fatigue, weakened immune response, and cognitive decline. Diagnosis typically involves assessing dietary intake, clinical symptoms, and serum selenium levels. Treatment focuses on dietary modification and supplementation to restore adequate selenium levels, which is crucial for maintaining overall health and preventing associated disorders. Regular monitoring of selenium levels may be necessary in individuals at risk of deficiency, such as those with malabsorption syndromes or restrictive diets.
Detailed dietary assessments and patient history, including food frequency questionnaires.
Patients with malnutrition, chronic illnesses, or restrictive diets.
Ensure accurate recording of dietary intake and any supplementation.
Thyroid function tests and selenium level assessments.
Patients with thyroid disorders or autoimmune conditions.
Document any thyroid-related symptoms and treatment plans.
Used to confirm selenium deficiency in patients with suspected nutritional deficiencies.
Document the reason for testing and any relevant clinical findings.
Endocrinologists may require additional thyroid function tests.
Common symptoms include fatigue, weakened immune response, cognitive decline, and in severe cases, Keshan disease, which can lead to heart problems.
