Bullous disorders

Bullous disorders-ICD-10 CM GUIDELINES BY BHARATH KUMAR MEDESUN STUDENT

1. BULLOUS DISORDERS

2. INTRODUCTION BSD are skin conditions characterised by blister formation. A blister is an accumulation of fluid between cells of the epidermis or upper dermis. Causes of blister could be genetic, physical, inflammatory, immunologic and as a reaction to drugs. BSDs are mostly autoimmune .

3. CAUSES Exposure to  ultraviolet light  Radiation therapy Drugs like:-   furosemide Non steroidal anti-inflammatory agents ,   captopril   Penicillamine antibiotics .

4. TYPES Genetic Blistering Diseases: A. Epidermolysis Bullosa B . Hailey-Hailey disease ( Benign familial pemphigus) 2. Immunobullous Diseases : A. Intraepidermal Immunobullous Diseases : 1.Pemphigus Vulgaris (PV) 2. Pemphigus vegetans . 3. Pemphigus foliaceus 4. Pemphigus erythematosus 5. Paraneoplastic P B. Subepidermal Immunobullous Diseases : 1.Bullous Pemphigoid 4. Pemphigoid Gestations 2. Linear IgA disease 5. Epidermolysis Bullosa Acquisita 3. Dermatitis Herpitiforms

5. IMMUNOLOGIC BULLOUS DISORDERS Pemphigus Pemphigoid Dermatitis Herpetiformis (DH) Chronic dermatoses of childhood (linear IgA dis.)

6. PEMPHIGUS Pemphigus  is a rare group of blistering autoimmune diseases that affect the skin and mucous membranes. 

7. BULLOUS PEMPHIGOID an autoimmune blistering disorder Antibodies binds to normal skin at the BMZ(basement membrane zone) It is more common than pemphigus Mainly affect the elderly Mucosal involvement is rare

8. BULLOUS PEMPHIGOID

9. Duhring’s disease is a  chronic blistering skin  condition ,   characterised by blisters filled with a watery fluid . It is also known as Dermatitis herpetiformis  

10. ICD-10-CM GUIDELINES Pemphigus-L10 Other acantholytic disorders-L11 Pemphigoid-L12 Other bullous disorders-L13  Bullous disorders in diseases classified elsewhere-L14 Code first underlying disease. https://www.medesunglobal.com

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