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Drug-induced gout, unspecified hand
ICD10CM code
Drug-induced Gout, Unspecified Hand (ICD-10-CM M10.249)
Name of the Condition
- Common Name: Drug-induced Gout
- Technical Term: Drug-induced arthropathy affecting the hand
Summary
Drug-induced gout occurs when certain medications cause elevated levels of uric acid in the blood, leading to the formation of urate crystals in the joints. This condition specifically involves one or more joints in the hand.
Causes
This condition is caused by the use of specific medications that increase uric acid levels. Common culprits include diuretics, immunosuppressants, and some chemotherapy drugs.
Risk Factors
- Use of medication known to increase uric acid levels
- Pre-existing high uric acid levels
- Family history of gout
- Excessive alcohol consumption
Symptoms
- Sudden and severe pain in the joints of the hand
- Redness, warmth, and swelling in affected areas
- Reduced range of motion in the hand
Diagnosis
- Physical examination of affected joints
- Blood tests to check uric acid levels
- Joint fluid analysis to detect the presence of urate crystals
- Imaging studies, like X-rays or ultrasounds, to assess joint damage
Treatment Options
- Discontinuation or change of the causative drug
- Non-steroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation
- Corticosteroids for severe cases
- Medications to lower uric acid levels (e.g., allopurinol)
Prognosis and Follow-Up
The prognosis is generally good with appropriate treatment. Long-term management includes monitoring uric acid levels and adjusting medications to prevent future flare-ups.
Complications
Without treatment, repeated flare-ups can lead to joint damage and chronic arthritis. Untreated high uric acid levels can also lead to kidney stones.
Lifestyle & Prevention
- Avoid excessive intake of alcohol.
- Maintain a healthy weight and diet low in purines.
- Stay well-hydrated to help eliminate uric acid from the body.
When to Seek Professional Help
- Experiencing sudden, intense joint pain or swelling
- Signs of infection, such as fever or chills, accompanying joint pain
- Limited mobility or increased frequency of attacks
Additional Resources
Tips for Medical Coders
- Ensure the correct identification of the drug responsible for inducing gout.
- Avoid misclassification by differentiating drug-induced gout from other gout types or hand arthritis conditions.
- Verify the specificity of hand involvement in coding as unspecified hand.