Candidiasis of skin and nail
ICD-10 B37.2 is a billable code used to indicate a diagnosis of candidiasis of skin and nail.
Candidiasis of the skin and nails is a fungal infection caused by Candida species, most commonly Candida albicans. This condition typically manifests as red, itchy, and inflamed skin, often accompanied by a white, curd-like discharge. In the case of nail involvement, it can lead to discoloration, thickening, and separation of the nail from the nail bed. Candidiasis can occur in various body areas, including the groin, armpits, and under the breasts, as well as on the nails. The infection is more prevalent in individuals with compromised immune systems, such as those with diabetes, HIV/AIDS, or those undergoing chemotherapy. Diagnosis is primarily clinical, supported by laboratory tests such as KOH preparations or cultures. Treatment usually involves topical antifungal agents like clotrimazole or miconazole, and in more severe cases, systemic antifungals like fluconazole may be necessary. Proper hygiene and moisture control are critical in preventing recurrence, especially in immunocompromised patients who are at higher risk for persistent infections.
Detailed description of lesions, location, and treatment response.
Patients presenting with itchy rashes or nail changes.
Consideration of differential diagnoses such as psoriasis or eczema.
Comprehensive history of immunocompromised conditions and previous infections.
Patients with recurrent candidiasis or those with systemic involvement.
Need for thorough documentation of treatment plans and follow-up.
Used when there is significant nail involvement requiring surgical intervention.
Document the extent of nail involvement and reason for debridement.
Dermatology may require additional notes on the condition of the surrounding skin.
Common symptoms include redness, itching, and inflammation of the affected area, along with possible discharge. Nail involvement may lead to discoloration and separation from the nail bed.
