Late congenital syphilitic osteochondropathy
ICD-10 A51.4 is a billable code used to indicate a diagnosis of late congenital syphilitic osteochondropathy.
Late congenital syphilitic osteochondropathy is a rare condition resulting from congenital syphilis, which occurs when a mother with syphilis transmits the infection to her fetus during pregnancy. This condition manifests as a combination of osteochondritis and skeletal deformities, often leading to significant morbidity in affected individuals. The pathophysiology involves the disruption of normal bone and cartilage development due to the inflammatory response elicited by the Treponema pallidum bacterium. Clinically, patients may present with joint pain, deformities, and limited mobility, which can severely impact their quality of life. Diagnosis is typically made through a combination of clinical evaluation, imaging studies, and serological tests for syphilis. Treatment focuses on managing symptoms and may include physical therapy, orthopedic interventions, and antibiotics to address any active syphilis infection. Early detection and intervention are crucial to mitigate long-term complications associated with this condition.
Detailed history of maternal health, prenatal care, and infant's clinical presentation.
Infants presenting with skeletal deformities or joint pain.
Need for thorough evaluation of family history and potential exposure to syphilis.
Serological testing results, treatment plans, and follow-up care documentation.
Management of congenital syphilis cases and associated complications.
Understanding of syphilis transmission dynamics and treatment protocols.
Used for follow-up visits for management of osteochondropathy.
Document the patient's history, examination findings, and treatment plan.
Pediatricians should focus on growth and development assessments.
Documenting maternal syphilis history is crucial for establishing the diagnosis of congenital syphilitic osteochondropathy and ensuring appropriate treatment and follow-up care.
