Postdysenteric arthropathy, hand
ICD-10 M02.14 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, hand.
Postdysenteric arthropathy is a type of inflammatory arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Salmonella. This condition primarily affects the joints of the hands, leading to pain, swelling, and stiffness. Anatomically, the hand consists of multiple joints including the metacarpophalangeal joints, proximal interphalangeal joints, and distal interphalangeal joints, all of which can be involved in this arthropathy. The pathophysiology involves an autoimmune response triggered by the infection, leading to synovial inflammation and joint damage. Clinically, patients may present with acute onset of joint pain, often accompanied by a history of gastrointestinal symptoms. Movement limitations can include difficulty in gripping or pinching, and joint involvement may lead to deformities if left untreated. Early diagnosis and management are crucial to prevent chronic disability.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion.
Patients may present with acute hand pain post-dysentery, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for erosive changes on imaging and documenting severity of symptoms.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit signs of systemic involvement, necessitating a comprehensive evaluation for other autoimmune conditions.
Monitoring for disease progression and potential systemic complications is critical.
Functional assessments should detail the patient's ability to perform daily activities and any assistive devices used.
Rehabilitation scenarios may involve therapy to improve hand function and reduce pain.
Focus on mobility limitations and the need for adaptive strategies in daily living.
Used for joint swelling and pain management in postdysenteric arthropathy.
Document the joint involved, indication for the procedure, and any prior treatments.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion in the affected joints, particularly in the hands.
