Name of the Condition

• Other Acne (ICD-10 Code: L70.8)

Summary

Other acne refers to types of acne that don't fall under the more common categories such as acne vulgaris. These might include various forms of acne that are less prevalent and can manifest differently.

Causes

• Hormonal changes, especially during puberty.
• Genetic predisposition.
• Certain medications like corticosteroids and lithium.
• Use of greasy or oily substances on the skin.
• High humidity and sweating conditions.
• Skin irritation or pressure from items such as helmets or backpacks.

Risk Factors

• Adolescents and young adults are more commonly affected.
• Family history of acne.
• Hormonal changes during menstrual cycles, pregnancy, or due to medications.
• Stress, which can exacerbate the condition.

Symptoms

• Pimples, cysts, and nodules on the skin.
• Blackheads and whiteheads.
• Skin inflammation and redness.
• Possible scarring if not properly treated.

Diagnosis

• Physical examination by a dermatologist.
• Medical history review to identify potential triggers.
• In some cases, hormonal tests if acne is suspected to have an endocrine cause.

Treatment Options

• Topical retinoids and benzoyl peroxide to reduce inflammation and prevent pores from being clogged.
• Oral antibiotics for reducing bacteria and inflammation.
• Hormonal therapy for women, such as birth control pills, to regulate hormone levels.
• In some cases, isotretinoin for severe acne.
• Treatment focuses on managing symptoms and preventing scarring.

Prognosis and Follow-Up

• Many forms of acne improve with age, but they might require ongoing treatment to manage symptoms.
• Regular follow-up with a dermatologist to monitor treatment efficacy and adjust as necessary.
• Continuous use of prescribed skincare products even after acne has cleared to prevent recurrence.

Complications

• Possible scarring and skin discoloration if acne is severe and untreated.
• Psychological effects like decreased self-esteem or anxiety.

Lifestyle & Prevention

• Maintain a regular skincare routine with non-comedogenic products.
• Avoid picking or squeezing pimples to prevent scarring.
• Healthy diet with reduced intake of dairy and high-glycemic foods may help.
• Regular exercise can improve overall health and reduce stress.

When to Seek Professional Help

• When over-the-counter treatments do not improve symptoms.
• Sudden severe outbreaks.
• Signs of infection, such as pain, swelling, or pus.

Additional Resources

• American Academy of Dermatology (www.aad.org)
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (www.niams.nih.gov)

Tips for Medical Coders

• Verify if the type of acne does not fit into more specific categories like acne vulgaris before using L70.8.
• Double-check for any underlying hormonal or medication-related causes when coding.
• Avoid automatically coding general acne as L70.8; ensure it matches "Other acne" criteria.