Reiter's disease, hand
ICD-10 M02.34 is a billable code used to indicate a diagnosis of reiter's disease, hand.
Reiter's disease, also known as reactive arthritis, is an inflammatory condition that typically arises following an infection, most commonly in the urogenital or gastrointestinal tract. It is characterized by a triad of symptoms: arthritis, urethritis, and conjunctivitis. In the context of the hand, Reiter's disease can lead to significant joint inflammation, particularly affecting the metacarpophalangeal (MCP) joints and proximal interphalangeal (PIP) joints. The pathophysiology involves an autoimmune response triggered by the initial infection, leading to synovial inflammation and potential joint damage. Clinically, patients may present with swelling, pain, and stiffness in the affected joints, which can limit hand function and dexterity. The disease may also manifest with dactylitis (sausage digit) and enthesitis, particularly at the sites of tendon insertions. Early diagnosis and management are crucial to prevent chronic joint damage and preserve hand function.
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 onset of hand pain and swelling, requiring surgical intervention for severe joint damage.
Documentation should specify which joints are affected and the severity of inflammation.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit systemic symptoms such as fever or conjunctivitis alongside joint symptoms.
Monitoring for potential systemic involvement is crucial for comprehensive care.
Functional assessments should evaluate the impact of joint involvement on daily activities and mobility.
Rehabilitation may focus on restoring hand function and managing pain through physical therapy.
Assistive devices may be necessary for patients with significant mobility limitations.
Used for joint swelling and pain management in Reiter's disease.
Document the joint involved and the reason for the procedure.
Orthopedic and rheumatologic considerations for joint health.
Common symptoms include joint pain and swelling, particularly in the hands and feet, along with possible systemic symptoms such as conjunctivitis and urethritis.
