Reiter's disease, wrist
ICD-10 M02.33 is a billable code used to indicate a diagnosis of reiter's disease, wrist.
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. The wrist, being a complex joint composed of the distal radius, ulna, and multiple carpal bones, can be significantly affected by this condition. Clinically, patients may present with pain, swelling, and stiffness in the wrist, often accompanied by other symptoms such as conjunctivitis and urethritis. The pathophysiology involves an autoimmune response triggered by the infection, leading to synovial inflammation and joint damage. Early diagnosis and management are crucial to prevent chronic joint issues and functional impairment.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may present with acute wrist pain following a recent infection, requiring surgical intervention if there is significant joint damage.
Orthopedic considerations include the need for detailed documentation of joint swelling, tenderness, and any surgical interventions performed.
Rheumatologic documentation must include laboratory tests for inflammatory markers (ESR, CRP) and assessments of disease activity.
Patients may exhibit signs of systemic involvement, such as conjunctivitis or urethritis, necessitating a comprehensive evaluation.
Rheumatologists must document the progression of the disease and any systemic symptoms that may influence treatment decisions.
Functional assessments should evaluate the patient's ability to perform daily activities and any rehabilitation needs.
Patients may require physical therapy to improve mobility and strength following an exacerbation of symptoms.
Documentation should include any assistive devices used and the patient's progress in rehabilitation.
Used for patients with significant swelling and pain in the wrist requiring joint aspiration or corticosteroid injection.
Document the indication for the procedure, the joint involved, and any findings during the procedure.
Orthopedic and rheumatologic considerations include the need for imaging to guide the procedure.
Common symptoms include joint pain and swelling, particularly in the knees, ankles, and wrists, along with possible conjunctivitis and urethritis. Patients may also experience systemic symptoms such as fatigue and fever.
