Felty's syndrome, hand
ICD-10 M05.04 is a billable code used to indicate a diagnosis of felty's syndrome, hand.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and neutropenia. In the context of the hand, patients may experience significant joint involvement, particularly in the metacarpophalangeal and proximal interphalangeal joints. The pathophysiology involves autoimmune processes leading to inflammation and destruction of synovial tissue, resulting in joint deformities and functional limitations. Clinically, patients may present with swelling, pain, and reduced range of motion in the hands, impacting daily activities. The anatomical considerations include the intricate structure of the hand, comprising bones, ligaments, tendons, and synovial joints, all of which can be affected by the inflammatory processes associated with Felty's syndrome.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, as well as functional assessments to evaluate the impact on mobility.
Patients may require surgical intervention for joint deformities or severe pain management.
Documentation must detail the specific joints involved and the extent of damage to guide treatment decisions.
Rheumatologic documentation should include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28).
Management of Felty's syndrome may involve immunosuppressive therapies and monitoring for complications.
Systemic involvement, such as splenomegaly and neutropenia, must be documented to reflect the severity of the condition.
Functional assessments should evaluate the patient's ability to perform activities of daily living and the need for rehabilitation services.
Rehabilitation may focus on improving hand function and mobility through physical therapy.
Documentation should address any assistive devices required for mobility and daily activities.
Used for joint swelling management in patients with Felty's syndrome.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic and rheumatologic considerations for joint management.
Key symptoms include joint pain and swelling, particularly in the hands, fatigue, recurrent infections due to neutropenia, and splenomegaly. Patients may also experience functional limitations in daily activities due to joint involvement.
