Reiter's disease
ICD-10 M02.3 is a billable code used to indicate a diagnosis of reiter's disease.
Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that occurs as a reaction to an infection in another part of the body, often the urogenital or gastrointestinal tract. It is characterized by the classic triad of arthritis, urethritis, and conjunctivitis. Anatomically, Reiter's disease primarily affects the lower extremities, particularly the knees, ankles, and feet, leading to swelling, pain, and limited range of motion. The pathophysiology involves an autoimmune response triggered by bacterial infections, leading to inflammation in the joints and surrounding tissues. Clinically, patients may present with asymmetric joint involvement, enthesitis (inflammation at tendon insertion sites), and dactylitis (swelling of fingers or toes). The condition can also lead to systemic symptoms such as fatigue and fever, complicating the clinical picture.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate mobility limitations.
Common scenarios include patients presenting with knee pain and swelling following a recent gastrointestinal infection, requiring joint aspiration or injection.
Documentation must specify which joints are affected and the severity of involvement, as well as any surgical interventions considered.
Rheumatologic documentation should include laboratory tests for inflammatory markers (ESR, CRP) and disease activity assessments (e.g., patient-reported outcomes).
Patients may present with a history of urethritis and subsequent joint pain, necessitating a comprehensive evaluation of systemic involvement.
Attention should be given to the potential for chronicity and the need for long-term management strategies.
Functional assessments should document the patient's mobility limitations and rehabilitation needs, including range of motion and strength evaluations.
Rehabilitation scenarios may involve patients recovering from acute flare-ups, requiring tailored physical therapy programs.
Consideration of assistive devices and home modifications may be necessary to support patient mobility.
Used for joint effusion management in Reiter's disease.
Document joint involved, amount of fluid aspirated, and any therapeutic interventions.
Orthopedic and rheumatologic considerations for joint health and management.
Common symptoms include joint pain and swelling, particularly in the knees and ankles, along with possible urethritis and conjunctivitis. Patients may also experience systemic symptoms like fatigue.
