Retarded development following protein-calorie malnutrition
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E45 is a billable code used to indicate a diagnosis of retarded development following protein-calorie malnutrition.
E45 refers to retarded development that occurs as a consequence of protein-calorie malnutrition, a condition characterized by inadequate intake of protein and calories necessary for normal growth and development. This malnutrition can lead to significant physical and cognitive impairments, particularly in children, who are most vulnerable during critical periods of growth. The condition can manifest as stunted growth, delayed milestones, and impaired cognitive function. Protein-energy malnutrition encompasses two primary forms: kwashiorkor, which is primarily due to protein deficiency despite adequate caloric intake, and marasmus, which results from a severe deficiency of both protein and calories. Both conditions can lead to nutritional deficiencies that further exacerbate developmental delays. Diagnosis typically involves clinical assessment, nutritional history, and anthropometric measurements. Management focuses on nutritional rehabilitation and addressing any underlying health issues. Early intervention is crucial to mitigate long-term developmental consequences.
Detailed growth charts, nutritional assessments, and developmental milestones.
Children presenting with growth failure, delayed milestones, or signs of malnutrition.
Ensure accurate documentation of dietary intake and any interventions provided.
Comprehensive dietary evaluations and treatment plans.
Patients undergoing nutritional rehabilitation for malnutrition.
Documenting the specific nutritional deficiencies and their impact on development.
Used for patients receiving nutritional counseling for malnutrition.
Document the patient's nutritional status and goals of therapy.
Nutrition specialists should ensure comprehensive dietary assessments are included.
Kwashiorkor is primarily due to protein deficiency despite adequate caloric intake, characterized by edema and delayed growth. Marasmus results from a severe deficiency of both protein and calories, leading to significant weight loss and muscle wasting.
