ICD-10: M02.342

Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that typically occurs as a reaction to an infection in another part of the body. The ICD-10-CM code M02.342 specifically refers to Reiter's disease affecting the left hand. Below is a detailed clinical description and relevant information regarding this condition.

Clinical Description of Reiter's Disease

Definition

Reiter's disease is characterized by a triad of symptoms: arthritis, urethritis, and conjunctivitis. It is often triggered by infections, particularly those caused by certain bacteria such as Chlamydia trachomatis, Salmonella, Shigella, or Yersinia. The condition is more common in young adults and can affect both genders, although it is more prevalent in males.

Symptoms

The symptoms of Reiter's disease can vary but typically include:
- Arthritis: Joint pain and swelling, which can affect one or multiple joints. In the case of M02.342, the left hand is specifically involved, leading to pain, stiffness, and swelling in the joints of the left hand.
- Urethritis: Inflammation of the urethra, which may cause painful urination or discharge.
- Conjunctivitis: Inflammation of the eye, leading to redness, irritation, and discharge.

Diagnosis

Diagnosis of Reiter's disease is primarily clinical, based on the presence of the characteristic symptoms and a history of preceding infections. Laboratory tests may be conducted to rule out other conditions and to identify any underlying infections. Imaging studies, such as X-rays, may be used to assess joint damage.

Treatment

Treatment for Reiter's disease focuses on relieving symptoms and managing inflammation. Common approaches include:
- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): These are often the first line of treatment to reduce pain and inflammation.
- Corticosteroids: In cases of severe inflammation, corticosteroids may be prescribed.
- Disease-Modifying Antirheumatic Drugs (DMARDs): In chronic cases, DMARDs may be used to control symptoms and prevent joint damage.
- Antibiotics: If a bacterial infection is identified, appropriate antibiotics will be administered.

Prognosis

The prognosis for individuals with Reiter's disease varies. Some may experience a single episode that resolves completely, while others may have recurrent symptoms or develop chronic arthritis. Early diagnosis and treatment are crucial for improving outcomes.

Conclusion

ICD-10 code M02.342 specifically identifies Reiter's disease affecting the left hand, highlighting the importance of recognizing the condition's symptoms and seeking appropriate medical care. Understanding the clinical aspects of this disease can aid healthcare providers in delivering effective treatment and improving patient quality of life. If you have further questions or need additional information, feel free to ask!

Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that can occur following an infection, particularly in the urogenital or gastrointestinal tract. The ICD-10 code M02.342 specifically refers to Reiter's disease affecting the left hand. Below is a detailed overview of the clinical presentation, signs, symptoms, and patient characteristics associated with this condition.

Clinical Presentation

Reiter's disease typically presents with a triad of symptoms: arthritis, urethritis, and conjunctivitis. However, not all patients will exhibit all three symptoms. The condition is characterized by:

• Arthritis: Inflammation of the joints, which can be asymmetric and often affects the lower extremities but may also involve the hands, as indicated by the ICD-10 code M02.342.
• Urethritis: Inflammation of the urethra, which may present as dysuria (painful urination) or discharge.
• Conjunctivitis: Inflammation of the conjunctiva, leading to redness and irritation of the eyes.

Signs and Symptoms

Joint Symptoms

• Swelling and Pain: Patients may experience swelling, tenderness, and pain in the left hand, particularly in the fingers and wrists.
• Stiffness: Morning stiffness is common, which may improve with activity.
• Reduced Range of Motion: Affected joints may exhibit decreased mobility due to pain and swelling.

Systemic Symptoms

• Fever: Some patients may present with low-grade fever.
• Fatigue: Generalized fatigue and malaise are common.
• Skin Manifestations: Some patients may develop skin lesions, such as keratoderma blennorrhagicum, which are often associated with reactive arthritis.

Other Symptoms

• Urogenital Symptoms: Symptoms of urethritis may include burning sensation during urination and discharge.
• Ocular Symptoms: Conjunctivitis may lead to redness, tearing, and discomfort in the eyes.

Patient Characteristics

Reiter's disease is more prevalent in certain populations and demographics:

• Age: It commonly affects young adults, typically between the ages of 20 and 40.
• Gender: Males are more frequently affected than females, particularly in cases associated with urogenital infections.
• History of Infection: A history of recent infection, particularly with Chlamydia trachomatis or gastrointestinal pathogens like Salmonella or Shigella, is often noted.
• Genetic Factors: The presence of the HLA-B27 antigen is associated with a higher risk of developing Reiter's disease, although not all patients will test positive.

Conclusion

Reiter's disease, as classified under ICD-10 code M02.342, presents with a range of symptoms primarily affecting the joints, particularly in the left hand, along with potential systemic manifestations. Understanding the clinical presentation, signs, symptoms, and patient characteristics is crucial for timely diagnosis and management. If you suspect Reiter's disease, a thorough clinical evaluation, including a review of recent infections and potential genetic predispositions, is essential for effective treatment planning.

Reiter's disease, also known as reactive arthritis, is a condition characterized by inflammation of the joints, often triggered by an infection elsewhere in the body. The ICD-10 code M02.342 specifically refers to Reiter's disease affecting the left hand. Here are some alternative names and related terms associated with this condition:

Alternative Names for Reiter's Disease

1. Reactive Arthritis: This is the most commonly used term for Reiter's disease, emphasizing its connection to preceding infections.
2. Postinfectious Arthritis: This term highlights the condition's development following an infection.
3. Reiter's Syndrome: This name is often used interchangeably with Reiter's disease, although it can sometimes refer to a broader set of symptoms.
4. Urethritis-Associated Arthritis: This term is used when the arthritis is associated with urethritis, a common trigger for Reiter's disease.

Related Terms

1. Spondyloarthritis: A group of inflammatory rheumatic diseases that includes reactive arthritis.
2. Enthesitis: Inflammation at the site where tendons or ligaments insert into the bone, which can occur in Reiter's disease.
3. Dactylitis: Swelling of an entire finger or toe, which can be a symptom of reactive arthritis.
4. HLA-B27 Positive: Many patients with Reiter's disease test positive for this genetic marker, which is associated with various autoimmune conditions.

Clinical Context

Reiter's disease is often associated with infections of the urogenital tract or gastrointestinal system, and it can lead to symptoms such as joint pain, swelling, and stiffness, particularly in the hands and feet. The left hand, as specified in the ICD-10 code M02.342, may exhibit these symptoms due to the inflammatory processes involved.

Understanding these alternative names and related terms can help in recognizing the condition in clinical settings and facilitate better communication among healthcare providers and patients.

Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that can occur following an infection, particularly in the urogenital or gastrointestinal tract. The ICD-10 code M02.342 specifically refers to Reiter's disease affecting the left hand. To diagnose this condition, healthcare providers typically rely on a combination of clinical criteria, laboratory tests, and patient history.

Diagnostic Criteria for Reiter's Disease (M02.342)

1. Clinical Symptoms

• Arthritis: The presence of arthritis, particularly in the joints of the lower extremities, but in this case, it specifically affects the left hand.
• Urethritis: Symptoms of urethritis may be present, such as painful urination or discharge.
• Conjunctivitis: Inflammation of the eyes, which may manifest as redness or discomfort.
• Skin Lesions: The presence of skin rashes or lesions, which can occur in some patients.

2. History of Preceding Infection

• A history of a recent infection, particularly one caused by Chlamydia trachomatis, Salmonella, Shigella, or Yersinia, is often noted. This infection typically occurs within 1 to 4 weeks prior to the onset of arthritis symptoms.

3. Exclusion of Other Conditions

• The diagnosis of Reiter's disease requires the exclusion of other forms of arthritis, such as rheumatoid arthritis or psoriatic arthritis, which may present with similar symptoms.

4. Laboratory Tests

• HLA-B27 Antigen Testing: A significant percentage of patients with Reiter's disease test positive for the HLA-B27 antigen, although not all patients will have this marker.
• Synovial Fluid Analysis: In some cases, analysis of the synovial fluid from the affected joint may be performed to rule out other causes of arthritis.

5. Imaging Studies

• X-rays or MRI may be utilized to assess joint involvement and to rule out other conditions. In Reiter's disease, changes in the joints may be observed, particularly in chronic cases.

6. Response to Treatment

• A positive response to anti-inflammatory medications or disease-modifying antirheumatic drugs (DMARDs) can also support the diagnosis.

Conclusion

The diagnosis of Reiter's disease (ICD-10 code M02.342) involves a comprehensive evaluation of clinical symptoms, patient history, laboratory tests, and imaging studies. It is essential for healthcare providers to consider the full clinical picture and exclude other potential causes of arthritis to arrive at an accurate diagnosis. If you have further questions or need more specific information, feel free to ask!

Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that can occur following an infection, particularly in the urogenital or gastrointestinal tract. The ICD-10 code M02.342 specifically refers to Reiter's disease affecting the left hand. Treatment approaches for this condition typically focus on alleviating symptoms, managing inflammation, and addressing any underlying infections.

Standard Treatment Approaches

1. Medications

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are often the first line of treatment for managing pain and inflammation associated with Reiter's disease. Commonly used NSAIDs include ibuprofen and naproxen. These medications help reduce swelling and discomfort in the affected joints, including the left hand[1].

Corticosteroids

In cases where NSAIDs are insufficient, corticosteroids may be prescribed. These can be administered orally or injected directly into the affected joint to provide rapid relief from inflammation and pain[1].

Disease-Modifying Antirheumatic Drugs (DMARDs)

For chronic cases or when joint damage is a concern, DMARDs such as methotrexate may be utilized. These medications help slow the progression of the disease and prevent long-term joint damage[1].

2. Physical Therapy

Physical therapy plays a crucial role in the rehabilitation of patients with Reiter's disease. A physical therapist can design a tailored exercise program to improve joint function, increase strength, and enhance flexibility in the affected hand. This approach not only aids in recovery but also helps prevent future complications[1].

3. Management of Underlying Infections

Since Reiter's disease is often triggered by infections, it is essential to identify and treat any underlying infections. Antibiotics may be necessary if a bacterial infection is present, particularly if it is linked to the onset of arthritis symptoms[1].

4. Lifestyle Modifications

Patients are encouraged to adopt lifestyle changes that can help manage symptoms and improve overall health. This includes:

• Regular Exercise: Engaging in low-impact activities can help maintain joint function and reduce stiffness.
• Healthy Diet: A balanced diet rich in anti-inflammatory foods may support overall joint health.
• Stress Management: Techniques such as yoga or meditation can help manage stress, which may exacerbate symptoms[1].

5. Surgical Interventions

In rare cases where joint damage is severe and conservative treatments fail, surgical options may be considered. This could involve procedures to repair or replace damaged joints, although this is typically a last resort[1].

Conclusion

The management of Reiter's disease, particularly when it affects the left hand, involves a multifaceted approach that includes medication, physical therapy, and lifestyle modifications. Early intervention and a comprehensive treatment plan can significantly improve outcomes and enhance the quality of life for individuals affected by this condition. Regular follow-up with healthcare providers is essential to monitor the disease's progression and adjust treatment as necessary.