Thyrotoxicosis factitia with thyrotoxic crisis or storm
ICD-10 E05.41 is a billable code used to indicate a diagnosis of thyrotoxicosis factitia with thyrotoxic crisis or storm.
Thyrotoxicosis factitia is a condition resulting from the excessive intake of thyroid hormones, often through self-medication or misuse of thyroid medications. This condition can lead to a thyrotoxic crisis or storm, which is a life-threatening exacerbation of hyperthyroidism characterized by severe symptoms such as fever, tachycardia, agitation, and altered mental status. The crisis can be precipitated by stressors such as infection, surgery, or trauma. Patients may present with symptoms of hyperthyroidism, including weight loss, heat intolerance, palpitations, and increased appetite. Diagnosis is confirmed through thyroid function tests, which typically show elevated free T4 and suppressed TSH levels. Management involves the immediate cessation of thyroid hormone intake, supportive care, and potentially the use of antithyroid medications or beta-blockers to control symptoms. Understanding the underlying cause of thyrotoxicosis factitia is crucial for effective treatment and prevention of recurrence.
Thorough documentation of thyroid function tests, medication history, and clinical symptoms.
Patients presenting with symptoms of hyperthyroidism, history of thyroid medication misuse, or acute thyrotoxic crisis.
Endocrinologists must ensure that all relevant lab results and treatment plans are clearly documented to support the diagnosis.
Detailed documentation of acute symptoms, vital signs, and immediate interventions taken.
Patients arriving in crisis with altered mental status, tachycardia, and hyperthermia.
Emergency physicians should document the timeline of events leading to the crisis and any pre-existing conditions.
Used to assess thyroid function in patients suspected of thyrotoxicosis.
Document the reason for the test and the patient's symptoms.
Endocrinologists should ensure that TSH levels are interpreted in the context of free T4 results.
The primary cause of thyrotoxicosis factitia is the excessive intake of thyroid hormones, often through self-medication or misuse of prescribed medications.
