Sickle-cell thalassemia beta plus with dactylitis
ICD-10 D57.454 is a billable code used to indicate a diagnosis of sickle-cell thalassemia beta plus with dactylitis.
Sickle-cell thalassemia beta plus is a complex hemoglobinopathy resulting from the combination of sickle cell disease and beta-thalassemia. Patients with this condition have a mutation in the beta-globin gene that leads to the production of abnormal hemoglobin (HbS) and reduced production of normal hemoglobin (HbA). This dual defect results in a spectrum of clinical manifestations, including chronic hemolytic anemia, vaso-occlusive crises, and increased susceptibility to infections. Dactylitis, or hand-foot syndrome, is a common complication in young children with sickle cell disease, characterized by painful swelling of the fingers and toes due to vaso-occlusive events. The management of patients with sickle-cell thalassemia beta plus requires a multidisciplinary approach, including regular monitoring of hemoglobin levels, pain management, and preventive measures against infections. Genetic counseling is also essential for affected individuals and their families to understand the inheritance patterns and implications of this condition.
Detailed lab results, genetic testing reports, and treatment plans.
Management of pain crises, blood transfusions, and monitoring for complications.
Ensure accurate documentation of hemoglobin levels and any vaso-occlusive events.
Growth and development assessments, vaccination history, and family history of hemoglobinopathies.
Routine check-ups, management of dactylitis, and education for families.
Focus on developmental milestones and psychosocial aspects of living with a chronic condition.
Used for routine blood tests to monitor hemoglobin levels.
Document the reason for blood draw and any relevant clinical findings.
Ensure that the blood collection is linked to the management of sickle-cell thalassemia.
Dactylitis is often one of the first symptoms in children with sickle-cell disease, indicating vaso-occlusive events. Its presence can help in the diagnosis and management of the condition.
