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2025 ICD-10-CM code D84.0

Lymphocyte function antigen-1 (LFA-1) defect, also known as CD11a/CD18 defect, is a rare genetic immunodeficiency that affects leukocyte function.

Medical necessity for services related to LFA-1 deficiency is established by the presence of the condition and the need for treatment and management of infections and complications.

Clinicians diagnose LFA-1 defect based on medical history, symptoms, physical examination, and diagnostic testing. Treatment may involve stem cell or bone marrow transplantation.

In simple words: LFA-1 deficiency is a genetic condition that weakens the immune system. It makes it hard for the body to fight off infections, even minor ones.Infections can become very serious quickly.

Lymphocyte function antigen-1 (LFA-1), also known as CD11a/CD18 defect, refers to a genetic defect which results in leukocyte adhesion deficiency type I (LAD I).This extremely rare immunodeficiency is characterized by a significant increase in the number of leukocytes (leukocytosis) but a lack of leukocyte recruitment at sites of infection. This lack of response continues until the infection becomes extensive and life-threatening.

Example 1: A newborn experiences delayed umbilical cord separation, persistent infections, and poor wound healing.Testing reveals LFA-1 deficiency., An infant presents with severe periodontitis, recurrent skin infections, and leukocytosis.Flow cytometry confirms a diagnosis of LFA-1 defect., A child experiences recurrent, severe bacterial infections requiring hospitalization. After extensive testing, they are diagnosed with LFA-1 deficiency.

Documentation should include family history, clinical findings (delayed umbilical cord separation, infections, periodontitis, etc.), laboratory results (CBC, flow cytometry), and imaging results (CT, MRI, bone scan).

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