A00-B99 C00-D48D50-D89 E00-E90 F00-F99 G00-G99 H00-H59 H60-H95 I00-I99 J00-J99 K00-K93
L00-L99 M00-M99 N00-N99 O00-O99 P00-P96 Q00-Q99 R00-R99 S00-T98 V01-Y98 Z00-Z99 U00-U99

E40-E46 Malnutrition




 
Chapter IV

Endocrine, nutritional and metabolic diseases
(E00-E90)

Malnutrition
(E40-E46)

Note:
The degree of malnutrition is usually measured in terms of weight, expressed in standard deviations from the mean of the relevant reference population. When one or more previous measurements are available, lack of weight gain in children, or evidence of weight loss in children or adults, is usually indicative of malnutrition. When only one measurement is available, the diagnosis is based on probabilities and is not definitive without other clinical or laboratory tests. In the exceptional circumstances that no measurement of weight is available, reliance should be placed on clinical evidence.

If an observed weight is below the mean value of the reference population, there is a high probability of severe malnutrition if there is an observed value situated 3 or more standard deviations below the mean value of the reference population; a high probability of moderate malnutrition for an observed value located between 2 and less than 3 standard deviations below this mean; and a high probability of mild malnutrition for an observed value located between 1 and less than 2 standard deviations below this mean.

Excludes:
* intestinal malabsorption (K90.-)
* nutritional anaemias (D50-D53)
* sequelae of protein-energy malnutrition (E64.0)
* slim disease (B22.2)
* starvation (T73.0)

E40Kwashiorkor
Latin: Morbus kwashiorkor
Severe malnutrition with nutritional oedema with dyspigmentation of skin and hair.
Excludes:marasmic kwashiorkor (E42)

E41Nutritional marasmus
Latin: Marasmus malnutritionalis
Severe malnutrition with marasmus
Excludes:marasmic kwashiorkor (E42)

E42Marasmic kwashiorkor
Latin: Kwashiorkor marasmaticus
Severe protein-energy malnutrition [as in E43]:
· intermediate form
· with signs of both kwashiorkor and marasmus

E43Unspecified severe protein-energy malnutrition
Latin: Malnutritio proteinoenergetica gravis, non specificata
Severe loss of weight [wasting] in children or adults, or lack of weight gain in children leading to an observed weight that is at least 3 standard deviations below the mean value for the reference population (or a similar loss expressed through other statistical approaches). When only one measurement is available, there is a high probability of severe wasting when the observed weight is 3 or more standard deviations below the mean of the reference population.
Starvation oedema

E44Protein-energy malnutrition of moderate and mild degree
Latin: Malnutritio proteinoenergetica mitis et moderate gravis
E44.0Moderate protein-energy malnutrition
Latin: Malnutritio moderata
Weight loss in children or adults, or lack of weight gain in children leading to an observed weight that is 2 or more but less than 3 standard deviations below the mean value for the reference population (or a similar loss expressed through other statistical approaches). When only one measurement is available, there is a high probability of moderate protein-energy malnutrition when the observed weight is 2 or more but less than 3 standard deviations below the mean of the reference population.
E44.1Mild protein-energy malnutrition
Latin: Malnutritio proteinoenergetica mitis
Weight loss in children or adults, or lack of weight gain in children leading to an observed weight that is 1 or more but less than 2 standard deviations below the mean value for the reference population (or a similar loss expresssed through other statistical approaches). When only one measurement is available, there is a high probability of mild protein-energy malnutrition when the observed weight is 1 or more but less than 2 standard deviations below the mean of the reference population.

E45Retarded development following protein-energy malnutrition
Latin: Retardatio propter malnutritionem proteinoenergeticam
Nutritional:
· short stature
· stunting
Physical retardation due to malnutrition

E46Unspecified protein-energy malnutrition
Latin: Malnutritio proteinoenergeticam, non specificata
Malnutrition NOS
Protein-energy imbalance NOS