Erysipelas
ICD-10 A46 is a billable code used to indicate a diagnosis of erysipelas.
Erysipelas is a bacterial skin infection characterized by a well-defined, raised, red area of skin that is often warm and painful. It is primarily caused by Streptococcus pyogenes, although other bacteria can also be involved. The condition typically affects the face and legs, presenting with systemic symptoms such as fever, chills, and malaise. Erysipelas is more common in individuals with compromised immune systems, such as those with diabetes, chronic kidney disease, or those undergoing immunosuppressive therapy. The diagnosis is often clinical, based on the characteristic appearance of the skin lesions, but can be complicated by overlapping symptoms with other skin infections like cellulitis. In immunocompromised patients, the presentation may be atypical, leading to diagnostic challenges. Prompt recognition and treatment with antibiotics are crucial to prevent complications such as abscess formation or systemic spread of the infection.
Detailed history of present illness, including onset and duration of symptoms, and any underlying conditions.
Patients presenting with fever and localized skin redness, particularly in those with diabetes or other immunocompromising conditions.
Consideration of antibiotic resistance patterns and the need for culture and sensitivity testing.
Photographic evidence of skin lesions and detailed descriptions of the lesion characteristics.
Patients with recurrent skin infections or those with atypical presentations.
Differentiating erysipelas from other dermatological conditions such as contact dermatitis or allergic reactions.
Used for follow-up visits for erysipelas treatment.
Document the patient's history, examination findings, and treatment plan.
Infectious disease specialists may require additional lab results.
Common symptoms include a sudden onset of fever, chills, and a well-defined, raised red area on the skin that is warm and painful.
Erysipelas is typically treated with antibiotics, and the choice of antibiotic may depend on the patient's health status and any underlying conditions.
