1F28: Dermatophytosis

ICD-11 code 1F28 refers to dermatophytosis, which is a fungal infection of the skin commonly known as ringworm. Dermatophytosis is caused by various species of fungi known as dermatophytes, which thrive in warm, moist environments and can infect both humans and animals. The infection typically presents as red, scaly patches on the skin that may be itchy or painful.

Dermatophytosis can be transmitted through direct contact with infected individuals, animals, or contaminated surfaces. It is important to seek medical treatment for dermatophytosis to prevent the spread of infection and alleviate symptoms. Topical antifungal medications are commonly used to treat dermatophytosis, but more severe cases may require oral or systemic antifungal therapy. Proper hygiene practices, such as keeping the affected areas clean and dry, can help prevent the recurrence of dermatophytosis.

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#️⃣  Coding Considerations

The SNOMED CT code equivalent to the ICD-11 code 1F28, which represents Dermatophytosis, is 1083671000001106. This SNOMED CT code specifically refers to the fungal infection of the skin, hair, or nails caused by dermatophytes, which are a group of fungi that infect the keratinized tissues of the body. Dermatophytosis is a common type of fungal infection that can affect people of all ages and can cause a variety of symptoms ranging from mild itching and redness to more severe inflammation and skin changes. By using the SNOMED CT code 1083671000001106, healthcare professionals can accurately document and track cases of dermatophytosis in electronic health records, making it easier to manage and monitor the treatment of patients with this common skin condition.

In the United States, ICD-11 is not yet in use. The U.S. is currently using ICD-10-CM (Clinical Modification), which has been adapted from the WHO’s ICD-10 to better suit the American healthcare system’s requirements for billing and clinical purposes. The Centers for Medicare and Medicaid Services (CMS) have not yet set a specific date for the transition to ICD-11.

The situation in Europe varies by country. Some European nations are considering the adoption of ICD-11 or are in various stages of planning and pilot studies. However, as with the U.S., full implementation may take several years due to similar requirements for system updates and training.

🔎  Symptoms

Symptoms of 1F28 (Dermatophytosis) typically manifest as circular, red, scaly patches on the skin. These patches may be itchy or painful, and can appear anywhere on the body. In some cases, the patches may have raised borders and a clear center, resembling a ring, hence the common name “ringworm.”

As the infection progresses, the affected skin may become more inflamed, leading to increased itching and discomfort. In severe cases, the patches may develop into blister-like sores or pus-filled bumps. The infection can also spread to other areas of the body through skin-to-skin contact or sharing of contaminated objects, leading to the development of multiple patches or a more widespread rash.

In some individuals, particularly those with weakened immune systems or certain underlying medical conditions, dermatophytosis can present with atypical symptoms such as extensive redness, swelling, or oozing of fluid from the affected skin. Rarely, the infection may lead to complications such as secondary bacterial infections or permanent scarring. Proper diagnosis and treatment are essential to prevent the spread of the infection and alleviate symptoms.

🩺  Diagnosis

Diagnosis of dermatophytosis, more commonly known as a fungal skin infection, typically involves a combination of clinical evaluation, microscopic examination of skin scrapings, and fungal culture. During a clinical evaluation, a healthcare provider will assess the appearance of the affected skin, looking for common signs such as redness, scaling, and ring-shaped rashes. It is important for patients to provide a thorough medical history, including any recent exposure to pets or fungal environments, as this can help guide the diagnostic process.

Microscopic examination of skin scrapings is a common method used to detect fungal elements such as hyphae or spores present in the affected tissue. A healthcare provider may gently scrape the surface of the skin lesion to collect a sample, which is then examined under a microscope to identify the specific fungus causing the infection. This method can help confirm the diagnosis of dermatophytosis and differentiate it from other skin conditions with similar symptoms.

Fungal culture involves obtaining a sample from the skin lesion and placing it in a special medium that promotes the growth of fungi. The sample is then monitored over a period of time to observe the growth of fungal colonies, which can help identify the specific species of fungus causing the infection. Fungal culture is a more sensitive diagnostic method that can provide valuable information for guiding treatment decisions. In some cases, additional tests such as a skin biopsy may be performed to further evaluate the extent and severity of the infection.

💊  Treatment & Recovery

Treatment for dermatophytosis typically involves topical antifungal medications, such as clotrimazole, terbinafine, or miconazole. These medications can be applied directly to the affected area, usually for a period of two to four weeks. In some cases, oral antifungal medications may also be prescribed by a healthcare provider for more severe infections or for infections that do not respond to topical treatments.

In addition to antifungal medications, keeping the affected area clean and dry is essential for successful treatment of dermatophytosis. Keeping the skin dry can help to prevent the growth of the fungus and reduce symptoms such as itching and redness. It is recommended to avoid wearing tight-fitting clothing or shoes that may trap moisture and encourage fungal growth.

For individuals with extensive or recurrent cases of dermatophytosis, healthcare providers may recommend lifestyle changes to reduce the risk of reinfection. This may include avoiding sharing personal items such as towels, clothing, or footwear, as well as practicing good personal hygiene, such as washing hands regularly and avoiding touching or scratching the affected area. In some cases, healthcare providers may also recommend the use of antifungal powders or sprays to help prevent reinfection.

🌎  Prevalence & Risk

In the United States, dermatophytosis, also known as ringworm, is a common fungal infection that affects millions of people each year. It is estimated that around 20% of the population will experience ringworm at some point in their lives. The infection is more prevalent in certain demographics, such as children, athletes, and individuals with compromised immune systems.

In Europe, the prevalence of dermatophytosis varies depending on the region and environmental factors. Studies have shown that certain European countries have higher rates of ringworm infection compared to others. The infection is more common in urban areas with higher population densities and in regions with warmer and more humid climates.

In Asia, dermatophytosis is a widespread fungal infection that affects millions of people each year. The prevalence of ringworm varies depending on the country and environmental factors, such as climate and living conditions. In many Asian countries, ringworm is a common skin infection that can be easily transmitted through direct contact or contaminated objects.

In Africa, dermatophytosis is also a prevalent fungal infection that affects a significant portion of the population. Due to factors such as poverty, lack of access to healthcare, and overcrowded living conditions, ringworm is more common in certain regions of Africa. The prevalence of dermatophytosis in Africa is comparable to that of other continents, with millions of cases reported each year.

😷  Prevention

One of the key measures to prevent dermatophytosis, commonly known as ringworm, is to maintain good personal hygiene. Regularly washing hands, bathing, and changing clothes can help reduce the risk of contracting the fungal infection. It is also important to avoid sharing personal items such as towels, clothing, and hairbrushes with others, as this can spread the fungus from one person to another.

Another important step in preventing dermatophytosis is to keep the skin clean and dry. Fungi thrive in warm, moist environments, so it is essential to dry off thoroughly after bathing or swimming. Wearing loose-fitting clothing made from breathable fabrics can also help prevent the build-up of sweat and moisture on the skin, reducing the risk of fungal infections.

Additionally, taking precautions to avoid contact with infected animals or contaminated environments can help prevent the spread of dermatophytosis. Avoiding contact with stray animals, especially those with visible skin lesions, can help reduce the risk of contracting the fungus. In addition, regularly cleaning and disinfecting surfaces that may come into contact with the fungus, such as gym equipment or communal showers, can help prevent the spread of dermatophytosis.

Tinea corporis is a fungal infection of the skin that is similar to dermatophytosis. This condition is commonly known as ringworm and presents as circular, red, scaly patches on the skin. It is caused by dermatophytes and can be transmitted through direct contact with an infected person or animal.

Tinea cruris, also known as jock itch, is another type of fungal infection that is comparable to dermatophytosis. This condition typically affects the groin and inner thighs, causing itching, redness, and a characteristic rash. It is commonly seen in men and can be exacerbated by factors such as tight clothing, sweating, and poor hygiene.

Tinea pedis, or athlete’s foot, is a fungal infection of the feet that shares similarities with dermatophytosis. This condition presents as itching, burning, and scaling of the skin on the feet, particularly between the toes. It is often contracted in warm, moist environments such as locker rooms and swimming pools and can be spread through contaminated surfaces.

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