Late syphilitic neuropathy
ICD-10 A52.15 is a billable code used to indicate a diagnosis of late syphilitic neuropathy.
Late syphilitic neuropathy is a neurological complication of syphilis that occurs in the tertiary stage of the disease. This condition is characterized by damage to the peripheral nervous system, which can lead to a variety of symptoms including pain, weakness, and sensory disturbances. Patients may experience neuropathic pain, loss of reflexes, and motor deficits. The onset of symptoms can vary, and they may develop years after the initial syphilis infection if left untreated. The pathophysiology involves the infiltration of the nervous system by Treponema pallidum, the bacterium responsible for syphilis, leading to inflammation and degeneration of nerve fibers. Diagnosis is typically made through clinical evaluation, serological testing for syphilis, and neurological examination. Treatment involves the administration of antibiotics, primarily penicillin, which can effectively manage the infection and prevent further neurological damage. Early detection and treatment are crucial to prevent the progression to late-stage complications such as neuropathy.
Detailed neurological examination findings, including sensory and motor assessments.
Patients presenting with unexplained neuropathic pain or weakness, particularly in those with a history of syphilis.
Neurologists should ensure that all relevant tests and patient history are documented to support the diagnosis.
Comprehensive history of syphilis treatment and serological test results.
Patients with late-stage syphilis presenting with neurological symptoms.
Infectious disease specialists must document the timeline of syphilis treatment to establish the link to neuropathy.
Used when administering penicillin for treatment of late syphilitic neuropathy.
Document the indication for the injection and patient response.
Infectious disease specialists should ensure that the treatment plan is clearly outlined.
Common symptoms include neuropathic pain, weakness, sensory disturbances, and diminished reflexes. Patients may also experience difficulty walking and coordination issues.
