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This is a shortened version of the twelfth chapter of the ICD-9: Diseases of the Skin and Subcutaneous Tissue. It covers ICD codes 680 to 709 . The full chapter can be found on pages 379 to 393 of Volume 1, which contains all (sub)categories of the ICD-9.
Diagnosis of nummular dermatitis is largely via clinical observation. Biopsies are typically not necessary, and cannot be used to rule out other atopic dermatitis or other eczemas. [ 9 ] [ 10 ] However, patch testing may be employed to rule out irritants ( contact dermatitis ) as a cause.
Diagnosis of eczema is based mostly on the history and physical examination. [5] In uncertain cases, skin biopsy may be taken for a histopathologic diagnosis of dermatitis. [35] Those with eczema may be especially prone to misdiagnosis of food allergies. [36] Patch tests are used in the diagnosis of allergic contact dermatitis. [37] [38]
The alphanumeric coding in ICD-10 is an improvement from ICD-9 which had a limited number of codes and a restrictive structure. [49] Early concerns in the implementation of ICD-10 included the cost and the availability of resources for training healthcare workers and professional coders. [60]
Seborrhoeic dermatitis (also spelt seborrheic dermatitis in American English) is a long-term skin disorder. [4] Symptoms include flaky, scaly, greasy, and occasionally itchy and inflamed skin. [ 2 ] [ 3 ] Areas of the skin rich in oil -producing glands are often affected including the scalp , face, and chest. [ 4 ]
Erythroderma is generalized exfoliative dermatitis, which involves 90% or more of the patient's skin. [3] The most common cause of erythroderma is exacerbation of an underlying skin disease, such as Harlequin-type ichthyosis, psoriasis, contact dermatitis, seborrheic dermatitis, lichen planus, pityriasis rubra pilaris or a drug reaction, such as the use of topical steroids. [4]
The diagnosis is frequently made by treating the initial triggering skin problem and observing the improvement in the eczematous rash. Both the initial skin problem and the id reaction must be observed to make the diagnosis. [5] [6] Not all dyshidrotic rashes are id reactions, but id reactions are often dyshidrotic-like. [2]
Stasis dermatitis is diagnosed clinically by assessing the appearance of red plaques on the lower legs and the inner side of the ankle. Stasis dermatitis can resemble a number of other conditions, such as cellulitis and contact dermatitis, and at times needs the use of a duplex ultrasound to confirm the diagnosis or if clinical diagnosis alone is not sufficient.