Reiter's disease, unspecified hand
ICD-10 M02.349 is a billable code used to indicate a diagnosis of reiter's disease, unspecified hand.
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. It is characterized by the classic triad of arthritis, urethritis, and conjunctivitis. In the context of the hand, Reiter's disease can lead to swelling, pain, and stiffness in the joints, particularly affecting the metacarpophalangeal and interphalangeal joints. Anatomically, the hand consists of 27 bones, including the carpals, metacarpals, and phalanges, which can become inflamed due to the autoimmune response triggered by infections such as Chlamydia or gastrointestinal pathogens. Clinically, patients may present with joint pain, swelling, and reduced range of motion, which can significantly impact daily activities. The pathophysiology involves an immune-mediated response where the body mistakenly attacks its own joint tissues, leading to chronic inflammation and potential joint damage if left untreated.
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 following a recent infection, requiring evaluation for potential surgical intervention if joint damage is significant.
Joint-specific considerations include the need to document the severity of inflammation and any functional limitations affecting the patient's ability to perform daily tasks.
Rheumatologic documentation should include laboratory tests for inflammatory markers (ESR, CRP) and disease activity assessments to monitor progression.
Patients may exhibit systemic symptoms such as fever or conjunctivitis alongside joint pain, necessitating a comprehensive evaluation of autoimmune activity.
Systemic involvement may require additional documentation of extra-articular manifestations, such as skin lesions or ocular symptoms.
Functional assessments should focus on mobility limitations, pain levels, and the need for assistive devices to aid in rehabilitation.
Rehabilitation scenarios may include post-acute care for patients recovering from severe flare-ups, emphasizing the restoration of function and pain management.
Documentation should reflect the patient's ability to perform activities of daily living and any modifications needed for safety.
Used for joint swelling and pain management in Reiter's disease.
Document the joint involved, the amount of fluid aspirated, and any therapeutic agents injected.
Orthopedic considerations include the need for imaging to guide the procedure.
Common symptoms include joint pain and swelling, particularly in the hands and feet, along with possible conjunctivitis and urethritis. Patients may also experience systemic symptoms such as fatigue and fever.
