Name of the Condition

• Scar conditions and fibrosis of the skin, also known as dermal fibrosis.

Summary

• This condition involves the development of excess fibrous tissue in the skin, often resulting from the skin's healing process after an injury or insult. It can manifest as thick, hardened areas on the skin known as scars.

Causes

• Scar conditions and fibrosis typically develop due to physical trauma, surgical incisions, burns, or severe acne. Chronic inflammation or certain medical procedures may also contribute to fibrosis.

Risk Factors

• Factors increasing the risk include repeated skin injuries, infections, skin surgeries, and having a genetic predisposition to raised scar formation (e.g., keloids).

Symptoms

• Patients may notice raised, hardened areas on the skin. These scars can be itchy, painful, or restrict movement if located near joints. The discoloration or distortion of skin texture is also common.

Diagnosis

• Diagnosis primarily involves a physical examination. In some cases, a biopsy may be performed to rule out other skin conditions.

Treatment Options

• Treatment may involve topical or injected corticosteroids to reduce inflammation and thickness, laser therapy to improve texture and color, or surgical intervention in severe cases. Pressure garments or silicone gels can also aid in scar management.

Prognosis and Follow-Up

• The prognosis varies; while some scars may diminish over time, others can be permanent. Regular follow-up may be necessary, especially after treatments, to monitor healing and prevent recurrence.

Complications

• Untreated scars can lead to functional impairment, cosmetic concerns, or psychological distress due to altered appearance.

Lifestyle & Prevention

• Minimizing sun exposure, keeping wounds clean, and using proper wound care techniques can prevent excessive scarring. Over-the-counter treatments like silicone sheets or gels can also help.

When to Seek Professional Help

• Seek medical advice if scars become painful, infected, restrict movement, or considerably affect quality of life.

Additional Resources

• American Academy of Dermatology (AAD)
• British Association of Dermatologists (BAD)

Tips for Medical Coders

• Verify whether the scarring is due to a specific condition or event to ensure accurate coding.
• Avoid confusing this code with other dermatological conditions that present similar symptoms but different underlying causes.