Generalized hyperhidrosis
ICD-10 R61 is a billable code used to indicate a diagnosis of generalized hyperhidrosis.
Generalized hyperhidrosis is characterized by excessive sweating that occurs over large areas of the body, often affecting the trunk, arms, and legs. This condition can be distressing and socially debilitating, leading to significant psychological impact. Patients may experience sweating that is not necessarily triggered by heat or exercise, and it can occur during sleep or at rest. The etiology of generalized hyperhidrosis can be primary (idiopathic) or secondary to underlying medical conditions such as hyperthyroidism, diabetes, or infections. Diagnosis typically involves a thorough clinical history, physical examination, and may include tests to rule out secondary causes. The condition can significantly affect quality of life, leading to avoidance of social situations and impacting daily activities. Treatment options vary from topical antiperspirants to systemic medications and surgical interventions, depending on severity and underlying causes.
Detailed patient history, including onset, duration, and triggers of sweating; any associated symptoms; and previous treatments.
Patients presenting with complaints of excessive sweating without identifiable triggers, often requiring a workup for secondary causes.
Consideration of comorbid conditions that may contribute to hyperhidrosis, such as thyroid disorders or diabetes.
Acute assessment of sweating episodes, including vital signs and any acute distress; documentation of any acute interventions.
Patients presenting with acute episodes of sweating, possibly in conjunction with other symptoms like chest pain or palpitations.
Rapid assessment to rule out life-threatening conditions that may present with sweating, such as myocardial infarction.
Used in patients with severe hyperhidrosis unresponsive to topical treatments.
Document the severity of hyperhidrosis and previous treatments attempted.
Commonly performed in dermatology and plastic surgery settings.
Primary hyperhidrosis occurs without an identifiable medical cause, while secondary hyperhidrosis is due to underlying medical conditions such as hyperthyroidism or diabetes.
