ICD-10: E09.52

ICD-10 code E09.52 refers to "Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene." This condition arises when diabetes is triggered by the use of certain drugs or chemicals, leading to complications such as peripheral angiopathy and gangrene. Here’s a detailed overview of the clinical presentation, signs, symptoms, and patient characteristics associated with this condition:

Clinical Presentation

• Diabetes Mellitus: Patients typically present with symptoms of diabetes, which may include increased thirst (polydipsia), frequent urination (polyuria), and unexplained weight loss.
• Peripheral Angiopathy: This condition involves damage to blood vessels, particularly in the extremities, which can lead to reduced blood flow and oxygen supply.

Signs and Symptoms

• Gangrene: The most severe manifestation, gangrene occurs when body tissue dies due to lack of blood flow. Symptoms may include:
• Discoloration of the skin (black or dark brown)
• Swelling and pain in the affected area
• Foul-smelling discharge from the wound
• Peripheral Neuropathy: Patients may experience numbness, tingling, or pain in the feet and hands due to nerve damage.
• Skin Changes: Patients may have ulcers or sores on the feet or legs that do not heal properly.
• Infections: Increased susceptibility to infections in the affected areas due to poor circulation and compromised skin integrity.

Patient Characteristics

• History of Drug Use: Patients often have a history of using medications or chemicals known to induce diabetes, such as certain antipsychotics, corticosteroids, or chemotherapy agents.
• Age and Comorbidities: This condition may be more prevalent in older adults or those with pre-existing health issues, such as obesity or cardiovascular disease.
• Lifestyle Factors: Patients may have lifestyle factors that contribute to diabetes, including poor diet, lack of physical activity, and smoking.

Risk Factors

• Medication Side Effects: Awareness of medications that can induce diabetes is crucial, as this can help in early identification and management.
• Genetic Predisposition: A family history of diabetes may increase the risk of developing drug-induced diabetes.

In summary, ICD-10 code E09.52 encompasses a serious condition characterized by the onset of diabetes due to drug or chemical exposure, leading to significant complications such as diabetic peripheral angiopathy and gangrene. Early recognition and management of symptoms are essential to prevent severe outcomes.

The ICD-10 code E09.52 refers specifically to "Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene." Here are some alternative names and related terms associated with this condition:

• Drug-Induced Diabetes: This term refers to diabetes that is caused by the use of certain medications or chemicals.
• Chemical-Induced Diabetes: Similar to drug-induced diabetes, this term emphasizes the role of chemicals in the development of diabetes.
• Diabetic Peripheral Angiopathy: This term describes the complications related to blood vessel damage in the extremities due to diabetes, which can lead to gangrene.
• Gangrenous Diabetic Foot: This term is often used to describe severe cases where diabetic peripheral angiopathy leads to tissue death (gangrene) in the foot.
• Secondary Diabetes Mellitus: This term can be used to describe diabetes that arises as a consequence of other medical conditions or treatments, including drug or chemical exposure.

These terms help in understanding the broader context of the condition and its implications in clinical settings.