Other manifestations of thiamine deficiency
ICD-10 E51.8 is a billable code used to indicate a diagnosis of other manifestations of thiamine deficiency.
Thiamine deficiency, also known as vitamin B1 deficiency, can lead to a variety of clinical manifestations beyond the well-known conditions of beriberi and Wernicke-Korsakoff syndrome. Patients may present with neurological symptoms such as peripheral neuropathy, muscle weakness, and cognitive impairments. Cardiovascular manifestations can include tachycardia and edema. In some cases, thiamine deficiency may also contribute to metabolic derangements, particularly in individuals with chronic alcoholism or malnutrition. The deficiency is often exacerbated by conditions that impair absorption or increase the body's demand for thiamine, such as diabetes or hyperthyroidism. Diagnosis typically involves clinical assessment and may be supported by laboratory tests measuring thiamine levels. Treatment includes dietary modifications to increase thiamine intake, such as incorporating whole grains, legumes, nuts, and fortified foods, along with thiamine supplementation as needed. Understanding the broader implications of thiamine deficiency is crucial for effective management and prevention of complications.
Detailed dietary assessments and patient history.
Patients with malnutrition, chronic alcoholism, or gastrointestinal disorders.
Emphasis on dietary intake and supplementation adherence.
Neurological assessments and symptom descriptions.
Patients presenting with cognitive decline or peripheral neuropathy.
Differentiating between thiamine deficiency and other neurological disorders.
Used for follow-up visits to monitor thiamine deficiency treatment.
Document patient history, dietary intake, and treatment response.
Nutrition specialists should focus on dietary assessments.
Common symptoms include fatigue, irritability, reduced reflexes, muscle weakness, and cognitive disturbances. In severe cases, it can lead to Wernicke's encephalopathy or beriberi.
Diagnosis is typically based on clinical symptoms, dietary history, and laboratory tests measuring thiamine levels.
Good sources of thiamine include whole grains, legumes, nuts, seeds, and fortified cereals.
Treatment involves dietary modifications to increase thiamine intake and may include thiamine supplementation, especially in high-risk populations.
