Cervical lymphadenitis code according to microbiology 10. Submandibular lymphadenitis - what is it? L24 Irritable contact dermatitis simple

Date: 04.03.2020

Acute inflammatory swelling of the lymph nodes - spicy always painful. Patients can usually pinpoint the onset of changes.

The lymph nodes- of medium density, the skin over them is hyperemic only in severe cases, the swelling is strictly localized. Sometimes a reddened cord - lymphangitis - leads to a peripheral cutaneous wound, indicating the cause of the swelling. But even without the presence of lymphangitis, with all local swelling of the lymph nodes, it is always necessary to look for the entrance gate of the infection, which in most cases is easy to find. There are, however, cases of significant swelling of the regional lymph nodes with an already completely subsided inflammatory reaction at the entrance gate. Experience shows that if the doctor does not think about the possible cause of the enlargement of the nodes, significant difficulties arise: for example, with infections of the scalp, swelling of the lymph nodes behind the auricle and occipital nodes is often not recognized correctly as swelling of regional lymph nodes because only the scalp is not examined thoroughly.

In these cases, it is often diagnosed rubella... Swelling of the inguinal lymph nodes in bed patients is often the first symptom of the underlying phlebitis.
It must therefore be considered serious. symptom, if there is no apparent reason (balanitis), and you should never consider that we are talking about trifles, even if there seems to be no peripheral infectious focus. Painful swelling of the lymph nodes at an angle of the lower jaw indicates an inflammatory process in the pharynx (tonsillitis, pharyngitis). The associated general symptoms vary depending on the severity of the infection. Most cases proceed without an increase in temperature, in other cases, there is a picture of a general infectious disease with an increase in temperature and leukocytosis. In severe cases, inflamed lymph nodes can undergo purulent fusion - lymphadenic abscess.

Nonspecific chronic inflammatory swelling of the lymph nodes are of clinical interest, since they sometimes simulate serious diseases and direct the differential diagnosis down the wrong path. In most people, the inguinal lymph nodes are especially well felt, sometimes reaching the size of a hazelnut; they are not painful. They should be considered as nodes that have undergone cicatricial changes due to frequent "acute inflammation in the genital area (balanitis, vaginitis). Swelling of the lymph nodes at the angle of the mandible is also common, especially in young people, indicating previous infections in the nasopharyngeal space."

Lymph node tuberculosis can manifest itself in various forms.
a) Most often it manifests itself in the form of tuberculosis cervical lymph nodes(cervical lymphomas). In this case, usually we are talking about the oral primary complex. Therefore, it is mainly children and younger persons, up to about 25 years of age, who fall ill. These lymphomas can also be an expression of organ tuberculosis. More than 80% of them are based on tuberculosis infection with a bacillus of the bovi-nus type. At the same time, among 50 patients infected with the bovinus bacillus, Wiesmann found a lesion of the oral cavity, pharynx and neck organs in 38%, which indicates the preferred localization of the bovinus bacillus in this area. The primary focus, if you look for it histologically, is very often in the tonsils, less often in the gums. With tuberculosis of the cervical lymph nodes, deep cervical nodes located at an angle of the lower jaw are mainly affected.

The process often involves and neighboring nodes, including supraclavicular. Usually the process is one-way. But we recently in an 18-year-old girl, Kotopo also had many lymph nodes as large as a hazelnut on the opposite side, we clinically diagnosed lymphogranulomatosis, because we adhered too much to the rule about the one-sidedness of tuberculous cervical lymphoma, while a biopsy showed tuberculosis. With the localization of the primary focus in the gums, the lymph nodes are not affected at the angle of the lower jaw, but somewhat more medially.

With tuberculosis of the cervical lymph nodes they are initially quite firm to the touch, although usually not to the same extent as in lymphogranulomatosis. But it is often impossible to distinguish them from each other. The pressure sensitivity, which is present in most cases, almost always makes it possible to distinguish the inflammatory swelling of the lymph node from the neoplastic one. Pain and soreness with pressure are especially pronounced with a rapid increase in lymph nodes. This, with a high degree of probability, indicates the inflammatory nature of the process. The skin over lymphoma in the early stages may be completely unchanged. When the knots get larger, that is, they reach approximately the size of a cherry, they almost always soften. Then a bluish color appears over the lymphoma, the mobility of the skin decreases and it seems that the inflammatory process is spreading to the surrounding tissues.

At this stage, the diagnosis undoubted. When the nodule melts, a cold abscess occurs, leading to the formation of scrofuloderma, which bursts outward, leaving behind a fistula. Fistulas of the lymph nodes are found, in addition to tuberculosis, in fact, only with actinomycosis of the lymph nodes. Bacteriological examination of pus quickly leads to the correct diagnosis.

General reactions very varied. In younger individuals, fever is rare, while in children, even primary tonsillogenic infection often occurs with a high fever. ROE is slightly accelerated or normal. The Mantoux reaction is almost always positive. There are, however, undoubted cases of tuberculosis of the cervical lymph nodes (bacteria found) with a negative Mantoux reaction (up to 1: 100) (Toblér).

b) In addition to the classical cases tuberculosis of the cervical lymph nodes, more and more atypical clinical cases are observed in which the histologically established diagnosis of tuberculosis is surprising. Unlike cervical tuberculous lymphoma, which, according to its nosological position as a primary complex, affects almost exclusively persons under the age of 25, the second form can develop at any age. The lymph nodes are very dense, generally do not get soldered with the skin, ranging in size from a pea to a small hazelnut. In most cases, the cervical lymph nodes are also affected. This is probably about hematogenous dissemination. According to my observations, the picture is not of the same type. With such data, you should always look for the root cause.

In the last cases I observed, it was about tuberculous lesion of the lymph nodes with tuberculous polyserositis, ovarian cancer, lymphogranulomatosis and tuberculosis of the apex of the lungs.
Tuberculosis of the cervical lymph nodes must be differentiated from swelling of the cysts of the branchial canals.

Chronic or acute. Cervical localization almost immediately manifests itself in the form of typical symptoms, which makes it possible to start therapy on time and, accordingly, a quick recovery.

Most often, cervical lymphadenitis occurs against the background of a disease of the oral cavity, which can be caused by infection with microorganisms, viruses or bacteria. A distant purulent focus can also become a prerequisite for lymphadenitis.

Causes of lymphadenitis

Quite often, inflammation of the lymph nodes is preceded by the process of suppuration in the face area. Staphylococci and streptococci are the most common pathogens. Depending on the cause of the occurrence, lymphadenitis is divided into specific and nonspecific.

The cause of specific lymphadenitis can be severe infectious diseases such as diphtheria, tuberculosis and others. The nonspecific form of the disease occurs due to the direct infection of the infection into the lymph node. This can happen through a wound in the neck.

The risk group for cervical lymphadenitis (ICD 10 - L04) includes patients with a weakened immune system, children often suffering from infectious diseases, adults working with animals, soil and dirty water. Most cases occur in patients over 18 years of age.

Provoking factors

There are several factors that determine the risk of the disease:

infectious disease of the nasopharynx and oral cavity;
endocrine system disorders, including the thyroid gland;
AIDS virus;
allergic reaction with complications;
pathology of the metabolic process;
excessive consumption of alcoholic beverages.

Cervical lymphadenitis (ICD 10 - L04) is not contagious, it is a secondary process that occurs as a complication of a viral or bacterial infection. Depending on the concomitant diseases, lymphadenitis is treated by an otolaryngologist, infectious disease specialist, surgeon, etc.

At the initial stage, lymphadenitis manifests itself in an acute form, gradually turning into a chronic stage. Sometimes they do not appear at the introductory stage. It depends on the state of the patient's immunity.

Views

Types of cervical lymphadenitis (ICD 10 - L04) are presented below:

nonspecific inflammation occurs against the background of a fungal or viral infection entering the lymph node, is easier to treat, less often leads to complications;
specific inflammation is a sign of severe pathology, including tuberculosis, syphilis, typhoid fever and plague

In this case, the diagnosis takes place already at the stage of the chronic course. There are several stages of the disease in an acute form:

Serous... Does not cause intoxication and severe fever. The initial stage of penetration of a harmful microorganism into the lymph node.
Purulent... Indicates contamination by bacteria. It is accompanied by high fever and requires surgery.
Complicated... Requires emergency surgical intervention, as it can lead to infection of the whole body.

The course of the nonspecific form of cervical lymphadenitis (ICD code 10 - L04) is characterized by the spread of viruses and fungi through the lymph node. This form responds well to therapy and rarely causes complications. The spread of the disease to other lymph nodes can lead to the development of a severe pathology called generalized lymphadenitis.

Signs of cervical lymphadenitis

Common symptoms suggestive of lymphadenitis are:

an increase in temperature in the acute stage of the course of the disease;
sleep disturbance, loss of appetite, weakness;
neurological disorders, apathy, dizziness, migraines;
intoxication.

At the beginning of acute cervical lymphadenitis (ICD code 10 - L04), there is a thickening and enlargement of the lymph nodes. Palpation is painful. This is considered a serous stage and requires medical attention. Otherwise, the disease will progress and become chronic.

Signs characterizing the chronic form of lymphadenitis are:

swelling of the lymph nodes;
increased body temperature;
drowsiness, general malaise, sleep disturbance;
slight pain on palpation.

At the stage of the chronic course of lymphadenitis of the cervical lymph nodes (ICD 10 - L04), the symptoms become mild. This is due to the fact that the body reduces the amount of resources spent on fighting the disease and gets used to the existing state. As a result, the body becomes intoxicated with decay products and areas that have undergone necrosis.

Purulent tissue damage leads to an increase in the external manifestations of the disease and, as a result, quickly aggravates. A purulent stage will be indicated by pulsation and severe pain, as well as severe swelling of the lymph nodes. This condition is considered life-threatening and requires immediate intervention.

Diagnostic methods

How is cervical lymphadenitis detected (ICD 10 - L04)? During the examination, the specialist palpates the affected lymph nodes, as well as the tissues surrounding them, in order to determine the cause of the disease. A general blood test will give information about the presence of an inflammatory process, accompanied by an increase in the number of lymphocytes.

If lymphadenitis is diagnosed without accompanying complications, then immediate treatment is required. If the doctor observes changes in other organs and systems, an additional examination is required, including the following tests:

general and biochemical blood test;
examination for the histology of the lymph node material by puncture;
chest x-ray (performed if tuberculosis is suspected);
Ultrasound of the abdominal cavity, if the cause of the inflammatory process has not been established;
blood test for immunodeficiency virus and hepatitis.

Regardless of the stage of the disease, a visit to the doctor is a strictly mandatory procedure. An exacerbation of lymphadenitis can occur at any time.

Treatment

Purulent cervical lymphadenitis (ICD 10 - L04) is treated exclusively by surgery. The lesion is opened, the contents are removed, the wound is treated and drained. After this, symptomatic therapy is carried out. Conservative treatment is carried out depending on the factor that caused the disease. Most often, analgesics, restorative drugs and anti-inflammatory drugs are prescribed. During the period of remission, physiotherapy is allowed.

Preventive measures

With regard to prevention, it is necessary to immediately treat purulent and inflammatory diseases that occur in the chest and face. Since the disease can occur against the background of infection of the oral cavity, you should regularly visit the dentist for preventive purposes.

In addition, the prevention of lymphadenitis involves the intake of vitamin-mineral complexes, the timely treatment of scratches and wounds on the skin, as well as the treatment of abscesses, boils, etc. It is unacceptable to treat lymphadenitis at home. Inflamed lymph nodes should not be warmed up or compresses should be applied to them!

Inflammation of the lymph nodes, or lymphadenitis, is one of the most common pathologies occurring in the human body. This is not an independent disease: it occurs as a result of infections of various origins, provoked by viruses, bacteria and fungus.

Lymphadenitis is a common disease

Types of lymphadenitis

Depending on the nature and duration of the course of the disease, all lymphadenitis can be divided into subtypes:

chronic;
sharp.

Also, lymphadenitis can be:

Isolated - 1 lymph node is inflamed.
Regional - the inflammatory process affects a group of neighboring limo nodes.
Total - lymphadenitis is common throughout the body.

The course of the disease is divided into specific and nonspecific: the first type includes inflammation as a result of tuberculosis, AIDS, toxoplasmosis or tumors, the second - all other types of lymphadenitis.

According to the "International Classifier of Diseases", better known as ICD-10, lymphadenitis is divided into groups according to the location. They relate to diseases of the skin and subcutaneous tissue (ICD-10 code - L04), as well as diseases of the circulatory system (code - I88).

Acute lymphadenitis of the neck, head and face (L04.0)

About a third of the lymph nodes in the human body are localized in the head and neck region, which belong to the L04.0 group:

submandibular;
occipital;
cervical;
preauricular.

Inflammation of these lymph nodes occurs after tonsillitis and other bacterial diseases of DP, with herpes, influenza and SARS, due to dental diseases and inflammatory processes in the mouth. Also, lymphadenitis can occur due to untreated wounds in the neck, face and cheeks. Another reason is infectious skin diseases.

Symptoms of lymphadenitis in this group include pain and discomfort in the affected area, inconvenience when swallowing, fever in children. Lymphadenitis on the back of the head, behind the ears and under the chin is also noticeable visually: small spherical seals stand out on the skin and hurt when touched. What the disease looks like under the code L04.0 can be seen in the photo.

Inflammation of the lymph node in the neck

Inflammation of the lymph nodes behind the ears

Inflamed lymph node behind the ear

Acute lymphadenitis of the trunk (L04.1)

This group includes inflammation of the lymph nodes of the trunk, which are located in the abdominal and thoracic regions.

These include:

abdominal or mesenteric lymph nodes;
retrocrural lymph nodes;
paraortal, paracaval lymph nodes;
supraclavicular and subclavian lymph nodes.

Inflammation of the lymph node in the chest area

Such an arrangement of lymphadenitis may indicate viral and bacterial infections, as well as a specific type of disease resulting from tuberculosis, HIV infection, and oncology of the abdominal and thoracic region.

Symptoms of the disease include severe chest or abdominal pain, fever, lethargy, and loss of appetite.

Acute lymphadenitis of the upper limb (L04.2)

Lymphadenitis of the upper limb includes inflammation of the lymph nodes of the elbow and armpit. Most often, the lymph node is enlarged on one side, and visually represents a swollen reddish lump.

Axillary and ulnar lymphadenitis occurs due to infections of various etiologies:

tonsillitis, tonsillitis, laryngitis and other bacterial diseases;
flu and herpes, ARVI;
inflammatory diseases of the oral cavity;
infected wounds and abrasions in the armpit, chest and arms.

Inflammation of the lymph node of the elbow

Also, inflammation of the lymph nodes in the axillary region can talk about mastopathy and mastitis that occur after childbirth and during feeding. In this case, the symptom manifests itself before menstruation, 2-3 days before the onset of menstruation, and disappears on its own after a week.

Signs of the disease, in addition to noticeable swelling of the lymph node, include pain and discomfort in this area, possible itching, fever.

Acute lymphadenitis of lower limb (L04.3)

Lymphadenitis of the lower extremity includes inflammation of the inguinal and popliteal lymph nodes. They can develop as a result of inflammation of the soft tissues of the legs, hypothermia, wounds and abrasions, infected calluses and uncomfortable shoes.

Also, the causes of inguinal lymphadenitis include diseases of the genital organs:

urethritis;
prostatitis;
vaginitis;
gonorrhea;
chlamydia.

Inguinal lymph node inflammation

Most often, inflammation of the lymph nodes of this group occurs in adults.

Acute lymphadenitis of the lower extremities is accompanied by severe pain at the site of inflammation, discomfort, noticeable induration and swelling of the lymph node.

Nonspecific mesenteric lymphadenitis (I88.0)

Nonspecific mesenteric lymphadenitis is an inflammation of the mesenteric lymph nodes resulting from a bacterial or viral infection.

The causative agents of mesenteric infection include:

streptococci and staphylococci;
enteroviruses;
salmonella;
mononucleosis.

With nonspecific mesenteric lymphadenitis, the stomach hurts badly

The disease is characterized by severe abdominal pain, fever, vomiting and nausea. Stool and gastrointestinal disorders are also often observed: diarrhea, constipation, hiccups.

Chronic lymphadenitis (I88.1)

Chronic lymphadenitis is inflammation of the lymph nodes that lasts for a long time. It can be unilateral and bilateral, specific or nonspecific, localized in different parts of the body.

The chronic course of the disease can be due to:

complications of angina, bronchitis and tonsillitis;
purulent boils and ulcers on the body;
oral infections;
fungal infections;
tuberculosis;
AIDS and HIV infection.

With chronic lymphadenitis, pain decreases

As in the case of acute lymphadenitis, the disease is accompanied by induration and enlargement of the lymph nodes. At the same time, the swollen and hard lymph node practically does not hurt and remains mobile. Other symptoms such as fever, redness, pain, and weakness are also less severe.

Which doctor should I go to?

For inflammatory processes in the lymph nodes it is necessary. He will examine and interview the patient, take tests, and then make a preliminary diagnosis and refer to specialists of a narrow profile, if necessary.

Depending on the location of lymphadenitis, these can be:

- inflammation of the cervical, parotid, sublingual lymph nodes;
- inflammation of the lymph nodes under the jaw;
- inguinal lymphadenitis in diseases of the genital organs;
mammologist - axillary and supraclavicular lymphadenitis;
- purulent process with lymphadenitis.

If inflammation of the lymph nodes occurs in a child, you should either go to the family doctor.

Diagnosis of lymphadenitis

To establish the cause and type of lymphadenitis, a specialist needs to perform diagnostic manipulations.

These include:

Examination and questioning of the patient, study of the anamnesis.
General and biochemical blood tests.
X-ray examination.
Ultrasound procedure.
Biopsy of the inflamed lymph node.

To identify the causes of inflammation of the lymph nodes, ultrasound is used

X-rays and ultrasound are used for abdominal and thoracic lymphadenitis, when it is not possible to find out their size and number during the examination. A biopsy is rarely used and only when a specific type of disease is suspected.

Lymph node inflammation treatment

It is possible to eliminate the symptoms of pathology with the help of medicines, alternative methods of treatment and physiotherapy.

Medicines

Group name	Effects on lymphadenitis	Representatives
Antibacterial drugs	Antibiotics destroy the cell membrane of bacteria, which leads to their death. They are used for the bacterial type of infection.	Amoxiclav, Clindamycin, Azithromycin
Antiviral drugs	They inhibit the development of the virus by suppressing DNA replication or inhibiting neuraminidase. They are used for viral lymphadenitis.	Amantandine, Remantandine, Tamiflu
Antifungal drugs	Drugs that increase the permeability of the membrane of the fungus, which interferes with their reproduction and destroys the fungus from the inside.	Fluconazole, Amphotericin B
Antiseptics	Prevents the development of infection that occurs when the skin is injured.	Vishnevsky ointment,
Non-steroidal anti-inflammatory drugs	Medicines that suppress the formation of prostaglandins and have a strong anti-inflammatory effect.	Ibuprofen, Ketorol, Nimesil
Antispasmodics	They are used for mesenteric lymphadenitis of viral, bacterial or tuberculous origin. Relieve pain syndrome.	No-Shpa, Drotaverin
Antihistamines	They constrict blood vessels in the focus of inflammation, reduce capillary permeability, weaken and nullify the inflammatory process.	Cetirizine

How to treat folk remedies at home

If an accurate diagnosis has not been established, and there are no medicines at hand, you can use alternative methods of treatment. These include compresses and drinks made from vegetables, herbs and herbs, as well as echinacea tincture.

Echinacea use

To get rid of lymphadenitis, a compress is made from echinacea - an effective remedy that resolves inflammation:

50 ml of tincture is mixed with 100 ml of water. The mixture is infused for half an hour.
Gauze or a napkin is moistened with a solution and applied to the inflamed area.
A small layer of cotton wool or soft cloth is laid out on top.
The compress is fixed to the area with a bandage and lasts until it dries.

Compresses with echinacea tincture help get rid of lymphadenitis

Beetroot juice, obtained from a vegetable or its foliage, has a strong cleansing effect and also improves the functioning of the lymphatic system.

To cure lymphadenitis, you need to use it like this:

Squeeze the juice out of the beets using a juicer. It is advisable to pre-cut it into pieces.
Let the juice sit for noon.
Drink 100 ml each on an empty stomach, morning and evening.

Beetroot juice is useful for lymphadenitis

If the remedy is given to a child, the amount of juice should be halved. It is also advisable to add a little carrot juice to make the drink tastier.

Anti-inflammatory collection

Herbal preparations that relieve inflammation - you can use either ready-made pharmaceuticals or mix the following ingredients yourself:

peppermint;
raspberry leaves and berries;
dandelion root;
Linden blossom;
wormwood herb.

The components must be dried and mixed in equal proportions. 4 tbsp. l. the resulting collection is poured with 1 liter of boiling water, the infusion is allowed to brew for noon, and then half a glass is drunk 3-4 times a day.

Herbal tea helps relieve inflammation

Celandine compress

Celandine is an effective disinfectant and anti-inflammatory agent. To combat lymphadenitis, it can be applied to fresh leaves, they must be scalded with boiling water, cooled slightly and applied to the affected area for 30-40 minutes.

Celandine compress is made like this:

25 ml of celandine is diluted in 100 ml of water. The mixture is infused for half an hour.
The gauze is soaked in the solution and applied to the lymph node.
The compress is covered with cotton or a soft cloth, fixed with a bandage and lasts an hour.

Apply compresses with celandine on inflamed lymph nodes

Horsetail is a blood purifier that improves the functioning of the lymphatic system.

The infusion from it is taken orally and prepared as follows:

A tablespoon or 1 pharmacy sachet of herbs is brewed in 250-300 ml of boiling water.
The mixture is infused for 20-30 minutes, after which it is filtered.
It is taken 3 times a day, half an hour before meals.

Horsetail infusion improves the lymphatic system

To enhance the effect, it is worth making a decoction of knotweed herb according to the same recipe. Reception of infusions should be alternated with an interval of 2 days.

Physiotherapy

Physiotherapy is the effect of physical factors on the body to treat a disease. The use of the method for lymphadenitis reduces inflammation, accelerates tissue regeneration, and also facilitates the general condition of the patient.

Physiotherapy methods used for inflammation of the lymph nodes:

Ultra-high-frequency, or UHF therapy. It acts on the body with an electromagnetic field with a high frequency, increasing the temperature and expanding blood vessels. This helps leukocytes get to the inflammation faster, which speeds up recovery.
Laser therapy. It acts on the tissues of the body with light waves, improving microcirculation, relieving pain and relieving inflammation in the lymph node. Accelerates regeneration, helps with all types of lymphadenitis.
Galvanization. It acts on the body with a weak electrical current of low voltage, relieving pain, restoring tissues and nerve fibers, stimulating microcirculation inside the lymph node.

UHF therapy speeds up the healing process

When using these methods, lymphadenitis goes away faster, but they cannot completely replace drug therapy. Physiotherapy should be used as an adjuvant and only under medical supervision to avoid complications.

If lymphadenitis is not treated, thrombophlebitis may develop.

Prophylaxis

To prevent inflammation of the lymph nodes, preventive measures should be followed.

These include:

Timely treatment of bacterial and viral diseases.
Treatment of purulent skin lesions of any genesis.
Oral cavity care: routine dental consultations, hygiene.
Hygiene of the mammary glands, especially when breastfeeding.
Protection during intercourse to avoid STDs.
Antiseptic treatment of cuts, abrasions and wounds.
Correction of immunity with vitamins, diet and special preparations.

Take Vitamins to Strengthen Immunity

Inflammation of the lymph nodes is not a full-fledged disease, but an unpleasant symptom, indicating a serious pathology in the body. If it is not treated on time, lymphadenitis can lead to serious complications and consequences.

In Russia, the International Classification of Diseases of the 10th revision (ICD-10) has been adopted as a single normative document to take into account the incidence, the reasons for the population's visits to medical institutions of all departments, and the causes of death.

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. No. 170

A new revision (ICD-11) is planned by WHO in 2017 2018.

As amended and supplemented by WHO

Processing and translation of changes © mkb-10.com

Inguinal lymphadenitis

Inguinal lymphadenitis is a type of inflammation of the lymph nodes. The main function of the lymphatic system is to protect the body from various kinds of external influences. This is done by the formation of special immune cells in it, which protect the body from all kinds of infections. Thus, human health directly depends on the state of the lymphatic system. If a person has inflammation of the lymph nodes, this indicates the presence in the body of an infection that is dangerous to health.

Inguinal lymphadenitis in men and women is a secondary disease that occurs due to the presence of inflammation in any part of the body. The most common cause of inguinal lymphadenitis is a sexually transmitted disease. Primary inflammation of the lymph nodes occurs very rarely, and its pathogens are pathogenic microflora.

Inguinal lymphadenitis symptoms

The main symptoms of inguinal lymphadenitis in women and men are:

induration and enlargement of the lymph nodes in the groin;
increased body temperature;
a state of general malaise, weakness;
the appearance of painful sensations in the groin and lower abdomen during physical exertion and walking;
redness of the skin around the lymph nodes.

It happens that inguinal lymphadenitis spreads to all lymph nodes. If lymphadenitis is purulent in nature, then its result may be an abscess, in which the walls of blood vessels decompose, accompanied by constant bleeding. In this case, immediate treatment of inguinal lymphadenitis is necessary.

Causes of inguinal lymphadenitis

If you suspect lymphadenitis, you should immediately contact a therapist, who, in turn, can refer the patient for consultation to other specialists and for an examination.

Sometimes the cause of inguinal lymphadenitis can be a serious disease such as syphilis. Inguinal lymphadenitis in men may be the result of metastasis of malignant formation of the testicles or penis. In women, inguinal lymphadenitis often occurs as a result of ovarian cysts and various fungal diseases.

In children, inflammation of the inguinal lymph nodes is extremely rare. If it occurs, then this indicates the presence of damage to the skin surfaces of the lower extremities as a result of abrasions, cuts and injuries. If, after the healing of all wounds, the lymph nodes continue to become inflamed, it is urgent to show the child to a specialist.

Inguinal lymphadenitis treatment

The exact diagnosis and the main cause of inguinal lymphadenitis can only be determined by a doctor. Therefore, the patient should not self-medicate, but seek the advice of a specialist.

Inguinal lymphadenitis treatment can be conservative or operative. Conservative treatment is used at an early stage of the disease. The patient is prescribed adequate antibiotic therapy. During treatment, the patient is shown complete rest and warmth, but it is strictly forbidden to warm up the inflamed lymph node itself. Heat provokes the further course of the inflammatory process. It should also be borne in mind that lymphadenitis may be the result of a malignant tumor, and in this case, heating is strictly prohibited, since it promotes the spread of cancer cells. For the treatment of the disease, special aseptic dressings of local action are widely used.

If the inguinal lymphadenitis has developed into a purulent form, then it can cause necrosis of the surrounding tissues. In this case, the treatment of inguinal lymphadenitis is only surgical. The surgeon makes an incision in the inflamed lymph node, extracts pus from there, and removes nearby dead tissue. With the help of antimicrobial and antiseptic drugs, the doctor drains the opened cavity.

For the treatment of the chronic form of inguinal lymphadenitis, it is first of all necessary to determine the cause of the disease. If the cause is any sexually transmitted disease, then the main treatment should be aimed at eliminating it. As a rule, after eliminating the cause, the inflammation of the lymph nodes goes away on its own. If the inflammation does not disappear, the doctor prescribes an additional X-ray examination and prescribes treatment aimed at strengthening the patient's immunity.

Today, doctors try to resort to surgical intervention only in extreme cases, since it has been proven that it can lead to an incorrect outflow of lymph, which, in turn, leads to lymphostasis or elephantiasis.

Lymphadenitis encoding according to ICD

In 2007, the World Health Organization carried out 10 revisions of the classification of diseases in order to subordinate them to the international coding of diagnoses, and as a result, 22 subsections were obtained. According to the generally accepted standard for ICD 10, the lymphadenitis code is L04, with the exception of some diseases, which we will consider below.

What is lymphadenitis

Lymphadenitis is a disease of the lymph nodes associated with their inflammation, reaching an infectious-purulent form. Pathology is unpleasant not only with painful sensations, discomfort, but also with the fact that it affects the appearance. Most often, you can find inflammatory processes in the neck, jaw, armpits.

The trigger signal is the ingress of an infection or a pyogenic microorganism into the lymph node. They enter the system from blood or lymphatic fluid. The first symptoms are most often painful sensations, accompanied by weakness, malaise, fever, headache, enlargement of the lymph nodes in size.

There are several classifications of this disease, which are also reflected in the ICD 10. Depending on the duration of the course, there is an acute and chronic form. Depending on the location, they are distinguished:

submandibular lymphadenitis;
pathology in the neck;
inflammation of the nodes of the armpits;
inguinal lymphadenitis.

Patients with similar diagnoses are hospitalized. The doctor prescribes medication, physiotherapy, and rest.

By the nature of the infection, a purulent stage can be distinguished, accompanied by constant, throbbing pain, compaction, redness of the skin in the area of inflammation. This type can lead to serious complications, sepsis, as it quickly spreads to neighboring lymph nodes, penetrates into nearby tissues and cells. Purulent pathology requires mandatory surgical intervention, drainage. In the absence of pus, the disease is much easier, does not require surgical intervention, and does not change the condition of the skin.

Classification according to ICD10

Lymphadenitis in ICD 10 can be found in three sections:

Diseases of the circulatory system include a chronic type of disease under number I1, nonspecific mesenteric in acute or chronic form - I88.0, nonspecific unspecified - I88.9, as well as other forms of nonspecific pathology - I88.8.
Diseases of the skin and subcutaneous tissue L04 include an acute form of pathology, numbered according to the place of localization: 0 - face, head and neck, 1 - trunk, 2 - upper limbs (including armpits, shoulder), 3 - lower limbs, pelvic area, 8 - other sites, 9 - unspecified.
Lymph node enlargement can be attributed more to symptomatology than diagnosis, however, it also has a separate classification: R59.0 - well-defined localization, R59.1 - generalized enlargement, lymphadenopathy NOS (except for HIV, which is included in B23.1), R59.9 - unspecified form.

Based on the above classification, it is possible to clearly determine where this or that diagnosis belongs. For example, cervical lymphadenitis in ICD 10 refers to L04.0. This approach makes it possible to standardize medical records around the world.

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Scottped on Acute gastroenteritis

Self-medication can be hazardous to your health. At the first sign of disease, consult a doctor.

ICD 10. Class XII (L00-L99)

ICD 10. CLASS XII. DISEASES OF THE SKIN AND SUBCUTANEOUS CELLS (L00-L99)

Excludes: certain conditions originating in the perinatal period (P00-P96)

complications of pregnancy, childbirth and the puerperium (O00-O99)

congenital malformations, deformities and chromosomal abnormalities (Q00-Q99)

endocrine system diseases, 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 connective tissue disorders (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's] (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, boil 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 Skin abscess, boil and carbuncle of neck

L02.2 Abscess of skin, boil and carbuncle of trunk. Abdominal wall. Back [any part other than 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

Excludes1: pilonidal cyst with abscess (L05.0)

L02.4 Abscess of skin, furuncle and carbuncle of limb

L02.8 Abscess of skin, furuncle and carbuncle of other sites

L02.9 Skin abscess, boil 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 trunk The walls of the abdomen. Backs [of any part]. Chest wall. Groin. Perineum. Navel

Excludes1: omphalitis of newborn (P38)

L03.8 Cellulitis of other sites

Heads [any part other than the face]. Scalp

L03.9 Phlegmon, unspecified

L04 Acute lymphadenitis

Included: abscess (acute)> any lymph node,

acute lymphadenitis> except mesenteric

Excludes: enlarged lymph nodes (R59.-)

human immunodeficiency virus disease

[HIV], manifested as a 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 of the upper limb. Armpit. Shoulder

L04.3 Acute lymphadenitis of the lower limb. Pelvic girdle

L04.8 Acute lymphadenitis of other sites

L04.9 Acute lymphadenitis, unspecified

L05 Pilonidal cyst

Includes: fistula> 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 blister 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 exposure to radiation (L55-L59)

L20 Atopic dermatitis

Excludes1: limited 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 it is necessary to identify the medicinal product, an additional code of external causes (class XX) is used.

L23.4 Allergic contact dermatitis due to dyes

L23.5 Allergic contact dermatitis due to other chemicals

Cement. Insecticides. Plastic. Rubber

L23.6 Allergic contact dermatitis due to food in 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, an additional code of external causes (class XX) is used.

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, an additional code of external causes (class XX) is used.

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 (occupational) NOS

L26 Exfoliative dermatitis

Excludes: Ritter's disease (L00)

L27 Dermatitis due to ingested substances

allergic reaction NOS (T78.4)

L27.0 Generalized skin rash due to drugs and medication

If it is necessary to identify the medicinal product, an additional code of external causes (class XX) is used.

L27.1 Localized skin eruption due to drugs and medication

If it is necessary to identify the medicinal product, an additional code of external causes (class XX) is used.

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 pruritus

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 Chronic lichenoid pityriasis

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, an additional code of external causes (class XX) is used.

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 Pediatric 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.

Excludes: 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, an additional code of external causes (class XX) is used.

L56.1 Photoallergic drug reaction

If it is necessary to identify the medicinal product, an additional code of external causes (class XX) is used.

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)

Excludes: congenital malformations of the 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 of 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, an additional code of external causes (class XX) is used.

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 color and hair shaft abnormalities

Excludes: knotted 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 Breakage of hair

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 it is necessary to identify the drug that caused the lesion, an additional external cause code (class XX) is used.

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 Beard hair pseudofolliculitis

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 Crystalline 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

Excludes: birthmark NOS (Q82.5)

Peutz-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> 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, 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 caused by 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 Lipoid necrobiosis, not elsewhere classified

Excludes: 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, an additional external cause code (class XX) is used.

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 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

lower limb ulcer NEC (L97)

L98.5 Mucinosis of the skin Focal mucinosis. Lychen myxedema

Excludes: focal oral mucinosis (K13.7)

L98.6Other 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

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Treatment with folk remedies

You can try to get rid of the unpleasant symptoms of the above-described disease with the help of folk recipes. Traditional medicine has long established itself as an excellent remedy for many serious ailments.

Treatment of submandibular lymph nodes is carried out with echinacea tincture, which can be purchased at any pharmacy. 30 drops of tincture must be dissolved in half a glass of water and drunk three times a day.

You can treat the above ailment with a blueberry drink. To prepare it, knead half a glass of blueberries and pour 1 glass of water. The resulting gruel must be set aside for 1 hour. After that, everything should be stirred and drunk before each meal.

Dandelion Powder: 100 g of dried dandelion roots must be crushed and eaten 1 small spoon before meals. It is necessary to treat submandibular lymphadenitis with such a folk medicine until positive results appear.

Doctors warn that it is necessary to treat the above-described disease with folk remedies with extreme caution. The thing is that homemade recipes often cause the development of a rather serious allergic reaction.

Today, doctors are trying to resort to surgical intervention only in extreme cases, since it has been proven that it can lead to improper outflow of lymph, which, in turn, leads to or elephantiasis.

Lymphadenitis is an inflammation of the lymph nodes, often accompanied by a purulent process. The most common cause of lymphadenitis are streptococci and staphylococci, which enter the lymph nodes with lymphangitis. For the most part, lymphadenitis is localized in the armpit and groin. More often you can find lymphadenitis in children.

Causes of lymphadenitis

The causative agent of the disease is pyogenic microorganisms, which from foci of purulent inflammation (panaritium, phlegmon, etc.) penetrate into the lymph nodes. This happens by direct contact with microorganisms, as well as through the blood or lymph.

Lymphadenitis can be purulent or non-purulent, and by the duration of the course, acute or chronic lymphadenitis is distinguished. A purulent-inflammatory process can spread to one lymph node, or affect nearby ones. With purulent lymphadenitis, the formation of an extensive focus of suppuration in soft tissues is characteristic - adenophlegmon.

Lymphadenitis symptoms

A characteristic sign of lymphadenitis in children and adults is severe pain, which forces the patient to hold the limb in a certain position. The patient's body temperature rises and edema occurs. In the late stage of lymphadenitis, fluctuation and leukocytosis may develop.

Types of lymphadenitis

Lymphadenitis is acute, chronic, specific and nonspecific.

The main cause of nonspecific lymphadenitis are staphylococci, streptococci, less often other pyogenic microbes and tissue decay products from primary foci of infection. Primary foci are purulent wounds, boils, erysipelas, thrombophlebitis, trophic ulcers, etc. Microbes and toxins enter the lymph nodes by contact, hematogenous and lymphogenous pathways. Also, microbes can penetrate directly into the lymph node when injured. In this case, lymphadenitis is the primary disease.

The ingress of microbes into the lymph nodes provokes an inflammatory process, as a result of which hemorrhagic, serous, fibrinous purulent lymphadenitis may occur. If you do not treat lymphadenitis, the disease can lead to irreversible processes - necrosis, abscess formation, ichorous decay of lymph nodes. At the initial stage of the disease, the endothelium sloughs off, the sinuses expand, and congestive hyperemia occurs.

In simple lymphadenitis, inflammation, as a rule, does not go beyond the lymphatic capsule. If the disease has a destructive form, the inflammatory process can spread to the surrounding tissues.

Nonspecific lymphadenitis can be acute or chronic.

Acute nonspecific lymphadenitis begins with headache, swollen lymph nodes, and soreness. Also, the symptoms of lymphadenitis include fever and general malaise. If the inflammatory process is not pronounced, then the general condition of the patients suffers little. There is soreness of the lymph nodes, an increase in their size, induration. With the progression of the disease and the transition of the inflammatory process into a destructive form, all the symptoms of lymphadenitis intensify. The pains become sharp, and the skin over the lymph nodes is hyperemic.

With the development of adenophlegmon, the general condition of patients deteriorates sharply. The body temperature rises sharply, sometimes to critical levels, tachycardia, chills, severe weakness, headaches occur.

Nonspecific acute lymphadenitis is fraught with the development of complications such as thrombophlebitis, the spread of a purulent process to the cellular spaces and metastatic foci of infection (lymphatic fistulas, septicopyemia).

Chronic nonspecific lymphadenitis in children and adults can occur from acute lymphadenitis or be the result of recurrent inflammatory diseases, such as chronic, microtrauma, inflammatory processes in the teeth, etc. As a rule, chronic lymphadenitis rarely turns into a purulent form.

Symptoms of chronic nonspecific lymphadenitis include: enlargement and thickening of the lymph nodes, which remain enlarged and slightly painful for a long time. Sometimes complications such as edema, elephantiasis, and lymph circulation disorder occur.

The causes of specific lymphadenitis are mainly other diseases. For example, tuberculous lymphadenitis can most often be found in children during the period of primary tuberculosis.

In the acute stages of specific lymphadenitis, there is a strong increase in body temperature, an increase in lymph nodes, symptoms of intoxication of the body, inflammatory-necrotic processes in the lymph nodes.

Diagnosis of lymphadenitis

To diagnose the disease, the doctor looks at the patient's general clinical symptoms and anamnestic information.

To clarify the diagnosis, the patient is shown a puncture biopsy of the lymph node. In especially severe cases, it is possible to remove the lymph node for the purpose of histological examination.

Lymphadenitis treatment

The method of treatment of acute nonspecific lymphadenitis depends on the severity of the process. In the initial stages, predominantly conservative treatment is used. For the affected organ, complete rest, UHF treatment and adequate treatment of the focus of infection are shown (drainage of the abscess, timely opening of abscesses and phlegmon, opening of purulent streaks). The patient is prescribed antibiotic treatment. Purulent lymphadenitis is mainly treated surgically: adenophlegmon, abscesses are opened, pus is removed, and the wounds are drained.

Treatment of chronic nonspecific lymphadenitis is aimed at eliminating the underlying disease, which provoked lymphadenitis.

Specific lymphadenitis is treated depending on the nature of the damage to the lymph nodes and the severity of tuberculous changes in the organs. If the process is active, the patient is prescribed first-line drugs: streptomycin, tubazide in combination with ethionamide, PASK, pyrazinamide, protionamide, ethambutol. Treatment of specific lymphadenitis is long-term (up to one and a half years). With a pronounced purulent process, the patient is prescribed antibiotic therapy.

Prevention of lymphadenitis

First of all, for the prevention of lymphadenitis, it is necessary to try to avoid injuries, effectively fight wound infections and rationally and timely treat purulent-inflammatory diseases.

Lymphadenitis is an inflammatory process in the lymph nodes, in most cases of a purulent nature. The disease is common in both children and adults. As a rule, the foci of inflammation are located in the neck, as well as in the submandibular, axillary and groin areas.

There are several types of lymphadenitis, depending on the severity of the course of the disease:

purulent and purulent;
chronic and acute;
with single or multiple lesions of the lymph nodes;
nonspecific and specific.

Lymphadenitis: ICD-10 code

International Classifier of Diseases, Tenth Revision (ICD 10).

Acute lymphadenitis (code MKD-10) is assigned to class XII "Infections of the skin and subcutaneous tissue" and corresponds to the L04 coding. If there is a need to indicate the causative agent of the disease, then additional identification is used, having codes B95-B97.

Acute lymphadenitis in ICD-10 is subdivided depending on the location of the lesions:

L04.0 - in the neck, face, head;
L04.1 - in the lymph nodes of the trunk;
L04.2 - in the armpits, on the shoulders;
L04.3 - Lymph nodes in the pelvic region are affected;
L04.4 - lesions are localized in other areas;
L04.5 Lymphadenitis, type unspecified.

The nonspecific form of lymphadenitis is included in class IX "Diseases of the veins, lymphatic vessels and nodes".

Lymphadenitis (ICD): causes

As an independent primary disease, lymphadenitis develops in isolated cases. The disease is a consequence of infection of the lymph nodes with pathogens. Disease-causing bacteria include:

staphylococcus;
streptococcus;
Pneumococcus;
colibacillus;
Pseudomonas aeruginosa.

In many cases, the causes of lymphadenitis are diseases of the internal organs. For example, pathogenic bacteria can spread through the body with the blood stream, settle in the lymphatic system and cause inflammation of the lymph nodes in cases of infection in the ovaries, inflammatory processes in the intestines, and liver diseases.

The rarest method of injury is contact - when bacteria directly enter the lymph nodes in violation of their integrity (in case of injury).

The most common cause of lymph node induration, growth and inflammation is a nonspecific infection. Lymphadenitis, provoked by opportunistic pathogens, is characteristic of the femoral, popliteal, inguinal, axillary, elbow, cervical and submandibular zones. In this case, the risk factor for the reproduction of microorganisms is: hypothermia, stress, injury to the lymph nodes, etc.

Lymph nodes are a kind of filters that prevent the penetration of pathogenic bacteria into the human body. When the number of infectious particles is too large, then the lymphatic system may not be able to cope, and the development of inflammatory processes is observed. Lymphadenitis indicates a weakened immune system caused by a number of factors.

Types of lymphadenitis

Depending on which lymph nodes the inflammatory process has arisen, lymphadenitis is isolated:

submandibular;
cervical;
inguinal;
axillary

Submandibular lymphadenitis (ICD) is the most common type of disease. It develops in the case of advanced caries, gum disease or chronic tonsillitis. Pathology is characterized by a gradual increase in symptoms.

Cervical lymphadenitis according to MBK is characterized by inflammatory processes in the cervical lymph nodes. The cause of the development of the disease is infectious and inflammatory processes in the upper respiratory tract. As a rule, this type of lymphadenitis occurs in children, as a result of pneumonia, influenza or ARVI. In adults, it may indicate tuberculosis or syphilis.

Inguinal lymphadenitis in the MBC is a secondary inflammatory process when pathogenic microorganisms enter the inguinal lymph nodes with the flow of lymph or blood.

What is the danger of lymphadenitis

The development of a focus of inflammation in the lymph nodes entails purulent serous, hemorrhagic and fibrotic changes.

Lymphadenitis at an advanced stage can lead to tissue necrosis, sepsis, ichorosis of the lymph nodes and abscess formation.

The nonspecific form of lymphadenitis can develop into thrombophlebitis with the formation of metastatic infectious foci.

Complications of chronic nonspecific lymphadenitis include: lymphostasis, elephantiasis, edema, dysfunction of lymph circulation.

Lymphadenitis in women is often diagnosed during pregnancy, which is associated with a natural decrease in defenses. The body expends a lot of energy, the immune system is suppressed, and chronic diseases are exacerbated. This leads to the fact that sluggish diseases begin to progress, all conditions are created for the addition of new pathologies, which can cause lymphadenitis in women.

Lymphadenitis (lymphadenitis) - inflammation of the lymph nodes (ICD-10 code - L04 / I188).

The infection can enter the lymph nodes primarily through a wound on the skin, or it can be carried with blood and lymph from an already existing infectious focus in the body. This is how lymphadenitis develops in women.

Causes and risk factors

Inflammation of the lymph nodes in women, including during pregnancy, occurs due to infection in the lymph nodes or against the background of exacerbation of chronic systemic diseases. Autoimmune processes, allergies, purulent foci and oncology can provoke pathology.

In most cases, women are diagnosed with nonspecific lymphadenitis, which proceeds without pronounced symptoms and responds well to conservative treatment. But during pregnancy, when immunity is weakened, there is a risk of developing specific lymphadenitis. This is especially dangerous in the first and second trimester, when there are contraindications for many drugs.

The risk group includes women who have undergone hormonal therapy and have infections of the genitourinary system. The disease develops at any age.

Swimming in polluted water bodies, working in extreme conditions and with animals is a risk factor. There is a high probability of the disease in women who have suffered many infections in childhood.

Lymphadenitis is not contagious, it is a secondary disease, a complication of another infection that can already be transmitted from a sick person.

An infectious disease specialist and a surgeon are involved in the treatment of lymphadenitis in women; during pregnancy, a gynecologist additionally monitors the condition.

Lymphadenitis stages

Lymphadenitis is acute and chronic. Acute inflammation has 3 stages with characteristic symptoms and a special approach to treatment.

Stages of inflammation of the lymph nodes:

Catarrhal. There are minor external changes in the area of the diseased lymph node, it is enlarged, painful on palpation. The surrounding tissues are unchanged, the body temperature is within normal limits, rarely rises to 37.5 degrees. Full recovery occurs after the elimination of the underlying disease without additional measures.
Hemorrhagic. The damaged lymph node is filled with bloody contents, which looks like a hematoma. The rest of the manifestations are similar to the catarrhal stage.
Purulent. A neglected degree of inflammation of the lymph node, it is painful, enlarged, adhered to the surrounding tissues. There is a pronounced intoxication of the body, the body temperature rises to 38 degrees and above. Immediate surgical treatment is required.

Acute lymphadenitis becomes chronic when there is no treatment. The symptomatology subsides, but the disease only progresses, leading to intoxication and the addition of other diseases.

Types and symptoms

The disease is classified depending on the location. In women, inflammation in the groin and under the jaw (inguinal and submandibular) is more often diagnosed. Also distinguish between behind-the-ear and axillary lymphadenitis.

Each form has some common clinical features:

thickening and enlargement of the lymph nodes;
small rash on the skin;
soreness in the affected area;
local increase in temperature when touching the lymph nodes;
general weakness and signs of intoxication.

Inguinal lymphadenitis in women is a complication of infection in the pelvic organs and lower extremities. It manifests itself as soreness while walking, swelling and redness of the skin. During pregnancy, such localization is often associated with inflammation of the appendages or chronic colitis.

Inflammation of the inguinal lymph nodes in women can be a consequence of an ovarian cyst. In addition, lymphadenitis develops with the latent course of some sexually transmitted infections, including syphilis. Inguinal lymphadenitis more often than others spreads to nearby lymph nodes, which can cause generalized inflammation.

The axillary form of inflammation has the most striking external manifestations. There is severe inflammation and irritation of the skin in the armpit area. Mastopathy and mastitis can provoke inflammation, infection is possible from cat scratches. Therefore, pregnant women are advised to take extra care when playing with pets.

Submandibular lymphadenitis develops due to chronic inflammation, infection, or a purulent process in the oral cavity. The disease can provoke untreated caries, periodontitis, purulent tonsillitis.

Localization of inflammation behind the ear is more common in young children, and during pregnancy, behind-the-ear lymphadenitis can provoke an exacerbation of sinusitis or tonsillitis.

Diagnostics

When examining a woman, the doctor sees enlarged, inflamed lymph nodes, on palpation they are painful and dense. After the examination, instrumental and laboratory diagnostics are prescribed.

At the initial stage, it is necessary to take a blood test to determine the inflammatory process and, based on the history, find out the cause of the disease. With severe lymphadenitis, a comprehensive examination is necessary to determine all associated disorders.

Additional diagnostic methods for lymphadenitis:

Ultrasound of the lymph nodes to determine the density;
tissue biopsy if cancer is suspected;
bacteriological culture to identify the causative agent of the infection;
MRI or CT of the lungs and bronchi if tuberculosis is suspected.

During pregnancy, it is permissible to carry out all the listed diagnostic methods, except for computed tomography (according to indications).

Differential diagnosis is carried out with reactive hyperplasia, lymphatic tumor, tuberculosis.

Treatment

Treatment of acute nonspecific lymphadenitis includes targeted therapy of the underlying disease. Antibacterial drugs are prescribed, taking into account the sensitivity of the pathogen. At the purulent stage, surgical treatment, dissection, removal of purulent contents and drainage are performed.

Nonspecific lymphadenitis includes treatment of the main focus, taking broad-spectrum antibiotics. There are many limitations during pregnancy. It is forbidden to use any methods of alternative treatment and try to open the abscess on your own. Pregnant women are treated surgically with safe pain medications.

Antibiotic therapy is prescribed individually, drugs from safe groups are selected. Local treatment consists in the use of medicinal compresses. Any appointment is made exclusively by the attending physician after the examination.

Prevention of lymphadenitis during pregnancy

Prevention of infection of the lymph nodes includes the timely and complete treatment of acute inflammatory diseases. If the skin is injured, it is necessary to immediately carry out an antiseptic treatment with an alcohol-containing agent. With frequent respiratory diseases against the background of a weakened immune system, you need to revise your diet, include more vitamin food.

It is recommended to take restorative and multivitamins. During pregnancy, you should try to avoid crowds of people in public transport and immediately consult a doctor if you suspect that you have been infected with any infection. It is also important to normalize the psychological state, avoid stress and strong emotional upheaval.

Contraindications for lymphadenitis:

warming compresses, heating pads;
hot baths and local baths;
baths, saunas, solariums;
long exposure to the sun.

Without proper treatment, lymphadenitis in women can cause inflammation of the brain tissue, skin abscess, osteomyelitis, and blood poisoning. If the disease is detected at the initial stage, correctly selected treatment allows you to quickly recover without unpleasant consequences.