Late congenital syphilitic interstitial keratitis
ICD-10 A50.31 is a billable code used to indicate a diagnosis of late congenital syphilitic interstitial keratitis.
Late congenital syphilitic interstitial keratitis is a serious ocular condition resulting from congenital syphilis, which is caused by the bacterium Treponema pallidum. This condition typically manifests in children born to mothers who were infected with syphilis during pregnancy. The keratitis is characterized by inflammation of the cornea, leading to scarring and potential vision impairment. Symptoms may include photophobia, tearing, and blurred vision. The onset of symptoms usually occurs in childhood, often between the ages of 5 and 15 years. Diagnosis is made through clinical examination and may be supported by serological tests for syphilis. Treatment primarily involves managing the inflammation and may include corticosteroids, while addressing the underlying syphilis infection with appropriate antibiotics. Early detection and treatment are crucial to prevent long-term visual impairment.
Detailed ocular examination findings, treatment plans, and follow-up care.
Management of keratitis in children with a history of congenital syphilis.
Need for interdisciplinary communication with pediatricians regarding maternal health.
History of maternal syphilis, developmental milestones, and visual assessments.
Routine screenings for children born to mothers with syphilis.
Awareness of the long-term implications of untreated congenital syphilis.
Used during the initial evaluation of a child with suspected keratitis.
Complete ocular examination findings and history.
Ophthalmologists should document any relevant systemic conditions.
Documenting maternal syphilis is crucial as it establishes the etiology of the keratitis and supports the diagnosis of congenital syphilis, which is necessary for appropriate treatment and management.
