This article outlines the causes, symptoms, diagnosis, treatment and ICD 10 CM code for Hidradenitis Suppurativa.
Hidradenitis Suppurativa ICD 10 Causes
Hidradenitis Suppurativa ICD 10 can be diagnosed when hair follicles on the skin become blocked. The exact cause of the disease is not known.
Experts believe it could be linked to hormones, inherited genes or immune system problems. Smoking, obesity and metabolic syndrome could also play a role.
Hidradenitis Suppurativa ICD 10 Symptoms
Symptoms of hidradenitis suppurativa ICD 10 can range from mild to severe. It causes a mixture of boiling lumps, blackheads, cysts, scars and drainage channels in the skin that flow pus. It does not cause infections and is impure, so it does not spread to other people.
The disease usually begins with a solid, pea-sized lump that develops in about 1% of the site. The node usually disappears or tears and seeps pus for a few hours to a day. A new lump could then form in the area. If the new node is not treated with medication, a larger node can develop and spread.
Nodules can form on the skin in the following areas: groin, genitals, armpits, underside of the anus and breasts. They can also spread to the neck, waistband and inner thighs. Hidradeniti suppurativa can be painful. Under the skin, a narrow channel called the sinus tract forms, which breaks off at the surface and discharges pus.
Other isolated areas known to be affected include the front and back of the legs, as well as the side and back of the face. Many people with Hydradenitis suppurativa develop a pilonidal sinus, a small hole or tunnel in the skin. These lumps can become infected with bacteria and cause secondary infections that need to be treated with antibiotics.
Hidradenitis Suppurativa ICD 10 Diagnosis
In order to diagnose Hidradenitis Suppurativa ICD 10, the doctor needs to check the skin and make a diagnosis based on the bump or bag and what the patient is doing with it. The doctor takes a pus sample and sends her to a laboratory for examination. If the patient does not get tested, the doctor must rule out other types of infection.
Hidradenitis suppurativa ICD 10 is a lifelong, recurrent disease that requires constant management and can be difficult to manage. It is important to identify and diagnose the disease in its early stages in order to prevent its worsening. The treatment of HIDAD is tailored to the individual. In the early stages, the disease can be well controlled with medication.
Hidradenitis Suppurativa ICD 10 Treatments
In severe and persistent cases, surgery may be necessary. Treatments for purativa ICD 10 are described below for each of the three types of HIDradenitis.
If the patient has lumps that are painful, inflamed, wet or pus, the patient can get a 1-2 week course of antibiotic tablets if the patient has an infection. If there is no bacterial infection, low-dose antibiotics can be used to prevent inflammation. A prolonged course of antibiotics, lasting at least three months, aims to reduce the number of nodules that develop. With hidradenitis suppurativa ICD 10 secondary bacterial infections are not common, therefore swabs of the affected area should be taken regularly.
Antibiotics include erythromycin, lymecycline, doxycycline and tetracycline. The patient can also get antibiotics as a cream, tablet, capsule or liquid that the patient drinks.
In severe cases of hidradenitis suppurativa ICD 10, the combination of clindamycin and rifampicin is most effective and these are prescribed by the dermatologist or family doctor. Antiseptic detergents such as 4-chlorhexidine can be applied to the affected area and prescribed along with other treatments.
Retinoids such as isotretinoin and acitretin are vitamin A-based drugs. They are prescribed by a dermatologist. They should be used with caution and not taken during pregnancy. Retinoids are not as effective in treating suppurating hidradenitis as they are in treating acne, but they can help some people.
In severe cases of hidradenitis suppurativa ICD 10, treatment to suppress the immune system such as adalimumab (a biological treatment) may be appropriate. Infliximab and Adal Optimumab are immunosuppressive treatments that are injected at regular intervals either at home or in hospital. Due to the risks associated with a suppressed immune system, these treatments should be re-prescribed by a dermatologist if other treatments do not work. If HIDRA flares up during this time, the patient can benefit from taking the combined birth control pill.
The patient may also be prescribed steroids such as prednisolone to reduce inflamed skin. Possible side effects of steroids include weight gain, poor sleep and mood swings. Read more about side effects of steroid tablets and steroid injections. Surgery may be considered in cases of hidradenitis suppurativa ICD 10, which cannot be controlled with medication.
ICD 10 CM Code For Hidradenitis Suppurativa
ICD 10 CM L73.2 Hidradenitis Suppurativa