Postdysenteric arthropathy, multiple sites
ICD-10 M02.19 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, multiple sites.
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 can affect multiple joints, leading to symptoms such as pain, swelling, and stiffness. Anatomically, the joints most commonly involved include the knees, ankles, and wrists, but it can also affect the hips and shoulders. The pathophysiology involves an autoimmune response triggered by the infection, where the immune system mistakenly attacks the body's own joint tissues. Clinically, patients may present with acute onset of joint pain, often accompanied by a history of gastrointestinal symptoms. Movement limitations can vary, with some patients experiencing significant functional impairment due to joint inflammation. Treatment typically involves nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and in some cases, disease-modifying antirheumatic drugs (DMARDs) if the condition becomes chronic.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may present with acute knee pain following a gastrointestinal infection, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for effusion, instability, and the need for joint injections or arthroscopy.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using tools like the DAS28 score.
Patients may exhibit systemic symptoms such as fatigue and fever alongside joint pain, necessitating a comprehensive evaluation for autoimmune conditions.
Systemic involvement may require monitoring for extra-articular manifestations and adjusting treatment plans accordingly.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices.
Patients may require rehabilitation services to restore function after acute exacerbations of joint pain.
Focus on mobility limitations and the impact on daily activities is crucial for effective rehabilitation planning.
Used for patients with joint effusion due to postdysenteric arthropathy.
Document the joint involved, indication for the procedure, and any prior treatments.
Orthopedic considerations include assessing joint stability and potential for surgical intervention.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion, often following gastrointestinal symptoms such as diarrhea or abdominal pain.
