Condyloma latum
ICD-10 A51.31 is a billable code used to indicate a diagnosis of condyloma latum.
Condyloma latum is a manifestation of secondary syphilis, characterized by broad, wart-like lesions that typically appear on moist surfaces, such as the genital area, perineum, and inner thighs. These lesions are caused by the Treponema pallidum bacterium and are often associated with systemic symptoms of syphilis, including fever, malaise, and lymphadenopathy. Unlike condyloma acuminata, which are caused by human papillomavirus (HPV), condyloma latum lesions are flatter and broader, resembling plaques rather than warts. Diagnosis is primarily clinical, supported by serological tests for syphilis, such as the RPR or VDRL tests, followed by confirmatory treponemal tests. Treatment typically involves the administration of benzathine penicillin G, which is effective in eradicating the infection and resolving the lesions. Contact tracing is crucial to prevent further transmission, as syphilis is a sexually transmitted infection (STI) that can lead to severe complications if left untreated.
Detailed patient history, including sexual history and risk factors, serological test results, and treatment plans.
Patients presenting with genital lesions, systemic symptoms of syphilis, or positive serological tests.
Ensure accurate coding of the stage of syphilis and any co-infections.
Photographic evidence of lesions, detailed descriptions of lesion morphology, and treatment response.
Patients with skin lesions suspected to be sexually transmitted or infectious in nature.
Differentiation from other dermatological conditions is crucial for accurate coding.
When a patient presents with lesions and requires testing for syphilis.
Document the reason for testing and the results.
Infectious disease specialists should ensure comprehensive STI screening.
The primary treatment for condyloma latum is benzathine penicillin G, which effectively treats the underlying syphilis infection.
Condyloma latum lesions are broad and flat, unlike the raised, cauliflower-like appearance of condyloma acuminata, which is caused by HPV.
