3A02.3: Folate deficiency anaemia due to decreased intestinal absorption

ICD-11 code 3A02.3 represents folate deficiency anemia resulting from decreased absorption in the intestines. This specific code is used by healthcare professionals to classify patients with a particular type of anemia caused by insufficient absorption of folate, a crucial nutrient for red blood cell production.

Folate, also known as vitamin B9, plays a key role in the synthesis of DNA and RNA, as well as in the production of red blood cells. When the intestines are unable to absorb an adequate amount of folate from the diet, it can lead to a deficiency of this essential nutrient, resulting in anemia.

Patients with folate deficiency anemia due to decreased intestinal absorption may present with symptoms such as fatigue, weakness, shortness of breath, and pale skin. Treatment typically involves addressing the underlying cause of decreased absorption, such as certain medical conditions or medications, and supplementing with oral or injectable folate. Regular monitoring and appropriate management of folate levels are essential for the management of this condition.

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#️⃣  Coding Considerations

The equivalent SNOMED CT code for ICD-11 code 3A02.3, which represents folate deficiency anemia due to decreased intestinal absorption, is 427112009. This code specifically identifies the condition of anemia resulting from a lack of folate, a key nutrient that plays a critical role in the production of red blood cells. The code 427112009 in SNOMED CT provides healthcare professionals with a standardized way to document and track cases of folate deficiency anemia due to decreased intestinal absorption, allowing for improved communication and care coordination among providers. By using this code, clinicians can ensure accurate and consistent coding of this specific type of anemia, aiding in the delivery of targeted treatment and management strategies for affected patients.

In the United States, ICD-11 is not yet in use. The U.S. is currently using ICD-10-CM (Clinical Modification), which has been adapted from the WHO’s ICD-10 to better suit the American healthcare system’s requirements for billing and clinical purposes. The Centers for Medicare and Medicaid Services (CMS) have not yet set a specific date for the transition to ICD-11.

The situation in Europe varies by country. Some European nations are considering the adoption of ICD-11 or are in various stages of planning and pilot studies. However, as with the U.S., full implementation may take several years due to similar requirements for system updates and training.

🔎  Symptoms

Individuals with 3A02.3, or folate deficiency anemia due to decreased intestinal absorption, may experience a range of symptoms indicative of inadequate folate levels. These symptoms may include weakness, fatigue, and headaches. Additionally, patients may experience difficulty concentrating, irritability, and shortness of breath.

Another common symptom of this condition is paleness, particularly in the skin, lips, and nail beds. The lack of folate in the body can result in a decrease in red blood cells, leading to anemia. As a result, individuals with 3A02.3 may also experience palpitations, dizziness, and a rapid heart rate.

Further symptoms of folate deficiency anemia due to decreased intestinal absorption may include a sore or swollen tongue, as well as mouth sores. These symptoms can be directly attributed to the effects of folate deficiency on the body’s cells, particularly those in the mouth and gastrointestinal tract. In severe cases, individuals may also experience numbness or tingling in the extremities, as well as unsteadiness while walking.

🩺  Diagnosis

Diagnosis of folate deficiency anemia due to decreased intestinal absorption involves a careful evaluation of the patient’s medical history and symptoms. The first step is to review any existing health conditions, medications, and dietary habits that may contribute to a deficiency in folate absorption. Additionally, a physical examination may reveal signs such as pale skin, fatigue, and shortness of breath.

Laboratory tests play a crucial role in diagnosing folate deficiency anemia. Blood tests can measure the levels of folate in the bloodstream, as well as other important markers such as red blood cell count and mean corpuscular volume (MCV). Low folate levels, along with abnormal MCV and red blood cell morphology, can indicate a deficiency in folate absorption.

Further testing may be required to determine the underlying cause of decreased intestinal absorption of folate. This can include imaging studies such as endoscopy or colonoscopy to visualize the gastrointestinal tract and identify any structural abnormalities that may be affecting folate absorption. Additionally, specialized testing may be needed to assess the function of the intestines and identify any malabsorption issues contributing to the deficiency.

💊  Treatment & Recovery

Treatment and recovery methods for 3A02.3 (Folate deficiency anemia due to decreased intestinal absorption) typically involve a combination of dietary changes and supplementation. Since folate is a water-soluble B vitamin found in foods like leafy greens, citrus fruits, and fortified cereals, increasing intake of these foods can help replenish folate levels.

In cases where dietary changes are not sufficient to correct the deficiency, healthcare providers may recommend folate supplements. These supplements are available over-the-counter and can help boost folate levels effectively. It is important to follow your healthcare provider’s instructions when taking folate supplements to ensure safe and optimal results.

Additionally, addressing the underlying cause of decreased intestinal absorption is crucial for successful treatment and recovery of folate deficiency anaemia. This may involve treating conditions such as celiac disease, Crohn’s disease, or other gastrointestinal disorders that are impairing folate absorption. By addressing the root cause, the body can better utilize folate from the diet or supplements, leading to improved folate levels and overall health.

🌎  Prevalence & Risk

In the United States, the prevalence of 3A02.3 (Folate deficiency anaemia due to decreased intestinal absorption) is relatively low compared to other regions. This may be due to better access to fortified foods and supplements that provide an adequate amount of folate to the population. However, certain groups within the population may still be at risk for developing folate deficiency anaemia due to decreased intestinal absorption, such as individuals with malabsorption disorders or those with poor dietary habits.

In Europe, the prevalence of 3A02.3 tends to vary by country. Overall, the incidence of folate deficiency anaemia due to decreased intestinal absorption is more common in countries with lower levels of folate fortification in food products. Additionally, certain European populations may have genetic predispositions that make them more susceptible to folate deficiency anaemia. Overall, efforts to increase awareness and education on the importance of folate intake may help lower the prevalence of this condition in Europe.

In Asia, the prevalence of 3A02.3 (Folate deficiency anaemia due to decreased intestinal absorption) is relatively high compared to other regions. This may be due to various factors such as limited access to fortified foods and supplements, as well as cultural dietary preferences that may contribute to inadequate folate intake. Additionally, certain populations within Asia may have genetic variations that affect their ability to absorb folate effectively, further increasing the risk of developing folate deficiency anaemia due to decreased intestinal absorption.

In Africa, the prevalence of 3A02.3 is significant, with many regions experiencing high rates of folate deficiency anaemia due to decreased intestinal absorption. This may be attributed to factors such as limited access to folate-rich foods, poor healthcare infrastructure, and a lack of awareness about the importance of folate in the diet. Efforts to improve access to fortified foods, supplements, and healthcare services may help lower the prevalence of this condition in Africa.

😷  Prevention

Folate deficiency anemia due to decreased intestinal absorption (3A02.3) can be prevented through various dietary and lifestyle measures. One of the key strategies is to consume a diet rich in folate, which is found in foods such as leafy green vegetables, citrus fruits, beans, and fortified grains. Including these foods in your daily meals can help ensure that you are getting an adequate amount of folate to prevent deficiency.

Another important step in preventing folate deficiency anemia is to avoid excessive alcohol consumption, as alcohol can interfere with the absorption of folate in the intestines. Limiting alcohol intake or abstaining from alcohol altogether can help maintain healthy folate levels in the body. Additionally, it is recommended to avoid smoking, as smoking has been shown to decrease folate levels in the blood.

If you have a medical condition or are taking medications that may interfere with folate absorption, it is important to consult with your healthcare provider. Your healthcare provider may recommend taking folate supplements to ensure that you are getting enough of this essential nutrient. Regular monitoring of your folate levels through blood tests can also help detect any deficiencies early on and allow for prompt intervention to prevent anemia. By following these preventive measures, individuals can reduce their risk of developing folate deficiency anemia due to decreased intestinal absorption (3A02.3).

One comparable disease to 3A02.3 is celiac disease, which is a chronic autoimmune disorder characterized by an intolerance to gluten, a protein found in wheat, barley, and rye. This intolerance can lead to damage to the small intestine and impair the absorption of essential nutrients, including folate. Individuals with celiac disease may experience symptoms such as diarrhea, fatigue, and weight loss. The ICD-10 code for celiac disease is K90.0.

Another related condition is tropical sprue, a chronic disorder primarily affecting individuals living in tropical regions. It is characterized by inflammation and damage to the lining of the small intestine, leading to malabsorption of nutrients, including folate. Symptoms of tropical sprue may include diarrhea, weight loss, and deficiencies in various vitamins and minerals. The ICD-10 code for tropical sprue is K90.2.

Intestinal lymphangiectasia is a rare disorder characterized by abnormalities in the lymphatic vessels of the intestines, leading to impaired absorption of fats and fat-soluble vitamins, including folate. Individuals with intestinal lymphangiectasia may experience symptoms such as diarrhea, edema, and malnutrition. The ICD-10 code for intestinal lymphangiectasia is K90.2.

Whipple’s disease is a rare bacterial infection that primarily affects the small intestine but can also involve other organs. It can lead to malabsorption of nutrients, including folate, due to damage to the lining of the small intestine. Symptoms of Whipple’s disease may include diarrhea, abdominal pain, and weight loss. The ICD-10 code for Whipple’s disease is A15.1.

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