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Sjogren syndrome with keratoconjunctivitis

ICD10CM code

Name of the Condition

  • Sjogren Syndrome with Keratoconjunctivitis
    • Also known as: Sjogren's Syndrome with dry eyes, Autoimmune exocrinopathy.

Summary

  • Sjogren syndrome with keratoconjunctivitis is an autoimmune disorder where the body's immune system mistakenly attacks its moisture-producing glands, leading to dryness, particularly in the eyes, mouth, and other organs. Keratoconjunctivitis refers specifically to the inflammation and dryness affecting the cornea and conjunctiva of the eyes.

Causes

  • The exact cause is unknown but is believed to involve a combination of genetic, environmental, and possibly viral triggers. The body's immune response mistakenly targets the glands, reducing their ability to produce moisture.

Risk Factors

  • More common in women than men.
  • Typically occurs in individuals aged 40 and above.
  • Family history of autoimmune diseases.
  • Presence of another autoimmune disease, such as rheumatoid arthritis or lupus.

Symptoms

  • Persistent dry eyes and mouth.
  • Redness and irritation of the eyes.
  • Sensation of sand or grit in the eyes.
  • Difficulty swallowing or speaking due to mouth dryness.
  • Fatigue and joint pain in some cases.

Diagnosis

  • Blood tests to check for specific antibodies.
  • Schirmer's test to measure tear production.
  • Eye examination with a slit lamp.
  • Salivary gland function tests or biopsy.

Treatment Options

  • Artificial tears and eye lubricants to relieve eye dryness.
  • Immunosuppressive drugs like hydroxychloroquine or corticosteroids for severe cases.
  • Saliva substitutes or medications like pilocarpine to stimulate salivary gland function.
  • Lifestyle adaptations to manage symptoms, such as using a humidifier or avoiding caffeine.

Prognosis and Follow-Up

  • While there is no cure, symptoms can often be effectively managed with treatment.
  • Regular follow-up and monitoring are essential to manage symptoms and adjust treatments as needed.

Complications

  • Increased risk of eye infections due to severe dryness.
  • Dental issues, such as cavities, due to reduced saliva.
  • Potential development of other autoimmune conditions.

Lifestyle & Prevention

  • Stay hydrated by drinking plenty of water.
  • Use a humidifier to maintain indoor humidity.
  • Avoid smoking and exposure to dry, windy environments.
  • Regular dental check-ups to prevent oral complications.

When to Seek Professional Help

  • Severe or persistent dry eyes or mouth.
  • Sudden changes in vision or eye pain.
  • Difficulty swallowing or new onset of joint pain.

Additional Resources

Tips for Medical Coders

  • Ensure to differentiate primary Sjogren's syndrome from secondary forms when coding.
  • Watch for related symptoms or conditions in patient's medical history that could impact coding accuracy.
  • Verify lab results and doctor notes to correctly code for keratoconjunctivitis involvement.

Medical Policies and Guidelines for Sjogren syndrome with keratoconjunctivitis

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