Psoriasis vulgaris

ICD10CM code

#### Name of the Condition
- **Psoriasis Vulgaris**
- Commonly known simply as **Psoriasis**.

#### Summary
Psoriasis vulgaris is a chronic autoimmune skin condition that leads to the rapid growth of skin cells, resulting in scaling on the skin’s surface. It is characterized by red patches covered with thick, silvery scales. The condition is non-contagious and can vary in severity, impacting a small area or covering extensive skin areas.

#### Causes
Psoriasis is primarily thought to be caused by an overactive immune system mistakenly attacking healthy skin cells. Genetic factors play a significant role, with many affected individuals reporting a family history of the condition.

#### Risk Factors
- **Family History**: Having one or both parents with psoriasis increases the likelihood.
- **Age**: It can occur at any age but is most common in adults.
- **Stress**: High stress can trigger flare-ups.
- **Infections**: Such as strep throat can trigger psoriasis.
- **Obesity**: Being overweight increases the risk, as psoriasis often develops in skin creases and folds.
- **Smoking**: Increases the risks and severity of psoriasis.

#### Symptoms
- Red patches of skin covered with silvery scales.
- Dry, cracked skin that may bleed.
- Itching, burning, or soreness.
- Thickened, pitted, or ridged nails.
- Swollen and stiff joints.

#### Diagnosis
- **Physical Examination**: Identification based on the appearance of the skin.
- **Biopsy**: In some cases, a small sample of skin is examined under a microscope to confirm the type of psoriasis.

#### Treatment Options
- **Topical Treatments**: Corticosteroids, vitamin D analogs.
- **Phototherapy**: Using ultraviolet light to slow cell growth.
- **Systemic Medications**: Oral or injected medications that affect the whole body, such as biologics.
- **Lifestyle Modifications**: Including moisturizing, stress reduction, and dietary changes.

Each treatment option aims to reduce inflammation and clear skin lesions.

#### Prognosis and Follow-Up
Psoriasis is a chronic condition with periods of improvement and recurrence. With effective treatment, many will experience relief from symptoms. Regular follow-ups are essential to monitor treatment efficacy and adjust as necessary.

#### Complications
- **Psoriatic Arthritis**: Joint pain and stiffness.
- **Eye Conditions**: Such as conjunctivitis.
- **Mental Health**: Increased risk of depression and anxiety due to the impact on appearance and quality of life.

#### Lifestyle & Prevention
- **Moisturize Regularly**: Reduces dryness and scaling.
- **Healthy Diet**: Anti-inflammatory foods may help.
- **Avoid Triggers**: Stress management and avoiding alcohol may reduce flare-ups.
- **Quit Smoking**: Improves symptoms and overall health.

#### When to Seek Professional Help
- If there is a significant increase in the severity of your condition.
- New joint pain that could indicate psoriatic arthritis.
- Signs of infection, such as redness and fever, around skin lesions.

#### Additional Resources
- **National Psoriasis Foundation**: [www.psoriasis.org](https://www.psoriasis.org)
- **American Academy of Dermatology**: [www.aad.org](https://www.aad.org)

#### Tips for Medical Coders
- Ensure to note the severity and areas affected, as these may impact coding accuracy.
- Avoid miscoding by distinguishing psoriasis vulgaris from other skin conditions like eczema.