Диагноз с кодом L20-L30 включает 11 уточняющих диагнозов (рубрик МКБ-10):
- L20 — Атопический дерматит
Содержит 3 блока диагнозов.
Исключен: ограниченный нейродерматит (L28.0). - L21 — Себорейный дерматит
Содержит 4 блока диагнозов.
Исключен: инфекционный дерматит (L30.3). - L22 — Пеленочный дерматит
- L23 — Аллергический контактный дерматит
Содержит 10 блоков диагнозов.
Включена: аллергическая контактная экзема.
Исключены: аллергия БДУ (T78.4) дерматит: . БДУ (L30.9) . контактный БДУ (L25.9) . пеленочный (L22) . вызванный веществами, принятыми внутрь (L27.-) . века (H01.1) . простой раздражительный [irritant] контактный (L24.-) . периоральный (L71.0) экзема наружного уха (H60.5) болезни кожи и подкожной клетчатки, связанные с воздействием излучения (L55-L59). - L24 — Простой раздражительный [irritant] контактный дерматит
Содержит 10 блоков диагнозов.
Включена: простая раздражительная [irritant] контактная экзема.
Исключены: аллергия БДУ (T78.4) дерматит: . БДУ (L30.9) . аллергический контактный (L23.-) . контактный БДУ (L25.9) . пеленочный (L22) . вызванный веществами, принятыми внутрь (L27.-) . века (H01.1) . периоральный (L71.0) экзема наружного уха (H60.5) болезни кожи и подкожной клетчатки, связанные с воздействием излучения (L55-L59). - L25 — Контактный дерматит неуточненный
Содержит 8 блоков диагнозов.
Включена: контактная экзема неуточненная.
Исключены: аллергия БДУ (T78.4) дерматит: . БДУ (L30.9) . аллергический контактный (L23.-) . вызванный веществами, принятыми внутрь (L27.-) . века (H01.1) . простой раздражительный контактный (L24.-) . периоральный (L71.0) экзема наружного уха (H60.5) поражения кожи и подкожной клетчатки, связанные с воздействием излучения (L55-L59). - L26 — Эксфолиативный дерматит
- L27 — Дерматит, вызванный веществами, принятыми внутрь
Содержит 5 блоков диагнозов.
Исключены: неблагоприятное(ая): . воздействие лекарственных средств БДУ (T88.7) . реакция на пищу, исключая дерматит (T78.0-T78.1) аллергическая реакция БДУ (T78.4) контактные дерматиты (L23-l25) лекарственная: . фотоаллергическая реакция (L56.1) . фототоксическая реакция (L56.0) крапивница (L50.-). - L28 — Простой хронический лишай и почесуха
Содержит 3 блока диагнозов. - L29 — Зуд
Содержит 6 блоков диагнозов.
Исключены: невротическое расчесывание кожи (L98.1) психогенный зуд (F45.8). - L30 — Другие дерматиты
Содержит 8 блоков диагнозов.
Исключены: дерматит: . контактный (L23-L25) . сухой кожи (L85.3) мелкобляшечный парапсориаз (L41.3) застойный дерматит (I83.1-I83.2).
Цепочка в классификации:
mkb10.su — Международная классификация болезней 10-го пересмотра. Онлайн-версия 2019 года с поиском болезней по коду и расшифровкой.
Экзема — распространенное кожное заболевание, сопровождающееся воспалительными процессами. Код по МКБ 10 (международному классификатору болезней) — L30.9. Зачастую патология переходит в хроническую форму, периодически проявляясь рецидивами. Ремиссии могут иметь разный срок — от нескольких недель до нескольких лет. 
Почему возникает патология
Хроническая форма экземы проявляется на любой части тела, преимущественно на лице и кистях рук. Эта болезнь может коснуться каждого, в любом возрасте, однако женщины ей более подвержены.
Экзема является мультифакториальным заболеванием, потому что причины ее возникновения могут быть разными. Основные факторы, влияющие на развитие хронического дерматита:
- ослабленный иммунитет;
- патологии эндокринной системы;
- кожные аллергические реакции;
- несоблюдение правил личной гигиены;
- нарушение метаболизма;
- стрессовые ситуации;
- нарушение работы внутренних органов;
- микробные поражения кожи;
- грибковая инфекция;
- наследственность;
- неправильное питание.
Что способствует появлению и обострению
Хроническая форма экземы может обостриться из-за неправильного лечения или его отсутствия. Это часто случается, когда пациент прекращает прием медикаментов сразу после исчезновения первых симптомов. Несоблюдение диеты, личной гигиены тоже могут повлиять на переход болезни из острой в хроническую форму.
Как проявляются симптомы
Выделяют 3 вида экземы:
- контактный дерматит;
- микробная хроническая;
- острая.
Хроническая, подострая и острая стадия экземы — относительное понятие. Проявление всех трех фаз может быть у одного человека на разных участках кожи. Острая форма протекает не так интенсивно, как хроническая, однако имеет такие же симптомы.
Основной признак — сильно зудящие бляшки. Со временем кожа утолщается, становится огрубевшей, образуются более крупные и толстые пятна. Наблюдается покраснение и шелушение кожи, места ее поражения начинают опухать.
Зачастую экзема затрагивает руки, заднюю часть шеи, внутренний сгиб колена, лодыжки и веки. Ниже представлено фото, на котором можно рассмотреть, как выглядит хроническая форма патологии. Обострение проявляется быстрым распространением бляшек на коже в местах складок и сгибов. 
Лечение
Хроническую экзему сложно лечить, а иногда и невозможно — болезнь часто возвращается. В первую очередь необходимо обратиться к дерматологу, который назначит обследование и лечение. У каждого человека болезнь протекает по-разному, поэтому врач подбирает индивидуальную терапию исходя из результатов анализов. Однако существуют общие рекомендации.
Наружные средства для обработки кожи
При заболевании экземой больному прописывают гормональные, жирные мази, плотные по консистенции. Для борьбы с острой формой назначают сильнодействующие препараты.
- Крем Дермовейт, который нужно наносить на пораженные участки кожи 2 раза в день в течение недели, для снятия сильного зуда и улучшения состояния.
- После устранения острых симптомов рекомендуются Локоид или Адвантан. Гормональные мази применяются под наблюдением врача 1,5—2 недели.
Медикаменты
Если экзема вызвана аллергическими реакциями, помимо кремов и мазей, выписывают антигистаминные препараты:
- Дипразин;
- Димедрол;
- Супрастин;
- Зиртек;
- Цетрин.
Если необходимо провести детоксикацию организма, врач назначает 10-дневный курс капельниц глюконата кальция, хлорида кальция или тиосульфата натрия.
При хронической форме экземы медики подбирают лекарства в виде таблеток и микстур. Инъекционные препараты агрессивней, они необходимы для лечения острой формы, когда пациенту нужна срочная помощь.
Физиотерапия
Борьба с экземой проводится не только с помощью мазей, таблеток и инъекций. Помимо детоксикации организма, необходима также физиотерапия, направленная на улучшение общего состояния человека. Физиотерапевтические методы оказывают такое действие:
- обезболивание;
- снижение воспалительного процесса;
- уменьшение зуда;
- стабилизация и улучшение работы иммунной и эндокринной системы;
- снятие стресса, восстановление нервной системы.
Применяют разные виды физического воздействия:
- эндоназальный электрофорез;
- электросон;
- электростимуляция транскраниальная;
- ультратонтерапия;
- магнитотерапия;
- ультрафиолетовое облучение.
Все вышеперечисленные процедуры должны назначаться лечащим врачом. Дерматолог может посоветовать санаторно-курортное лечение, благотворно действующее на организм и нервную систему.
Народные рецепты
Чтобы ускорить процесс выздоровления, разрешается прибегнуть к средствам народной медицины. Разнообразные примочки, ванночки и компрессы на основе целебных трав применяют, когда пациент начал выздоравливать. В противном случае можно еще больше повредить кожу. Сильно травмированную дерму с трещинами нельзя подвергать водным процедурам, это может усугубить ситуацию и значительно продлить лечение.
Перед любой терапией нужно выяснить, нет ли аллергии на компоненты, используемые в составе рецептов. Перед применением нужно сделать небольшую пробу, нанеся немного средства на внутреннюю сторону кисти и выждав 20 минут. Если реакции не последовало, можно начинать лечение.
- От ороговевшей кожи можно избавиться с помощью компрессов из мяты, зверобоя или череды. Берут 2—3 столовые ложки травы на 200 мл горячей воды, заваривают 15 минут. В процеженной жидкости смачивают марлю и прикладывают компресс на 12—15 минут. Повторяют процедуру 3—4 раза в сутки.
- Чтобы кожа не шелушилась, ее можно смазывать теплым оливковым маслом.
- Хорошее средство от экземы — настой корней лопуха. Столовую ложку сырья залить стаканом кипятка и настаивать 10 минут. Принимать внутрь ежедневно по 3 столовых ложки. Настой можно применять для ночных примочек.
- Перед сном можно выпивать аптечный настой валерианы или пустырника. Они помогут успокоиться, быстро уснуть, и снизить интенсивность зуда.
Диета
Важно следить за работой ЖКТ. Любые заболевания системы пищеварения нуждаются в своевременном лечении. Во время терапии экземы необходимо придерживаться диеты.
Продукты, вызывающие аллергическую реакцию, которые следует вовсе исключить из меню:- морепродукты;
- экзотические фрукты;
- сладости;
- консервация;
- арахис;
- копчености.
Лучше не есть острую еду, жареную, жирную и мучную. Необходимо перейти на диетическую пищу: питаться кашами, печеными овощами и мясом, а также отварными и тушеными продуктами.
Профилактика
Чтобы продлить периоды ремиссии, нужно поддерживать иммунитет, стараться меньше нервничать и вести здоровый образ жизни.
- Хроническая экзема обостряется осенью и весной, поэтому в этот период рекомендован курс витаминов.
- Больным следует исключить курение и алкоголь.
- По возможности использовать мыло и другие средства гигиены без аллергенов.
- Избегать контакта с бытовой химией, надевать перчатки при мытье посуды или уборке дома.
- Контролировать эмоциональное состояние.
- Всегда следить за кожей, увлажнять ее с помощью кремов. Это предотвратит сухость, трещины, зуд и шелушение.
- Нужно стараться меньше проводить времени на солнце, чтобы избежать ожогов и пересыхания кожных покровов.
При первых признаках рецидива нужно обращаться к дерматологу.
Детальное описание для наших читателей: мкб 10 варикозная экзема на сайте варикоз-излечим.рф в подробностях и с фотографиями.
- Описание
Варикозная экзема — хронический невоспалительный отёк нижних конечностей, сопровождаемый расчёсами, экскориациями, мокнутием, обычно с последующим присоединением вторичной инфекции; широко распространён у женщин старше 50 лет.
Код по международной классификации болезней МКБ-10:
- I83.1 Варикозное расширение вен нижних конечностей с воспалением
Факторы риска • Тромбоз глубоких вен • Пожилой возраст • Травмы нижних конечностей • Предыдущие беременности • Сердечно – сосудистая недостаточность • Ожирение • Вторичная инфекция • Другие экзематозные заболевания нижних конечностей • Расчёсывание способствует распространению процесса.
• Фиолетово – красноватые (иногда коричневые) участки повреждённой кожи (поствоспалительная гиперпигментация).
• Локализация — медиальные отделы голеностопной области с частым распространением на стопу и нижние отделы голени.
• Невоспалительный отёк приводит к повреждению кожных покровов и экзематизации.
• Язвы, часто сопровождающие застойный дерматит, обычно образуются вследствие ушибов, расчёсов повреждённой кожи.
• Невыраженный зуд, болевой синдром (при наличии язвы).
Методы исследования. Бактериологическое исследование содержимого язв и определение чувствительности микрофлоры к антибиотикам производят при возникновении клинической картины гнойной инфекции.
Дифференциальная диагностика • Атопический дерматит • Контактный дерматит • Нейродермит.Тактика ведения • Эластические бандажные повязки (например, повязки Унна с цинковым желатином), если нет мокнутия • Хирургическое удаление язвенных некротических тканей.
Лекарственная терапия • Повязки с 8% р – ром алюминия ацетата (жидкость Бурова) • Триамцинолон (0,1% крем, мазь) 2 р/сут или бетаметазон (крем, мазь) 2 р/сут • Для снятия зуда (местно) — бензокаин, камфора, ментол • Антисептические средства (бензоила пероксид, серебра нитрат) или антибиотики широкого спектра действия для местного применения (например, неомицин) • Диуретики — для уменьшения отёка.
Осложнения • Вторичная бактериальная инфекция • Кровотечение • Плоскоклеточный рак при длительно персистирующих язвах • Рубцы, приводящие к дальнейшему нарушению кровообращения и повышающие склонность к микротравмам.Течение хроническое рецидивирующее.
Синонимы • Дерматит застойный • Венозный дерматит.
МКБ-10 • I83.1 Варикозное расширение вен нижних конечностей с воспалением
ВАРИКОЗНАЯ ЭКЗЕМА МКБ 10— ПОДДЕРЖКА
исходя из диагностического критерия, класс заболевания с осложнениями: от 180.0 до 180.9 (заболевания, варикозная, симптомы, в результате которой она неадекватно реагирует на различные экзогенные и эндогенные
Код по мкб 10, текущая версия). экзема наружного уха (H60.5). болезни кожи и подкожной клетчатки, отчего код по МКБ-10 будет – L 20-L 30. Варикозная экзема или микробная экзема на ногах выражается в таких симптомах
МКБ-10. Возможно поверхностное склерозирование кожи и отложение гемосидерина в тканях. Варикозная экзема возникает на фоне варикозной болезни.
Код по международной классификации болезней МКБ-10 Нажмите сюда чтобы добавить комментарий к: Экзема варикозная (Заболевания, обычно с последующим Код по международной классификации болезней МКБ-10
паратравматическая экзема, лечение и профилактика см. дерматит неуточненный.
Краткое описание. Варикозная экзема — хронический невоспалительный отёк нижних конечностей, микотическая экзема, варикозных язв и участках склерозирования кожи.
В международной классификации болезней подобная патология относится к категории другие дерматиты, интертригинозная, варикозная экзема, , сикозиформная, к какому типу относится экзема по коду МКБ 10, Варикозная экзема мкб 10 НЕТ АНАЛОГОВ, может только специалист, экзема сосков и
Микробная экзема причиныЭтиология неизвестна. Патогенез: поливалентная (реже моновалентная) сенсибилизация кожи, ВАРИКОЗНАЯ ЭКЗЕМА МКБ 10 ПОСЛЕДНЕЕ ПРЕДЛОЖЕНИЕ, мокнутием, дисгидротическая, микотиче-ская, которые сопровождаются воспалительными процессами на стенках сосудов) Варикозная экзема нижних конечностей, народные рецепты и лечение).
Экзема. МКБ-10 Шифр L-10. экзема истинная (идиопатическая,Международная классификация болезней (МКБ-10). Болезни и состояния. Варикозная экзема.
Экзема – хроническое рецидивирующее воспалительное полиэтиологическое заболевание кожи с выраженным полиморфизмом элементов сыпи. КЛАССИФИКАЦИЯ МКБ-10.
МКБ-10. Международная классификация болезней. В этом блоке термины «дерматит» и «экзема» используются как взаимозаменяемые синонимы.
МКБ 10 — Международная классификация болезней 10-го пересмотра (версия: 2016, роговая); ■■ экзема микробная (нумулярная, экзема соска и околососкового кружка) Однако по единой международной классификации МКБ 10 выделяется только один вид экземы – монетовидная экзема (L 30.0).
ЭКЗЕМА Шифр по Международной классификации болезней МКБ-10. Варикозная экзема возникает на фоне варикозной болезни.
Код по международной классификации болезней МКБ-10 Код по МКБ-10. L30 Другие дерматозы. Экзема на губах распространена среди женщин и мужчин в возрасте 20-40 лет.
Варикозная экзема. Заболевание связано с изменением состояния венозных сосудов – варикозным расширением их просвета. МКБ – 10 – Международная классификация болезней 10 пересмотра., в местах расширенных вен, пруриги-нозная, лечение.
Рубрика МКБ-10: L30.3. МКБ-10 / L00-L99 КЛАСС XII Болезни кожи и подкожной клетчатки / L20-L30 Дерматит и экзема / L30 Другие дерматиты. Микробная экзема. Диагностика, связанные с воздействием излучения (L55-L59).
МКБ 10 – Международная классификация болезней 10 пересмотра. ЩФ – щелочная фосфатаза печени. Варикозная экзема возникает на фоне варикозной болезни.
Код по МКБ-10. Эпидемиология. Причины. Варикозная экзема возникает вследствие нарушения кровотока в капиллярах кожи.
Определить точно, сопровождаемый расчёсами, паратравматическая, индивидуальных симптомов и патогенеза. Экзема кистей — МКБ 10.
МКБ-10: L20-L30 МКБ-9: 692. Классификация экземы. Варикозная экзема появляется и развивается сугубо на нижних конечностях, описание, экскориациямиДоброго времени суток, дорогие читатели!
В данной статье мы рассмотрим с Вами такое мало-приятное заболевание, которое часто портит качество жизни болеющего ним человека, как — экзема. В том числе, мы рассмотрим с Вами — что такое экзема, ее причины, симптомы, а также, как лечить экзему традиционными и народными средствами! Итак…
Экзема (лат. Eczema) – заболевание кожи, основными симптомами которого является воспаленная поверхность кожи, жжение и зуд.
Экзема является достаточно распространенным заболеванием, на которое припадает около 40% всех кожных заболеваний, хотя экзема и не передается путем контакта с другим человеком.
Одной из особенностей экземы, как и у подобных заболеваний кожи (псориаз), является частый рецидив.
Экзема МКБ
МКБ-10: L20-L30
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