Abscess of the abdominal wall mkb 10. Abscess of the abdominal cavity: types, signs, diagnosis and methods of treatment
An abscess (from the Latin "abscess") is understood as a cavity filled with pus, the remains of cells and bacteria. Features: clinical manifestations depend on its location and size.
Abscess abdominal cavity develops as a result of ingestion of pyogenic microbes into the body through the mucous membrane, or when such microbes are introduced through the lymphatic and blood vessels from another inflammatory focus.
Concept and disease code according to ICD-10
An abdominal abscess is the presence of an abscess in it, limited by a pyogenic capsule, formed as a result of the body's defensive reaction to isolate pus from healthy tissues.
Plasticity of the peritoneum, adhesion between its omentum, parietal leaf and internal organs contribute to the isolation of the focus of inflammation and form a capsule that prevents the spread of the purulent process. Therefore, the abscess of the abdominal cavity is also called "limited peritonitis".
Abdominal abscess codes according to ICD-10:
- K75.0 - liver abscess;
- K63.0 - intestinal abscess;
- D73.3 - abscess of the spleen;
- N15.1 - Abscess of perirenal tissue and kidney.
Types of formations and the reasons for their occurrence
At the site of localization in the abdominal cavity, abscesses are divided into:
- retroperitoneal (retroperitoneal);
- intraperitoneal (intraperitoneal);
- intraorgan (formed inside the organs).
Retroperitoneal and intraperitoneal abscesses can be located in the area of \u200b\u200banatomical canals, bursae, pockets of the abdominal cavity, as well as in the peritoneal tissue. Intraorgan abscesses form in the parenchyma of the liver, spleen, or on the walls of organs.
The reasons for the formation of abscesses can be:
- Secondary peritonitis due to the entry of intestinal contents into the abdominal cavity (with draining of hematomas, perforated appendicitis,).
- Purulent inflammation of the female genital organs (salpingitis, parametritis, bartholinitis, pyosalpinx).
- Pancreatitis With inflammation of the fiber under the influence of pancreatic enzymes.
- duodenum or stomach.
Pyogenic capsules with purulent contents occur most often under the influence aerobic bacteria (Escherichia coli, streptococcus, staphylococcus) or anaerobic (fusobacteria,).
Subhepatic form
Subhepatic abscess is a typical abdominal abscess. An abscess forms between the surface of the lower part of the liver and the intestines, and, as a rule, is a complication of diseases of the internal organs:
- pancreatic necrosis;
- cholecystitis;
- purulent appendicitis;
The clinical picture with subhepatic abscess depends on the severity of the underlying disease and the size of the abscess. The main features are:
- pain in the right hypochondrium, radiating to the back, shoulder, and intensifying if you take a deep breath;
- tachycardia;
- fever.
The process can also proceed without pronounced symptoms. In this case, an abscess can be suspected with pain, an increase in ESR and leukocytosis in blood tests. With a large abscess, signs are possible - constipation, flatulence, nausea.
Symptoms
When an abscess forms, first appear general symptoms intoxication:
- fever;
- chills;
- loss of appetite;
- tension of the abdominal muscles.
Subphrenic abscesses are characterized by:
- pain in the hypochondrium, radiating to the scapula, shoulder;
- dyspnea;
- cough.
With retroperitoneal abscesses, pain in the lower back is observed, aggravated by flexion of the hip joint.
Complications
The most dangerous complication of an abdominal abscess is the rupture of the abscess and the occurrence of peritonitis, as well as sepsis.
It is important to diagnose an abscess as early as possible and to carry out the necessary treatment, therefore, with the slightest pain in the abdomen, it is necessary to consult a gastroenterologist.
Diagnosis and treatment of abdominal abscesses
When initial examination the doctor pays attention to what position the patient takes to reduce pain syndrome - bent over, half-sitting, lying on his side. Also observed:
- Dryness and greyish coating of the tongue.
- Soreness on palpation in the area of \u200b\u200bthe abscess.
- Asymmetry chest and protrusion of the ribs with subphrenic abscess.
IN general analysis blood detects acceleration of ESR, leukocytosis, neutrophilia.
ICD-10 was introduced into healthcare practice throughout the Russian Federation in 1999 by order of the Ministry of Health of Russia dated 05/27/97. No. 170
A new revision (ICD-11) is planned by WHO in 2017 2018.
As amended and supplemented by WHO
Processing and translating changes © mkb-10.com
Icb code 10 boils
The specifics of the disease
MKB 10 furunculosis
Icb code 10 boils
At least once in a lifetime, everyone has encountered a purulent-inflammatory process. But how to independently distinguish a pimple from a boil (boil) and what methods of dealing with a dermatological ailment to choose? Let's talk about this in more detail.
The specifics of the disease
Furunculosis - inflammation sebaceous gland, hair follicle with spread to the surrounding tissue of the subcutaneous tissue. The main distinctive features furunculosis from acne:
Purulent inflammation triggered by an infection is called an abscess.
- purulent formation always forms around the hair follicle. First, staphylococcus aureus enters the bulb and destroys the hair, and then affects the sebaceous glands in the neighborhood;
- the presence of a rod. The inflammatory process with furunculosis always ends with the formation of pus of a dense white or light yellow color. When the boil ripens, it is completely removed, and a vertical wound gapes in place of the rod.
Furunculosis has its own ICD code (international classifier of diseases ICD 10) - L02. This is evidence that purulent inflammatory process very common. The ICD code also indicates that a boil, abscess and carbuncle are one and the same. An abscess has so many names for inflammation of the sebaceous gland and hair follicle.
Why does the disease develop at all? ICD 10 claims that the purulent-inflammatory process provokes staphylococcus aureus. When the immune system is weakened, the pathogen enters the skin through the pores and penetrates the sebaceous gland, the hair follicle.
The most favorite places for such a boil are the person's face and groin areas.
Most often, men suffer from furunculosis. This is due to the high activity sebaceous glands, neglect of health and lack of hygiene. In men, boils settle on the neck, back, buttocks, wings of the nose, and chin. But women and children are not immune to an unpleasant inflammatory process. Therefore, it is necessary to know the causes and symptoms of the disease.
What provokes the development of the inflammatory process?
Furunculosis (ICD code L02) often occurs under the influence of adverse factors:
- hypothermia or overheating. They drastically reduce local immunity skin, therefore, the body cannot qualitatively resist pathogens;
- long-term use of antibiotics or hormonal drugs. This is where the confusion arises. Patients are taking antibiotics. In theory, all pathogens are destroyed, but suddenly a boil or boil begins to grow on the skin. All due to the fact that the drug reduces the natural immunity of a person. Local protective forces of the skin are not able to resist staphylococcus. And in areas with increased activity of the sebaceous glands, boils appear. One more fact. Staphylococcus aureus is one of the most persistent microorganisms. It is not affected by many antiseptics and disinfectants. Therefore, everyone has a chance to face furunculosis; The most problematic area is the face
- chronic mechanical damage the skin. Because of this, boils often occur in the collar area of \u200b\u200bthe neck, on the lower back and buttocks;
- metabolic disease. Metabolic problems directly affect the condition of the skin. Therefore, during periods of hormonal fluctuations, there is a high probability of a purulent-inflammatory process in any part of the body.
Many are interested in whether furunculosis is contagious (ICD code L02)? Dermatologists answer that a dermatological ailment is not transmitted sexually, by airborne droplets or through shared objects.
We found out the causes of furunculosis, now briefly about the treatment. To correct the condition, draw out pus, dermatologists recommend using Vishnevsky ointment or erythromycin. Medicines are applied in the form of bandages to the inflamed areas. With daily sessions, relief comes after 5 days. If the abscess has not broken through, you need to see a surgeon.
Abscessing furuncle: treatment, ICD code
An inflammation on the skin filled with purulent masses is called a boil. Such an abscess can appear on any part of the human body. And the size of this neoplasm in some cases reaches several centimeters in diameter. If an abscessed furuncle appears, the main danger lies in the fact that sometimes due to this neoplasm, a person develops blood poisoning or meningitis.
Purulent inflammation triggered by an infection is called an abscess. The infection process in this case occurs as follows. A small wound appears on the human body as a result of injury. Then pathogenic bacteria get into this scratch. And if a person does not timely treat the injured place, then the protective properties of the skin weaken and it can no longer build a barrier against penetrating infections. In this case, an abscess appears.
The main feature of an abscessed boil is that the pus from it remains in the subcutaneous adipose tissue, and does not come out to the surface, as with a normal boil. An abscessed furuncle can occur for the following reasons:
- due to the presence of dirt;
- minor skin injuries;
- careless shaving;
- increased sweating;
- excessive discharge from the sebaceous glands;
- impaired metabolism;
- reduced immunity.
As described above, the main danger of such a neoplasm is that a person can develop blood poisoning or meningitis. Therefore, if there is a suspicion that an abscess is developing on the body, you should immediately seek help from a specialist.
Dislocation of abscess
The most favorite places for such a boil are the person's face and groin areas. Less common, but you can find it in the buttocks, on the arms and legs. The only exceptions are feet and palms.
Stages of development of an abscessed boil
After infection, the described neoplasm goes through 4 stages of development:
- infiltration;
- manifestation of pus and the formation of necrosis;
- the transition of pus to the subcutaneous tissue;
- healing.
This defect develops over 10 days, and with the onset of each new stage of the disease, a person develops pronounced symptoms:
- Infiltration. The appearance of a red tubercle on the patient's body. Gradually it increases in size, a seal appears and pain... Then a subtle edema occurs around the seal. By the end of the development of the first stage, the swelling becomes more pronounced. During this period, the abscess is almost impossible to discern, due to the fact that the symptoms are very similar to an ordinary abscess.
- The manifestation of pus and the formation of necrosis. On the fourth day after infiltration, a purulent-necrotic core begins to form. At this time, the pain sensations intensify, the body temperature rises to 38 ° C. In addition, general malaise, headaches appear, the patient loses his appetite.
- Transition of pus into the subcutaneous tissue. At this stage, the disease is aggravated, and if help was provided out of time, then serious complications develop. The main reason for what is happening is that with an abscess, the purulent-necrotic rod does not come out, but, on the contrary, deepens under the skin.
- Healing. This ailment is treated only surgically... Therefore, the main condition is an urgent appeal to a doctor for help.
Boil treatment
The very first step of the patient in this case is to contact a specialist for advice. Then the surgeon determines the causes of the development of the disease and prescribes surgical intervention. It is worth noting that any manipulation with such a defect at home is strictly prohibited. In other words, you cannot try to squeeze out the purulent contents yourself, since this pathology is very dangerous not only for human health, but also for his life.
How does an abscessed boil ICD-10 classify?
The described pathology is included in the international classification of diseases of the 10th revision. Abscessing furuncle (ICD-10 code: L02) is placed in the class of diseases of the skin and subcutaneous tissue. In addition, the pathology is referred to the group of infectious skin lesions, since bacteria are the culprits that provoke the named inflammatory process.
Potential risks
If an abscess is improperly treated, a person may experience serious complications after its removal. Therefore, it is very important to timely recognize the emerging neoplasms and urgently seek help. Unfortunately, in the early stages, it is quite difficult to identify the origin of the pathology, since its symptoms often resemble the development of an ordinary abscess.
Prevention
- personal hygiene;
- proper nutrition;
- choice of clothes for the weather;
- strengthening immunity.
If a person has an abscessed boil, a photo of which can be seen in the article, then he should remember that such a disease is chronic. And in this case, the appearance of new foci of abscess will directly depend on the condition immune system... Therefore, after the completed course of therapy, a prerequisite is healthy image life and strengthening the body.
Conclusion
We repeat that if the described infection is improperly treated, the patient has a high risk of developing complications in the form of blood poisoning or meningitis. Therefore, it is so important to consult a specialist in a timely manner. And do not forget that with such a pathology, self-medication is more than inappropriate. Since even doctors cannot cure an abscessed furuncle without surgical intervention... Take care of yourself, and entrust the elimination of the disease to those who have experience and professionalism.
Furuncle, code for mkb 10 abscess and other types on the face
The cause of the disease
Types of abscesses
- on the face L02.0;
- on the neck L02.1;
- on the trunk L02.2;
- on the buttocks L02.3;
- on limbs L02.4;
- on other parts of the body L02.8;
Symptoms
Difference between boils and acne
Treatment
Icb code 10 nasal boils
A carbuncle is an acute purulent-necrotic inflammation that affects several sebaceous glands and hair follicles located nearby. The inflammatory process spreads to the skin and subcutaneous tissue. According to ICD 10, the disease was assigned the code J34.0 and L02. The furuncle can be different in size and localized in different parts of the body. The area of \u200b\u200bthe face, neck, thighs, and also the hand is most affected.
A furuncle (carbuncle) of the nose is one of the private manifestations of pyoderma, a large group of acute and chronic, superficial and deep purulent-inflammatory skin processes
The development of the disease
First, an abscess forms, the skin becomes denser. With the intensification of the inflammatory process, the body temperature rises, pain occurs. Particularly severe soreness is felt if a boil according to μb 10 J34.0 and L02 has developed on the head or in the ear. The affected area becomes purplish red. Purulent discharge seeps from under the crust in the middle. When the pus has come out, you can see the green tip of the necrotic stem. When it completely goes away with the remnants of purulent masses, a deep wound remains at the site of its localization. When ruptured, purulent discharge can enter the bloodstream and provoke an abscess. An abscessing furuncle occurs due to the release of purulent discharge into the subcutaneous tissue. It is the result of ineffective treatment or a depleted immune system. Surgical intervention is used as the main method of therapy.
Provoking factors
Furuncles (ICB code 10 J34.0 and L02) are formed as a result of microtraumas. When staphylococcus enters it, an inflammatory process begins, and then the wound is festering. With strong immunity, the likelihood of developing the disease is small.
In the emergence of a furuncle (carbuncle) of the nose, staphylococci play a leading role
A furuncle (microbial code J34.0 and L02) sometimes occurs when a pathogenic bacterium enters the hair follicle. At this point, the skin swells, and the bulb fills with pus. The affected area is painful for a long time until the purulent masses are completely released. Without medical care opening a boil is dangerous.
In the face area, the appearance of boils (microbial code J34.0 and L02) is provoked by contact with the dermis streptococcal infection... It is spread by poorly washed hands or dirty towels. The chances of developing furunculosis are higher in people with a predisposition to acne, enlarged pores. If, while squeezing a pimple, an infection has entered the skin, a furuncle may appear in its place.
The defeat of the external auditory canal with furunculosis (belongs to the class of microbial code J34.0 and L02) is provoked by infection with pyogenic staphylococcus of the sweat or ceruminous glands, hair follicle. Contribute to the development of the disease, leakage of pus from the middle ear, vitamin deficiency, inaccurate cleaning of the ear canal, diabetes, allergic reaction, tuberculosis. A furuncle of the nose also occurs due to the presence of staphylococcus, streptococcus.
Clinical manifestations
With a furuncle in the ear, the pain is unbearable. First, in the external auditory canal, the patient feels itching, which turns into pain. They become stronger during the chewing process, at night they radiate to a certain part of the head. Hearing may decrease. The affected area looks swollen, and there is an accumulation of pus at the top. A favorable outcome is the opening of the boil and the relief of inflammation after cleansing of purulent masses and a necrotic rod. But in most cases, staphylococcus aureus infects adjacent bulbs, forming new boils.
When a nasal furuncle is diagnosed, the affected area looks swollen and slightly hyperemic. Then the upper lip and cheek swell. After 3-4 days, you will notice an abscess. During its maturation, the patient may feel unwell, the body temperature rises, and pains in the head disturb.
A significant role in the pathogenesis of the nasal furuncle is played by a variety of endogenous factors, accompanied by a decrease in the bactericidal properties of sweat and the secretion of the sebaceous glands.
Therapeutic activities
Self-extraction of pus and necrotic core is dangerous. At an early stage of the disease (microbial code 10 J34.0 and L02), the skin is lubricated with 70% ethanol and 2% salicylic alcohol. UHF therapy is recommended. When the abscess is opened, dressings with a hypertonic salt solution are used. When the necrotic rod has come off, the wound is treated with methyluracil and synthomycin ointment. At an advanced stage, antibiotic therapy is indicated. With the development of an abscess, the doctor prescribes an operation.
ICD 10 code for boil
Furunculosis is an acute purulent inflammation of the glands in the skin tissue, which looks like an abscess. The formation of a furuncle according to ICD 10 has a code J34.0 and L02. We will consider the primary sources of the disease, its symptoms and much more in more detail.
The cause of the disease
The source of education purulent inflammation is staphylococcus aureus that affects the hair follicle. The infection gets on the skin of the face after touching dirty household items, such as towels.
There is also a risk of penetration of the microorganism into the deep layers of the dermis while squeezing out acne with unwashed hands.
Note! People with a tendency to acne, oily skin and enlarged pores are at a high risk of developing this disease.
The bacterium destroys the root of the follicle, and pus begins to accumulate in its place, causing a malfunction in the sebaceous glands and delivering a lot of discomfort to a person.
Types of abscesses
The inflammation often spreads to several onions. It can occur on various parts of the body. At the place of localization, the ICD 10 furuncle was assigned the following coding:
- on the face L02.0;
- on the neck L02.1;
- on the trunk L02.2;
- on the buttocks L02.3;
- on limbs L02.4;
- on other parts of the body L02.8;
- without specifying the place of formation L02.9.
Term: ICD 10 - 10th revision of the International Classification of Diseases.
Most often, the problem forms on the hairy area, in the ear or nose. The pain with furunculosis on the surface of the head is felt more strongly than anywhere else.
Symptoms
Furunculosis is accompanied by itching and local thickening of the skin. Over time, itching turns into pain syndrome, which becomes more and more severe. With the development of pathology in the ear or near the ear canal, chewing is accompanied by unpleasant sensations, there is a possibility of temporary hearing loss.
The place where the boil is formed swells and turns red. At the top of the swelling, white or yellow pus is visible. After removing the pus, the rod becomes visible, if it has matured, it turns greenish.
Difference between boils and acne
Primary view illness often looks like a pimple. As a rule, this becomes the reason for inappropriate treatment.
The difference between these two varieties is as follows:
- the furuncle is localized exclusively around the hair sac;
- the formation of the core in the abscess;
- severe inflammation around the purulent formation.
The popular name for furunculosis is boil. Unlike a common pimple, boil is expressed by severe soreness and swelling of the surrounding tissues. The abscess can be removed only after a time when the rod matures. The area of \u200b\u200bthe removed boil looks like an oblong hole.
Treatment
You can start treatment yourself - use ointments that can pull out suppuration. When it is removed, you need to extrude the rod. Before removal, the affected area is treated with 2% alcohol or hydrogen peroxide, the process is recommended to be carried out with gloves or a pair of cotton swabs so as not to introduce infection. After a long time to process alcohol solutions and apply bandages until the wound heals.
Important! If the abscess has not broken out on its own, it is necessary to consult a surgeon.
If the treatment goes wrong, an abscessing furuncle of ICD 10 develops - an exacerbation of an ordinary type, in which pus enters the blood and subcutaneous tissue. In order to avoid complications, it is recommended first of all to consult a physician to determine the diagnosis.
ICD code L02 | Skin abscess, furuncle and carbuncle
Short description
Furuncle - acute purulent-necrotic inflammation of the hair follicle and surrounding soft tissues
Code for the international classification of diseases ICD-10:
Furunculosis - multiple lesions with boils that appear simultaneously or sequentially one after another on different parts of the body. Most often, boils are localized on areas of the skin that are exposed to contamination (forearms, back of the hand) and friction (back of the neck, lower back, gluteal region, thighs).
Causes of the appearance of an abscessed boil
Etiology. Golden, less often white staphylococcus.
Risk factors Skin contamination and microtrauma General exhaustion Chronic diseases Avitaminosis diabetes.
Pathomorphology Stage of serous infiltrate - cone-shaped infiltrate with regional hyperemia up to 1–1.5 cm in diameter Purulent - necrotic stage - the appearance of a purulent pustule at the apex Stage of rejection of a necrotic rod and healing.
Boil treatment
The described defect is treated only by opening, cleaning and draining. The most problematic area is the face. When there is an abscessed furuncle of the face, there is a risk of infection on the meninges.
The very first step of the patient in this case is to contact a specialist for advice. Then the surgeon determines the causes of the development of the disease and prescribes surgical intervention.
It is worth noting that any manipulation with such a defect at home is strictly prohibited. In other words, you cannot try to squeeze out the purulent contents yourself, since this pathology is very dangerous not only for human health, but also for his life.
Treatment of an abscessed boil in the form of an operation is as follows:
- The surgeon makes a small incision and relieves the patient of the purulent rod.
- Then the adjacent tissues are thoroughly disinfected, and in some cases are partially excised, since they were subjected to pathological changes during the formation of an abscess.
- After the procedure, the wound is disinfected and a bandage is applied.
In addition to performing surgical manipulation, the patient is also undergoing treatment with antibiotics. This is one of the important conditions for his complete recovery.
Prevention
In order to avoid a disease such as an abscessed boil, in the future, a person must apply preventive measures... There are several rules to help you avoid infection, namely:
- personal hygiene;
- proper nutrition;
- choice of clothes for the weather;
- avoiding contact with questionable objects;
- strengthening immunity.
If a person has an abscessed boil, a photo of which can be seen in the article, then he should remember that such a disease is chronic.
And in this case, the appearance of new foci of abscess will directly depend on the state of the immune system. Therefore, after the completed course of therapy, a prerequisite is a healthy lifestyle and strengthening the body.
Skin abscess, furuncle and carbuncle
Skin abscess, boil and carbuncle of the face
Skin abscess, boil and carbuncle of the neck
Abscess of the skin, boil and carbuncle of the trunk
Back [any part other than gluteal]
Excluded:
- breast (N61)
- pelvic girdle (L02.4)
- omphalitis of newborn (P38)
Skin abscess, boil and carbuncle of the buttocks
Excludes2: pilonidal cyst with abscess (L05.0)
Skin abscess, furuncle and carbuncle of the limb
Abscess of the skin, furuncle and carbuncle of other localizations
Heads [any part other than the face]
Scalp
Skin abscess, furuncle and carbuncle, unspecified
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Furuncle
A furuncle is a purulent lesion of the skin with the formation of a necrotic rod, opening it and subsequent healing. During the diagnosis, the doctor, in order to encode the boil in ICD 10, first of all pays attention to its localization.
The disease belongs to a surgical pathology and is always treated by dissection, cleansing and drainage. The greatest problem is posed by the foci on the face, since they are dangerous by the rapid spread of infection to the meninges.
Location of pathology in the ICD 10 system
In the international classification of diseases, the furuncle is in the class of diseases of the skin and subcutaneous tissue.
Pathology is referred to a block of infectious skin lesions, since the causative agents of the inflammatory process are bacterial agents.
The boil code according to ICD 10 is represented by the following symbols: L02. In this case, this also includes a skin abscess and a carbuncle. Further differentiation depends on localization.
The following locations of inflammatory foci are distinguished:
In the ICD, furunculosis is not isolated as a separate disease, but is coded in the same way as a single focus.
However, due to its widespread distribution, it is recorded as a boil of unspecified localization. In addition, when the focus is located on the ear, eyelid, glands, nose, mouth, orbit, separate codes are required. This also includes a submandibular abscess.
Post-injection abscess can be coded as a common purulent skin lesion, however, it is most often referred to as complications due to medical interventions. A separate clarification can be added to the causative agent of the infection, if such is identified during the diagnosis.
Strength of immunity
ICD-10 was introduced into health care practice throughout the Russian Federation in 1999 by order of the Ministry of Health of Russia dated 05/27/97. With purulent inflammation of several nearby F., a carbuncle develops with extensive necrosis of the skin and subcutaneous tissue.
A boil is an abscess that forms in a hair follicle or sweat gland. A boil is characterized by the appearance on the skin of a painful follicular pustule against a background of red erythema with necrosis in the center (the so-called boil rod). Most often, a boil occurs on the skin of the neck, back of the head, face, back, and thighs.
Furuncle is an acute purulent-necrotic inflammation of the hair follicle and surrounding tissues. Furunculosis - multiple lesions of boils. A furuncle of the vestibule of the nose occurs as a result of trauma and scratching with the introduction of infectious agents into the hair follicles. After 1-2 days, pain, swelling and redness of the skin appear in the F. area, where a dense nodule with a diameter of 0.5-2 cm is formed, rising in a small cone.
See what "Furuncle" is in other dictionaries:
A collection of pus in or under the skin. Patients often experience pain, the abscess area is painful to palpation. In most cases, the tissue in the affected area is swollen, red, warm to the touch, and fluctuating.
Epidermal cyst with symptoms of inflammation / infection - These cysts (cysts of the sebaceous glands) can become inflamed, swollen and infected. Treatment includes opening and draining the cyst cavity and taking antibiotics for cellulitis. Purulent hydradenitis is a recurrent inflammation around the apocrine glands in the axillary and groin areas.
The most time-saving and best-results treatment for an abscess is opening and draining its cavity. Drain the pus and cover the wound with a gauze bandage. Follow-up visits and dressings can be organized in different ways. The abscess was opened with a No. 11 scalpel. The patient was prescribed an oral antibiotic because the lesion was near the eye and there was local edema, which could be an early manifestation of cellulite.
When a boil is found on the face, severe complications (purulent meningitis, sepsis) are possible. Antiseptic treatment of the skin around inflammation. Carbuncle often develops on the back of the neck, interscapular and scapular regions, on the lower back, buttocks, less often on the limbs.
Rarely delirium and unconsciousness - in severe disease. With a furuncle, a painful cone-shaped infiltrate with a developing purulent rod, at the top of the infiltrate there is a small accumulation of pus with a black dot (necrosis) in the center.
We will be glad to receive your questions and feedback:
The tension of the tissues leads to the occurrence of sharp pains on palpation, as well as bursting, tearing, independent pain. The skin in the area of \u200b\u200binfiltration acquires a basic shade, tense, swollen. The operation is carried out under anesthesia and consists in a cruciate dissection of the carbuncle through the entire thickness of necrosis to viable tissues with excision of necrotic tissues and opening of leaks.
The cavity is treated with antiseptic solutions and drained with gauze swabs with antiseptics, proteolytic enzymes, antibiotics, and rubber drains. The first 2-3 days, the wound is bandaged daily, and when it is cleared of pus and necrotic tissue, they switch to rare ointment dressings.
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Home Encyclopedia of medicines and pharmaceutical assortment of goods of the Russian Internet. Medicinal reference book contains prices for medicines and pharmaceutical products in Moscow and other cities of Russia. Exogenous and endogenous predisposing factors play an important role in F.'s emergence. The most common localization is the face, the skin of the neck, the back of the hands, the lower back. With an erased course of the process, a painful infiltrate is formed without suppuration and necrosis.
When the furuncle spreads into the subcutaneous tissue, a carbuncle is formed. It is strictly forbidden to squeeze out the contents of the boil and massage in the area of \u200b\u200bthe inflammation focus. The appearance of boils in different stages of development is called furunculosis, and purulent-necrotic inflammation of the skin and subcutaneous tissue around a group of hair follicles and sebaceous glands is called a carbuncle.
Furunculosis is an acute purulent inflammation of the glands in the skin tissue, which looks like an abscess. The formation of a furuncle according to ICD 10 has a code J34.0 and L02. We will consider the primary sources of the disease, its symptoms and much more in more detail.
The source of the formation of purulent inflammation is staphylococcus, which has affected the hair follicle. The infection gets on the skin of the face after touching dirty household items, such as towels.
There is also a risk of penetration of the microorganism into the deep layers of the dermis while squeezing out acne with unwashed hands.
Note!People with a tendency to acne, oily skin and enlarged pores are at a high risk of developing this disease.
The bacterium destroys the root of the follicle, and pus begins to accumulate in its place, causing a malfunction in the sebaceous glands and delivering a lot of discomfort to a person.
Types of abscesses
The inflammation often spreads to several onions. It can occur on various parts of the body. At the place of localization, the ICD 10 furuncle was assigned the following coding:
- on the face L02.0;
- on the neck L02.1;
- on the trunk L02.2;
- on the buttocks L02.3;
- on limbs L02.4;
- on other parts of the body L02.8;
- without specifying the place of formation L02.9.
Term: ICD 10 - 10th revision of the International Classification of Diseases.
Most often, the problem forms on the hairy area, in the ear or nose. The pain with furunculosis on the surface of the head is felt more strongly than anywhere else.
Symptoms
Furunculosis is accompanied by itching and local thickening of the skin. Over time, itching turns into pain syndrome, which becomes more and more severe. With the development of pathology in the ear or near the ear canal, chewing is accompanied by unpleasant sensations, there is a possibility of temporary hearing loss.
The place where the boil is formed swells and turns red. At the top of the swelling, white or yellow pus is visible. After removing the pus, the rod becomes visible, if it has matured, it turns greenish.
Difference between boils and acne
The primary form of the disease often looks like a pimple. As a rule, this becomes the reason for inappropriate treatment.
The difference between these two varieties is as follows:
- the furuncle is localized exclusively around the hair sac;
- the formation of the core in the abscess;
- severe inflammation around the purulent formation.
The popular name for furunculosis is boil. Unlike a common pimple, boil is expressed by severe soreness and swelling of the surrounding tissues. The abscess can be removed only after a time when the rod matures. The area of \u200b\u200bthe removed boil looks like an oblong hole.
Treatment
You can start treatment yourself - use ointments that can pull out suppuration. When it is removed, you need to extrude the rod. Before removal, the affected area is treated with 2% alcohol or hydrogen peroxide, the process is recommended to be carried out with gloves or a pair of cotton swabs so as not to introduce infection. After a long time, treat with alcohol solutions and apply bandages until the wound heals.
Important! If the abscess has not broken out on its own, it is necessary to consult a surgeon.
If the treatment goes wrong, an abscessing furuncle ICD 10 develops - an exacerbation of an ordinary type, in which pus enters the blood and subcutaneous fat tissue. In order to avoid complications, it is recommended to first of all consult a therapist to determine the diagnosis.
Codifiers and classifiers in health care. ICD-10: Video
ICD-10 was introduced into healthcare practice throughout the Russian Federation in 1999 by order of the Ministry of Health of Russia dated 05/27/97. No. 170
A new revision (ICD-11) is planned by WHO in 2017 2018.
As amended and supplemented by WHO
Processing and translating changes © mkb-10.com
Skin abscess, furuncle and carbuncle
Skin abscess, boil and carbuncle of the face
Skin abscess, boil and carbuncle of the neck
Abscess of the skin, boil and carbuncle of the trunk
Back [any part other than gluteal]
Excluded:
- breast (N61)
- pelvic girdle (L02.4)
- omphalitis of newborn (P38)
Skin abscess, boil and carbuncle of the buttocks
Skin abscess, furuncle and carbuncle of the limb
Abscess of the skin, furuncle and carbuncle of other localizations
Heads [any part other than the face]
Scalp
Skin abscess, furuncle and carbuncle, unspecified
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International Statistical Classification of Diseases and Related Health Problems.
Included: furuncle furunculosis Excludes: areas of the anus and rectum (K61.-) genital organs (external):. female (N76.4). male (N48.2, N49.-)
Excludes: ear (H60.0) eyelid (H00.0) head [any part other than face] (L02.8) lacrimal :. glands (H04.0). pathways (H04.3) mouth (K12.2) nose (J34.0) orbit (H05.0) submandibular (K12.2)
L02.2 Skin abscess, boil and carbuncle of trunk
Abdominal wall Back [any part other than gluteal] Chest wall Inguinal region Crotch of the Umbilicus Excl .: breast (N61) pelvic girdle (L02.4) omphalitis of newborn (P38)
L02.3 Abscess of skin, furuncle and carbuncle of buttock
Gluteal region Excludes: pilonidal cyst with abscess (L05.0)
Axillary Pelvic Girdle Shoulder
Head [any part other than the face] Hairy part of the head
ICD 10 code for boil
Furunculosis is an acute purulent inflammation of the glands in the skin tissue, which looks like an abscess. The formation of a furuncle according to ICD 10 has a code J34.0 and L02. We will consider the primary sources of the disease, its symptoms and much more in more detail.
The cause of the disease
The source of the formation of purulent inflammation is staphylococcus, which has affected the hair follicle. The infection gets on the skin of the face after touching dirty household items, such as towels.
There is also a risk of penetration of the microorganism into the deep layers of the dermis while squeezing out acne with unwashed hands.
Note! People with a tendency to acne, oily skin and enlarged pores are at a high risk of developing this disease.
The bacterium destroys the root of the follicle, and pus begins to accumulate in its place, causing a malfunction in the sebaceous glands and delivering a lot of discomfort to a person.
Types of abscesses
The inflammation often spreads to several onions. It can occur on various parts of the body. At the place of localization, the ICD 10 furuncle was assigned the following coding:
- on the face L02.0;
- on the neck L02.1;
- on the trunk L02.2;
- on the buttocks L02.3;
- on limbs L02.4;
- on other parts of the body L02.8;
- without specifying the place of formation L02.9.
Term: ICD 10 - 10th revision of the International Classification of Diseases.
Most often, the problem forms on the hairy area, in the ear or nose. The pain with furunculosis on the surface of the head is felt more strongly than anywhere else.
Symptoms
Furunculosis is accompanied by itching and local thickening of the skin. Over time, itching turns into pain syndrome, which becomes more and more severe. With the development of pathology in the ear or near the ear canal, chewing is accompanied by unpleasant sensations, there is a possibility of temporary hearing loss.
The place where the boil is formed swells and turns red. At the top of the swelling, white or yellow pus is visible. After removing the pus, the rod becomes visible, if it has matured, it turns greenish.
Difference between boils and acne
The primary form of the disease often looks like a pimple. As a rule, this becomes the reason for inappropriate treatment.
The difference between these two varieties is as follows:
- the furuncle is localized exclusively around the hair sac;
- the formation of the core in the abscess;
- severe inflammation around the purulent formation.
The popular name for furunculosis is boil. Unlike a common pimple, boil is expressed by severe soreness and swelling of the surrounding tissues. The abscess can be removed only after a time when the rod matures. The area of \u200b\u200bthe removed boil looks like an oblong hole.
Treatment
You can start treatment yourself - use ointments that can pull out suppuration. When it is removed, you need to extrude the rod. Before removal, the affected area is treated with 2% alcohol or hydrogen peroxide, the process is recommended to be carried out with gloves or a pair of cotton swabs so as not to introduce infection. After a long time, treat with alcohol solutions and apply bandages until the wound heals.
Important! If the abscess has not broken out on its own, it is necessary to consult a surgeon.
If the treatment goes wrong, an abscessing furuncle of ICD 10 develops - an exacerbation of an ordinary type, in which pus enters the blood and subcutaneous tissue. In order to avoid complications, it is recommended first of all to consult a physician to determine the diagnosis.
Furuncle
A furuncle is a purulent lesion of the skin with the formation of a necrotic rod, opening it and subsequent healing. During the diagnosis, the doctor, in order to encode the boil in ICD 10, first of all pays attention to its localization.
The disease belongs to a surgical pathology and is always treated by dissection, cleansing and drainage. The greatest problem is posed by the foci on the face, since they are dangerous by the rapid spread of infection to the meninges.
Location of pathology in the ICD 10 system
In the international classification of diseases, the furuncle is in the class of diseases of the skin and subcutaneous tissue.
Pathology is referred to a block of infectious skin lesions, since the causative agents of the inflammatory process are bacterial agents.
The boil code according to ICD 10 is represented by the following symbols: L02. In this case, this also includes a skin abscess and a carbuncle. Further differentiation depends on localization.
The following locations of inflammatory foci are distinguished:
In the ICD, furunculosis is not isolated as a separate disease, but is coded in the same way as a single focus.
However, due to its widespread distribution, it is recorded as a boil of unspecified localization. In addition, when the focus is located on the ear, eyelid, glands, nose, mouth, orbit, separate codes are required. This also includes a submandibular abscess.
Post-injection abscess can be coded as a common purulent skin lesion, however, it is most often referred to as complications due to medical interventions. A separate clarification can be added to the causative agent of the infection, if such is identified during the diagnosis.
Furuncle mkb 10
Short description
Furuncle - acute purulent-necrotic inflammation of the hair follicle and surrounding soft tissues
Code for the international classification of diseases ICD-10:
Furunculosis - multiple lesions with boils that appear simultaneously or sequentially one after another on different parts of the body. Most often, boils are localized on areas of the skin that are exposed to contamination (forearms, back of the hand) and friction (back of the neck, lower back, gluteal region, thighs).
Causes of the appearance of an abscessed boil
Etiology. Golden, less often white staphylococcus.
Risk factors Skin contamination and microtrauma General exhaustion Chronic diseases Avitaminosis diabetes.
Pathomorphology Stage of serous infiltrate - cone-shaped infiltrate with regional hyperemia up to 1–1.5 cm in diameter Purulent - necrotic stage - the appearance of a purulent pustule at the apex Stage of rejection of a necrotic rod and healing.
Boil treatment
The described defect is treated only by opening, cleaning and draining. The most problematic area is the face. When there is an abscessed furuncle of the face, there is a risk of infection on the meninges.
The very first step of the patient in this case is to contact a specialist for advice. Then the surgeon determines the causes of the development of the disease and prescribes surgical intervention.
It is worth noting that any manipulation with such a defect at home is strictly prohibited. In other words, you cannot try to squeeze out the purulent contents yourself, since this pathology is very dangerous not only for human health, but also for his life.
Treatment of an abscessed boil in the form of an operation is as follows:
- The surgeon makes a small incision and relieves the patient of the purulent rod.
- Then the adjacent tissues are thoroughly disinfected, and in some cases are partially excised, since they were subjected to pathological changes during the formation of an abscess.
- After the procedure, the wound is disinfected and a bandage is applied.
In addition to performing surgical manipulation, the patient is also undergoing treatment with antibiotics. This is one of the important conditions for his complete recovery.
Prevention
In order to avoid such a disease as an abscess boil in the future, a person must take preventive measures. There are several rules to help you avoid infection, namely:
- personal hygiene;
- proper nutrition;
- choice of clothes for the weather;
- avoiding contact with questionable objects;
- strengthening immunity.
If a person has an abscessed boil, a photo of which can be seen in the article, then he should remember that such a disease is chronic.
And in this case, the appearance of new foci of abscess will directly depend on the state of the immune system. Therefore, after the completed course of therapy, a prerequisite is a healthy lifestyle and strengthening the body.
ICD 10. Class XII (L00-L99)
ICD 10. CLASS XII. DISEASES OF THE SKIN AND SUBCUTANEOUS CELLS (L00-L99)
Excludes: certain conditions arising in the perinatal period (P00-P96)
complications of pregnancy, childbirth and postpartum period (O00-O99)
congenital anomalies, deformities and chromosomal abnormalities (Q00-Q99)
illness endocrine system, eating disorders and metabolic disorders (E00-E90)
trauma, poisoning and some other consequences of exposure to external causes (S00-T98)
lipomelanotic reticulosis (I89.8)
symptoms, signs and abnormalities identified
in clinical and laboratory research,
not elsewhere classified (R00-R99)
systemic violations connective tissue (M30-M36)
This class contains the following blocks:
L00-L04 Infections of the skin and subcutaneous tissue
L55-L59 Diseases of the skin and subcutaneous tissue associated with radiation
L80-L99 Other diseases of the skin and subcutaneous tissue
The following categories are marked with an asterisk:
L99 * Other disorders of skin and subcutaneous tissue in diseases classified elsewhere
Infections of the skin and subcutaneous tissue (L00-L08)
If necessary, an additional code (B95-B97) is used to identify the infectious agent.
local skin infections classified in class I,
Herpetic viral infection (B00. -)
lip adhesion crack [jam] (due to):
L00 Staphylococcal scalded blister syndrome
Excludes1: toxic epidermal necrolysis [Lyell] (L51.2)
L01 Impetigo
Excludes: impetigo herpetiformis (L40.1)
pemphigus of newborn (L00)
L01.0 Impetigo [caused by any organism] [any site]. Impetigo Bockhart
L01.1 Impetiginization of other dermatoses
L02 Skin abscess, furuncle and carbuncle
Excludes: areas of anus and rectum (K61.-)
genitals (external):
L02.0 Skin abscess, furuncle and facial carbuncle
Excludes: ear external (H60.0)
head [any part other than the face] (L02.8)
L02.1 Abscess of skin, furuncle and carbuncle of neck
L02.2 Abscess of skin, boil and carbuncle of trunk. Abdominal wall. Back [any part except gluteal]. Chest wall. Groin area. Perineum. Navel
Excludes: breast (N61)
omphalitis of newborn (P38)
L02.3 Abscess of skin, boil and carbuncle of buttock. Gluteal region
Excludes2: pilonidal cyst with abscess (L05.0)
L02.4 Skin abscess, furuncle and carbuncle of limb
L02.8 Abscess of skin, furuncle and carbuncle of other sites
L02.9 Abscess of skin, furuncle and carbuncle, unspecified. Furunculosis NOS
L03 Phlegmon
Includes: acute lymphangitis
eosinophilic cellulitis [Welsa] (L98.3)
febrile (acute) neutrophilic dermatosis [Sweet] (L98.2)
lymphangitis (chronic) (subacute) (I89.1)
L03.0 Phlegmon of fingers and toes
Nail infection. Onychia. Paronychia. Perionychia
L03.1 Phlegmon of other extremities
Armpit. Pelvic girdle. Shoulder
L03.3 Phlegmon of the trunk. The walls of the abdomen. Backs [any part]. Chest wall. Groin. Perineum. Navel
Excludes1: omphalitis of newborn (P38)
L03.8 Phlegmon of other sites
Heads [any part other than the face]. Scalp
L03.9 Phlegmon, unspecified
L04 Acute lymphadenitis
Included: abscess (acute)\u003e any lymph node,
acute lymphadenitis\u003e except mesenteric
Excluded: increase lymph nodes (R59 .-)
human immunodeficiency virus disease
[HIV], manifested as generalized
Chronic or subacute, other than mesenteric (I88.1)
L04.0 Acute lymphadenitis of face, head and neck
L04.1 Acute lymphadenitis of trunk
L04.2 Acute lymphadenitis upper limb... Armpit. Shoulder
L04.3 Acute lymphadenitis lower limbs... Pelvic girdle
L04.8 Acute lymphadenitis of other sites
L04.9 Acute lymphadenitis, unspecified
L05 Pilonidal cyst
Includes: fistula\u003e coccygeal or
L05.0 Pilonidal cyst with abscess
L05.9 Pilonidal cyst without abscesses. Pilonidal cyst NOS
L08 Other local infections of the skin and subcutaneous tissue
Excludes1: pyoderma gangrenous (L88)
L08.8 Other specified local infections of skin and subcutaneous tissue
L08.9 Local infection of skin and subcutaneous tissue, unspecified
Bullous Disorders (L10-L14)
Excludes: benign (chronic) familial pemphigus
staphylococcal scalded skin syndrome (L00)
toxic epidermal necrolysis [Lyell's syndrome] (L51.2)
L10 Pemphigus [pemphigus]
Excludes: pemphigus of newborn (L00)
L10.0 Pemphigus vulgaris
L10.1 Pemphigus vegetative
L10.2 Pemphigus foliaceus
L10.3 Pemphigus Brazilian
L10.4 Pemphigus erythematous Senir-Asher syndrome
L10.5 Pemphigus due to drugs
L10.8 Other pemphigus
L10.9 Pemphigus, unspecified
L11 Other acantholytic disorders
L11.0 Acquired follicular keratosis
Excludes1: follicular keratosis (congenital) [Darrieus-White] (Q82.8)
L11.1 Transient acantholytic dermatosis [Grover]
L11.8 Other specified acantholytic changes
L11.9 Acantolytic changes, unspecified
L12 Pemphigoid
Excludes: herpes of pregnancy (O26.4)
herpetiform impetigo (L40.1)
L12.1 Cicatricial pemphigoid Benign mucosal pemphigoid [Levera]
L12.2 Chronic bullous disease in children Juvenile dermatitis herpetiformis
L12.3 Acquired epidermolysis bullosa
Excludes1: epidermolysis bullosa (congenital) (Q81.-)
L12.9 Pemphigoid, unspecified
L13 Other bullous changes
L13.0 Dermatitis herpetiformis Dühring's disease
L13.1 Subcorneal pustular dermatitis Sneddon-Wilkinson disease
L13.8 Other specified bullous changes
L13.9 Bullous changes, unspecified
L14 * Bullous skin disorders in diseases classified elsewhere
DERMATITIS AND ECZEMA (L20-L30)
Note In this block, the terms "dermatitis" and "eczema" are used interchangeably.
Excludes: chronic (childhood) granulomatous disease (D71)
diseases of the skin and subcutaneous tissue associated with radiation exposure (L55-L59)
L20 Atopic dermatitis
Excludes1: localized neurodermatitis (L28.0)
L20.8 Other atopic dermatitis
L20.9 Atopic dermatitis unspecified
L21 Seborrheic dermatitis
Excludes1: infectious dermatitis (L30.3)
L21.1 Seborrheic dermatitis infantile
L21.8 Seborrheic dermatitis other
L21.9 Seborrheic dermatitis, unspecified
L22 Diaper dermatitis
Psoriasis-like rash caused by diapers
L23 Allergic contact dermatitis
Includes: allergic contact eczema
diseases of the skin and subcutaneous tissue associated with exposure to radiation (L55-L59)
L23.0 Allergic contact dermatitis due to metals. Chrome. Nickel
L23.1 Allergic contact dermatitis due to adhesives
L23.2 Allergic contact dermatitis due to cosmetics
L23.3 Allergic contact dermatitis due to drugs in contact with skin
If necessary, identify medicine use an additional external reason code (class XX).
L23.4 Allergic contact dermatitis due to dyes
L23.5 Allergic contact dermatitis due to others chemicals
Cement. Insecticides. Plastic. Rubber
L23.6 Allergic contact dermatitis due to food on contact with skin
L23.7 Allergic contact dermatitis due to plants, other than food
L23.8 Allergic contact dermatitis due to other substances
L23.9 Allergic contact dermatitis, cause unspecified Allergic contact eczema NOS
L24 Irritable contact dermatitis simple
Includes: simple irritant contact eczema
diseases of the skin and subcutaneous tissue associated
L24.0 Simple irritant contact dermatitis due to detergents
L24.1 Simple irritant contact dermatitis due to oils and lubricants
L24.2 Simple irritant contact dermatitis due to solvents
L24.3 Simple irritant contact dermatitis due to cosmetics
L24.4 Irritant contact dermatitis due to drugs in contact with skin
If it is necessary to identify the medicinal product, use an additional code for external causes (class XX)
Excludes: allergy NOS due to drugs (T88.7)
drug-induced dermatitis (L27.0-L27.1)
L24.5 Simple irritant contact dermatitis due to other chemicals
L24.6 Simple irritant contact dermatitis due to food in contact with skin
Excludes1: dermatitis due to food eaten (L27.2)
L24.7 Simple irritant contact dermatitis due to plants, other than food
L24.8 Simple irritant contact dermatitis due to other substances Dyes
L24.9 Simple irritant contact dermatitis, cause unspecified Irritant contact eczema NOS
L25 Contact dermatitis, unspecified
Includes: contact eczema, unspecified
lesions of the skin and subcutaneous tissue associated
L25.0 Unspecified contact dermatitis due to cosmetics
L25.1 Unspecified contact dermatitis due to drugs in contact with skin
If it is necessary to identify the medicinal product, use an additional code for external causes (class XX)
Excludes: allergy NOS due to drugs (T88.7)
drug-induced dermatitis (L27.0-L27.1)
L25.2 Unspecified contact dermatitis due to dyes
L25.3 Unspecified contact dermatitis due to other chemicals. Cement. Insecticides
L25.4 Unspecified contact dermatitis due to food in contact with skin
Excludes1: contact dermatitis due to ingested food (L27.2)
L25.5 Unspecified contact dermatitis due to plants, other than food
L25.8 Unspecified contact dermatitis due to other substances
L25.9 Unspecified contact dermatitis, cause unspecified
Dermatitis (professional) NOS
L26 Exfoliative dermatitis
Excludes: Ritter's disease (L00)
L27 Dermatitis due to substances taken by mouth
allergic reaction NOS (T78.4)
L27.0 Generalized skin rash due to drugs and medication
If it is necessary to identify the medicinal product, use an additional code for external causes (class XX)
L27.1 Localized skin eruption due to drugs and medication
If it is necessary to identify the medicinal product, use an additional code for external causes (class XX)
L27.2 Dermatitis due to food eaten
Excludes1: dermatitis due to food in contact with skin (L23.6, L24.6, L25.4)
L27.8 Dermatitis due to other substances taken internally
L27.9 Dermatitis due to unspecified substances, taken by mouth
L28 Lichen simplex chronicus and prurigo
L28.0 Lichen simplex chronicus Limited neurodermatitis. Deprive NOS
L29 Pruritus
Excludes: neurotic skin scratching (L98.1)
L29.3 Anogenital pruritus, unspecified
L29.9 Pruritus, unspecified Itching NOS
L30 Other dermatitis
small plaque parapsoriasis (L41.3)
L30.2 Cutaneous autosensitization Candidal. Dermatophytosis. Eczematous
L30.3 Infectious dermatitis
L30.4 Erythematous intertrigo
L30.8 Other specified dermatitis
L30.9 Dermatitis, unspecified
PAPULOSQUAMOUS DISORDERS (L40-L45)
L40 Psoriasis
L40.0 Psoriasis vulgaris Coin psoriasis. Plaque
L40.1 Generalized pustular psoriasis Impetigo herpetiformis. Tsumbush's disease
L40.2 Acrodermatitis persistent [Allopo]
L40.3 Palmar and plantar pustulosis
L40.8 Other psoriasis Flexion inverse psoriasis
L40.9 Psoriasis, unspecified
L41 Parapsoriasis
Excludes1: atrophic vascular poikiloderma (L94.5)
L41.0 Pityriasis lichenoid and acute smallpox. Fly-Habermann disease
L41.1 Pityriasis lichenoid chronic
L41.2 Lympomatoid papulosis
L41.3 Small plaque parapsoriasis
L41.4 Large plaque parapsoriasis
L41.5 Network parapsoriasis
L41.9 Parapsoriasis, unspecified
L42 Pitiriasis pink [Gibert]
L43 Deprive red flat
Excludes1: versicolor flat hair (L66.1)
L43.0 Lichen hypertrophic red flat
L43.1 Lichen red flat bullous
L43.2 Lichen reaction to drug
If it is necessary to identify the medicinal product, use an additional code for external causes (class XX)
L43.3 Lichen red flat subacute (active). Deprive red flat tropical
L43.8 Other lichen planus
L43.9 Lichen red flat, unspecified
L44 Other papulosquamous changes
L44.0 Pityriasis red hair pityriasis
L44.3 Lichen red moniliform
L44.4 Childhood papular acrodermatitis [Gianotti-Crosty syndrome]
L44.8 Other specified papulosquamous changes
L44.9 Papulosquamous changes, unspecified
L45 * Papulosquamous disorders in diseases classified elsewhere
NETTLE AND ERYTHEMA (L50-L54)
Excludes: Lyme disease (A69.2)
L50 Urticaria
Excludes: allergic contact dermatitis (L23.-)
angioedema (T78.3)
hereditary vascular edema (E88.0)
L50.0 Allergic urticaria
L50.1 Idiopathic urticaria
L50.2 Urticaria due to exposure to low or high temperature
L50.3 Dermatographic urticaria
L50.4 Vibratory urticaria
L50.5 Cholinergic urticaria
L50.6 Contact urticaria
L50.9 Urticaria, unspecified
L51 Erythema multiforme
L51.0 Non-bullous erythema multiforme
L51.1 Bullous erythema multiforme Stevens Johnson Syndrome
L51.2 Toxic epidermal necrolysis [Lyell's]
L51.8 Other erythema multiforme
L51.9 Erythema multiforme, unspecified
L52 Erythema nodosum
L53 Other erythematous conditions
If it is necessary to identify a toxic substance, an additional external cause code (class XX) is used.
Excludes1: neonatal toxic erythema (P83.1)
L53.1 Erythema annular centrifugal
L53.2 Erythema marginal
L53.3 Other chronic patterned erythema
L53.8 Other specified erythematous conditions
L53.9 Erythematous condition, unspecified Erythema NOS. Erythroderma
L54 * Erythema in diseases classified elsewhere
L54.0 * Marginal erythema in acute articular rheumatism (I00 +)
L54.8 * Erythema in other diseases classified elsewhere
DISEASES OF THE SKIN AND SUBCUTANEOUS CELLULARS,
RADIATION RELATED (L55-L59)
L55 Sunburn
L55.0 First degree sunburn
L55.1 Second degree sunburn
L55.2 Third degree sunburn
L55.8 Other sunburn
L55.9 Sunburn, unspecified
L56 Other acute skin changes caused by ultraviolet radiation
L56.0 Drug phototoxic reaction
If it is necessary to identify the medicinal product, use an additional code for external causes (class XX)
L56.1 Photoallergic drug reaction
If it is necessary to identify the medicinal product, use an additional code for external causes (class XX)
L56.2 Photocontact dermatitis
L56.3 Solar urticaria
L56.4 Polymorphic light rash
L56.8 Other specified acute skin changes due to ultraviolet radiation
L56.9 Acute skin change due to ultraviolet radiation, unspecified
L57 Skin changes due to chronic exposure to non-ionizing radiation
L57.0 Actinic (photochemical) keratosis
L57.1 Actinic reticuloid
L57.2 Skin rhombic on occiput (neck)
L57.3 Poikiloderma Sivatta
L57.4 Senile atrophy (lethargy) of the skin Senile elastosis
L57.5 Actinic [photochemical] granuloma
L57.8 Other skin changes due to chronic exposure to non-ionizing radiation
Farmer's skin. Seaman's leather. Solar dermatitis
L57.9 Skin change due to chronic exposure to non-ionizing radiation, unspecified
L58 Radiation dermatitis
L58.0 Acute radiation dermatitis
L58.1 Chronic radiation dermatitis
L58.9 Radiation dermatitis, unspecified
L59 Other diseases of skin and subcutaneous tissue associated with radiation
L59.0 Burn erythema [ab igne dermatitis]
L59.8 Other specified diseases of skin and subcutaneous tissue associated with radiation
L59.9Disease of skin and subcutaneous tissue associated with radiation, unspecified
DISEASES OF SKIN SEEDS (L60-L75)
Excluded: congenital defects outer integument (Q84.-)
L60 Diseases of nails
Excludes: clavate nails (R68.3)
L60.5 Yellow nail syndrome
L60.8 Other diseases of nails
L60.9 Disorder of nail, unspecified
L62 * Changes in nails in diseases classified elsewhere
L62.0 * Clavate nail in pachydermoperiostosis (M89.4 +)
L62.8 * Changes of nails in other diseases classified elsewhere
L63 Alopecia areata
L63.1 Alopecia universalis
L63.2 Acute baldness (ribbon-like)
L63.8 Other alopecia areata
L63.9 Alopecia areata, unspecified
L64 Androgenic alopecia
Included: male pattern baldness
L64.0 Drug-induced androgenetic alopecia
If it is necessary to identify the medicinal product, use an additional code for external causes (class XX)
L64.8 Other androgenic alopecia
L64.9 Androgenic alopecia, unspecified
L65 Other non-scarring hair loss
Excludes1: trichotillomania (F63.3)
L65.0 Telogenic hair loss
L65.1 Anagenic hair loss Regenerating Miasms
L65.8 Other specified non-scarring hair loss
L65.9 Non-scarring hair loss, unspecified
L66 Cicatricial alopecia
L66.0 Alopecia macula scarring
L66.1 Deprivation of flat hair. Follicular lichen planus
L66.2 Folliculitis resulting in alopecia
L66.3 Perifolliculitis of the head, abscessing
L66.4 Folliculitis reticularis cicatricial erythematous
L66.8 Other cicatricial alopecia
L66.9 Cicatricial alopecia, unspecified
L67 Hair and hair shaft color abnormalities
Excludes: knotty hair (Q84.1)
telogenic hair loss (L65.0)
L67.0 Trichorexis nodular
L67.1 Changes in hair color. Gray hair. Graying (premature). Hair heterochromia
L67.8 Other abnormalities of hair and hair shaft color Hair breakage
L67.9 Anomaly of hair and hair shaft color, unspecified
L68 Hypertrichosis
Includes: excessive hairiness
Excludes: congenital hypertrichosis (Q84.2)
resistant vellus hair (Q84.2)
L68.1 Hypertrichosis acquired by vellus hair
If it is necessary to identify the drug that caused the violation, use an additional code of external causes (class XX).
L68.2 Localized hypertrichosis
L68.9 Hypertrichosis, unspecified
L70 Acne
Excludes: keloid acne (L73.0)
L70.0 Common acne [acne vulgaris]
L70.2 Smallpox acne Acne necrotizing miliary
L71 Rosacea
L71.0 Perioral dermatitis
If necessary, identify medicinal productcausing the defeat, use the additional external cause code (class XX).
L71.9 Rosacea, unspecified
L72 Follicular cysts of skin and subcutaneous tissue
L72.1 Trichodermal cyst Hair cyst. Sebaceous cyst
L72.2 Stiatocystoma multiple
L72.8 Other follicular cysts of skin and subcutaneous tissue
L72.9 Follicular cyst of skin and subcutaneous tissue, unspecified
L73 Other disorders of hair follicles
L73.1 Pseudofolliculitis of beard hair
L73.8 Other specified diseases of follicles Beard sycosis
L73.9 Disease of hair follicles, unspecified
L74 Diseases of the merocrine [eccrine] sweat glands
L74.1 Prickly heat
L74.2 Miliaria deep. Tropical anhidrosis
L74.3 Miliaria, unspecified
L74.8 Other diseases of merocrine sweat glands
L74.9 Disorder of merocrine sweating, unspecified Sweat gland affection NOS
L75 Diseases of apocrine sweat glands
Excludes: dyshidrosis [pompholyx] (L30.1)
L75.2 Apocrine prickly heat Fox-Fordyce disease
L75.8 Other diseases of apocrine sweat glands
L75.9 Disorder of apocrine sweat glands, unspecified
OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS CELLS (L80-L99)
L80 Vitiligo
L81 Other pigmentation disorders
Excluded: birthmark NOS (Q82.5)
peitz-Gigers syndrome (Touraine) (Q85.8)
L81.0 Post-inflammatory hyperpigmentation
L81.4 Other melanin hyperpigmentation Lentigo
L81.5 Leucoderma, not elsewhere classified
L81.6 Other disorders associated with decreased melanin production
L81.7 Pigmented red dermatosis Creeping angioma
L81.8 Other specified pigmentation disorders Iron pigmentation. Tattoo pigmentation
L81.9 Disorder of pigmentation, unspecified
L82 Seborrheic keratosis
Dermatosis papular black
L83 Acanthosis nigricans
Confluent and reticular papillomatosis
L84 Calluses and calluses
Wedge-shaped callus (clavus)
L85 Other epidermal thickenings
Excludes: hypertrophic skin conditions (L91.-)
L85.0 Acquired ichthyosis
Excludes1: congenital ichthyosis (Q80.-)
L85.1 Acquired keratosis [keratoderma] palmar-plantar
Excludes1: hereditary palmar-plantar keratosis (Q82.8)
L85.2 Keratosis punctate (palmar-plantar)
L85.3 Skin conjunctiva Dermatitis of dry skin
L85.8 Other specified epidermal thickenings Cutaneous horn
L85.9 Epidermal thickening, unspecified
L86 * Keratoderma in diseases classified elsewhere
Follicular keratosis\u003e due to insufficiency
L87 Transepidermal perforation changes
Excludes: annular granuloma (perforated) (L92.0)
L87.0 Follicular and parafollicular keratosis invading the skin [Kirle's disease]
Follicular penetrating hyperkeratosis
L87.1 Reactive perforating collagenosis
L87.2 Creeping perforating elastosis
L87.8 Other transepidermal perforation disorders
L87.9 Transepidermal perforation disorder, unspecified
L88 Pyoderma gangrenous
L89 Decubital ulcer
Plaster cast ulcer
Compression ulcer
Excludes1: decubital (trophic) ulcer of the cervix (N86)
L90 Atrophic skin lesions
L90.0 Lichen sclerotic and atrophic
L90.1 Schwenninger-Buzzi anetoderma
L90.2 Jadasson-Pellisari anetoderma
L90.3 Pasini-Pierini atrophoderma
L90.4 Chronic atrophic acrodermatitis
L90.5 Cicatricial conditions and fibrosis of the skin Soldered scar (skin). Scar. Disfigurement due to scarring. Scar NOS
Excludes: hypertrophic scar (L91.0)
L90.6 Atrophic striae (striae)
L90.8 Other atrophic skin changes
L90.9 Atrophic skin change, unspecified
L91 Hypertrophic skin changes
L91.0 Keloid scar Hypertrophic scar. Keloid
Excludes: keloid acne (L73.0)
L91.8 Other hypertrophic skin changes
L91.9 Hypertrophic skin change, unspecified
L92 Granulomatous changes of skin and subcutaneous tissue
Excludes1: actinic [photochemical] granuloma (L57.5)
L92.0 Granuloma annular. Perforated granuloma annular
L92.1 Necrobiosis lipoid, not elsewhere classified
Excluded: associated with diabetes mellitus (E10-E14)
L92.2 Facial granuloma [eosinophilic granuloma of the skin]
L92.3 Foreign body granuloma of skin and subcutaneous tissue
L92.8 Other granulomatous changes of skin and subcutaneous tissue
L92.9 Granulomatous changes of skin and subcutaneous tissue, unspecified
L93 Lupus erythematosus
systemic lupus erythematosus (M32 .-)
If it is necessary to identify the drug that caused the lesion, use an additional external cause code (class XX).
L93.0 Discoid lupus erythematosus Lupus erythematosus NOS
L93.1 Subacute cutaneous lupus erythematosus
L93.2 Other localized lupus erythematosus Lupus erythematosus deep. Lupus panniculitis
L94 Other localized connective tissue changes
Excludes: systemic connective tissue diseases (M30-M36)
L94.0 Localized scleroderma Limited scleroderma
L94.1 Linear scleroderma
L94.5 Poikiloderma vascular atrophic
L94.6 Anyum [spontaneous dactylolysis]
L94.8 Other specified localized connective tissue changes
L94.9 Localized connective tissue change, unspecified
L95 Vasculitis limited to skin, not elsewhere classified
Excludes: creeping angioma (L81.7)
hypersensitivity angiitis (M31.0)
L95.0 Marbled vasculitis. White atrophy (plaque)
L95.1 Erythema sublime, persistent
L95.8 Other vasculitis limited to skin
L95.9 Vasculitis limited to skin, unspecified
L97 Ulcer of lower limb, not elsewhere classified
L98 Other diseases of the skin and subcutaneous tissue, not elsewhere classified
L98.1 Artificial [artifical] dermatitis Neurotic skin scratching
L98.2 Sweet's febrile neutrophilic dermatosis
L98.3 Wells eosinophilic cellulitis
L98.4 Chronic skin ulcer, not elsewhere classified Chronic skin ulcer NOS
Tropical ulcer NOS. Skin ulcer NOS
Excludes: decubital ulcer (L89)
specific infections classified in A00-B99
ulcer of lower limb NEC (L97)
L98.5 Mucinosis of the skin Focal mucinosis. Lychen myxedema
Excludes: focal oral mucinosis (K13.7)
L98.6 Other infiltrative diseases of skin and subcutaneous tissue
Excludes1: hyalinosis of skin and mucous membranes (E78.8)
L98.8 Other specified disorders of skin and subcutaneous tissue
L98.9 Disorder of skin and subcutaneous tissue, unspecified
L99 * Other disorders of skin and subcutaneous tissue in diseases classified elsewhere
Nodular amyloidosis. Spotted amyloidosis
L99.8 * Other specified changes in skin and subcutaneous tissue in diseases classified elsewhere
Inflammation on the skin, filled with purulent masses, is called a boil. Such an abscess can appear on any part of the human body. And the size of this neoplasm in some cases reaches several centimeters in diameter. If an abscessed boil appears, the main danger lies in the fact that sometimes, due to this neoplasm, a person develops or meningitis.
Causes of the appearance of an abscessed boil
Triggered by an infection is called an abscess. The infection process in this case occurs as follows. A small wound appears on the human body as a result of injury. Then pathogenic bacteria get into this scratch. And if a person does not timely treat the injured place, then the protective properties of the skin weaken and it can no longer build a barrier against penetrating infections. In this case, an abscess appears.
The main feature of an abscessed boil is that the pus from it remains in the subcutaneous adipose tissue, and does not come out to the surface, as with a normal boil. An abscessed furuncle can occur for the following reasons:
- due to the presence of dirt;
- minor skin injuries;
- careless shaving;
- increased sweating;
- excessive discharge from the sebaceous glands;
- impaired metabolism;
- reduced immunity.
As described above, the main danger of such a neoplasm is that a person can develop blood poisoning or meningitis. Therefore, if there is a suspicion that an abscess is developing on the body, you should immediately seek help from a specialist.
Dislocation of abscess
The most favorite places for such a boil are the person's face and groin areas. Less common, but you can find it in the buttocks, on the arms and legs. The only exceptions are feet and palms.
Stages of development of an abscessed boil
After infection, the described neoplasm goes through 4 stages of development:
- infiltration;
- manifestation of pus and the formation of necrosis;
- the transition of pus to the subcutaneous tissue;
- healing.
This defect develops over 10 days, and with the onset of each new stage of the disease, a person develops pronounced symptoms:
- Infiltration. The appearance of a red tubercle on the patient's body. Gradually, it increases in size, there is a seal and pain. Then a subtle edema occurs around the seal. By the end of the development of the first stage, the swelling becomes more pronounced. During this period, the abscess is almost impossible to discern, due to the fact that the symptoms are very similar to an ordinary abscess.
- The manifestation of pus and the formation of necrosis. On the fourth day after infiltration, a purulent-necrotic core begins to form. At this time, the pain sensations intensify, the body temperature rises to 38 ° C. In addition, general malaise, headaches appear, the patient loses his appetite.
- Transition of pus into the subcutaneous tissue. At this stage, the disease is aggravated, and if help was provided out of time, then serious complications develop. The main reason for what is happening is that with an abscess, the purulent-necrotic rod does not come out, but, on the contrary, deepens under the skin.
- Healing. This ailment is treated only by surgery. Therefore, the main condition is an urgent appeal to a doctor for help.
Boil treatment
The described defect is treated only by opening, cleaning and draining. The most problematic area is the face. When there is an abscessed furuncle of the face, there is a risk of infection on the meninges.
The very first step of the patient in this case is to contact a specialist for advice. Then the surgeon determines the causes of the development of the disease and prescribes surgical intervention. It is worth noting that any manipulation with such a defect at home is strictly prohibited. In other words, you cannot try to squeeze out the purulent contents yourself, since this pathology is very dangerous not only for human health, but also for his life.
Treatment of an abscessed boil in the form of an operation is as follows:
- The surgeon makes a small incision and relieves the patient of the purulent rod.
- Then the adjacent tissues are thoroughly disinfected, and in some cases are partially excised, since they were subjected to pathological changes during the formation of an abscess.
- After the procedure, the wound is disinfected and a bandage is applied.
In addition to performing surgical manipulation, the patient is also undergoing treatment with antibiotics. This is one of the important conditions for his complete recovery.
How does an abscessed boil ICD-10 classify?
The described pathology is included in the 10th revision. Abscessing furuncle (ICD-10 code: L02) is placed in the class of diseases of the skin and subcutaneous tissue. In addition, the pathology is referred to the group of infectious skin lesions, since bacteria are the culprits that provoke the named inflammatory process.
Potential risks
If an abscess is improperly treated, a person may experience serious complications after its removal. Therefore, it is very important to timely recognize the emerging neoplasms and urgently seek help. Unfortunately, in the early stages, it is quite difficult to identify the origin of the pathology, since its symptoms often resemble the development of an ordinary abscess.
Prevention
In order to avoid such a disease as an abscess boil in the future, a person must take preventive measures. There are several rules to help you avoid infection, namely:
- personal hygiene;
- proper nutrition;
- choice of clothes for the weather;
- avoiding contact with questionable objects;
- strengthening immunity.
If a person has an abscessed boil, a photo of which can be seen in the article, then he should remember that such a disease is chronic. And in this case, the appearance of new foci of abscess will directly depend on the state of the immune system. Therefore, after the completed course of therapy, a prerequisite is a healthy lifestyle and strengthening the body.
Conclusion
We repeat that if the described infection is improperly treated, the patient has a high risk of developing complications in the form of blood poisoning or meningitis. Therefore, it is so important to consult a specialist in a timely manner. And do not forget that with such a pathology, self-medication is more than inappropriate. Since even doctors cannot cure an abscess furuncle without surgery. Take care of yourself, and entrust the elimination of the disease to those who have experience and professionalism.