Felty's syndrome, left ankle and foot
ICD-10 M05.072 is a billable code used to indicate a diagnosis of felty's syndrome, left ankle and foot.
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 ankle and foot, patients may experience significant joint inflammation, pain, and deformity due to the underlying autoimmune process. Anatomically, the left ankle consists of the tibia, fibula, and talus, while the foot includes multiple bones such as the metatarsals and phalanges. The inflammatory process can lead to synovitis, erosion of joint surfaces, and ultimately joint destruction. Clinically, patients may present with swelling, tenderness, and limited range of motion in the affected joints, impacting their mobility and quality of life. The pathophysiology involves immune-mediated damage to synovial tissues, leading to chronic inflammation and systemic manifestations. Diagnosis is often supported by laboratory findings, including rheumatoid factor and anti-citrullinated protein antibodies, alongside imaging studies to assess joint involvement.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate mobility limitations.
Common scenarios include surgical interventions for joint repair or replacement due to severe deformity or pain.
Joint-specific considerations include documenting the extent of joint erosion and functional impairment.
Rheumatologic documentation must include inflammation markers (ESR, CRP) and assessments of disease activity (DAS28 score).
Scenarios often involve managing systemic symptoms and adjusting immunosuppressive therapies.
Consideration of systemic involvement, such as splenomegaly and neutropenia, is crucial for comprehensive care.
Functional assessments should detail mobility limitations and rehabilitation needs, including assistive devices.
Rehabilitation scenarios may focus on restoring function post-surgery or managing chronic pain.
Mobility limitations and the need for adaptive strategies are critical for patient management.
Used for managing joint effusion in the left ankle due to Felty's syndrome.
Documentation must include the indication for the procedure, joint involved, and any imaging guidance used.
Orthopedic and rheumatologic considerations include assessing joint health and potential for further intervention.
Key symptoms include joint pain and swelling, particularly in the ankles and feet, splenomegaly, and recurrent infections due to neutropenia. Patients may also experience fatigue and systemic symptoms related to rheumatoid arthritis.
