Felty's syndrome, left hand
ICD-10 M05.042 is a billable code used to indicate a diagnosis of felty's syndrome, left 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 left hand, this condition can lead to significant joint involvement, particularly in the metacarpophalangeal and proximal interphalangeal joints. Anatomically, the left hand consists of 27 bones, including the carpals, metacarpals, and phalanges, which can be affected by inflammatory processes leading to pain, swelling, and deformities. Clinically, patients may present with decreased grip strength, limited range of motion, and increased susceptibility to infections due to neutropenia. The pathophysiology involves immune-mediated inflammation that can result in joint erosion and deformity, impacting the patient's functional capacity and quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and any surgical interventions performed.
Common scenarios include surgical interventions for joint deformities or arthroplasties in advanced cases.
Documentation must specify which joints are involved and the degree of functional impairment.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP), complete blood counts to monitor neutrophil levels, and assessments of disease activity.
Patients may present with exacerbations of rheumatoid arthritis requiring adjustments in therapy.
Systemic involvement must be documented, including any complications arising from neutropenia.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation scenarios may include therapy for improving hand function and strength post-surgery.
Documentation should address mobility limitations and any adaptations required for daily activities.
Used for managing joint effusions in the left hand due to Felty's syndrome.
Document the specific joint involved and the reason for the procedure.
Orthopedic considerations for joint management and rheumatologic implications for inflammation.
Common symptoms include joint pain and swelling, particularly in the hands, recurrent infections due to neutropenia, and splenomegaly. Patients may also experience fatigue and decreased functional capacity.
