2025 ICD-10-CM code L75.2

Apocrine miliaria, also known as Fox-Fordyce disease.

Code L75.2 should be used when the clinical presentation is consistent with Fox-Fordyce disease.If other skin conditions are present, they should be coded separately. It is crucial to differentiate Fox-Fordyce disease from other similar conditions like folliculitis or hidradenitis suppurativa.

The medical necessity for treating Fox-Fordyce disease stems from the significant discomfort and reduced quality of life caused by the intense itching and skin irritation.Treatment aims to alleviate these symptoms and prevent complications like secondary infections or scarring due to scratching.

Diagnosis and management of Fox-Fordyce disease typically fall under the purview of dermatologists. They are responsible for confirming the diagnosis, often through clinical examination and sometimes with a skin biopsy, and recommending appropriate management strategies to alleviate symptoms and improve quality of life.

In simple words: Fox-Fordyce disease is a skin condition that causes small, itchy bumps, usually in areas like your armpits, groin, or around your nipples.It's linked to sweat glands and hormones, and while it can be very itchy, some people don't have any symptoms at all.

Fox-Fordyce disease, or apocrine miliaria, is a chronic inflammatory skin condition affecting the apocrine sweat glands. It's characterized by itchy, firm, skin-colored to reddish papules (small bumps) that typically occur in areas rich in apocrine glands like the armpits, groin, and around the nipples.The exact cause is unknown, but it is thought to be related to hormonal influences and alterations in sweat gland function and structure. While often intensely itchy, some individuals may have few or no symptoms.

Example 1: A 25-year-old female presents with persistent itching and small bumps in her armpits.Upon examination, the dermatologist observes multiple, uniform, flesh-colored papules concentrated around hair follicles.The patient's history and clinical presentation lead to a diagnosis of L75.2, Fox-Fordyce disease., A 30-year-old male experiences intensely itchy papules in his groin area, exacerbated by heat and humidity. A dermatologist diagnoses him with Fox-Fordyce disease (L75.2) after ruling out other conditions like folliculitis., A 17-year-old female presents with asymptomatic, small, reddish bumps around her nipples.A biopsy reveals the characteristic keratotic plugging of apocrine ducts, confirming the diagnosis of L75.2, Fox-Fordyce disease, despite the absence of itching.

Thorough documentation of the patient's history, including the onset and duration of symptoms, the location and characteristics of the lesions, and any exacerbating factors like heat, humidity, or stress, is essential.If a biopsy is performed, the results should be included.The clinical diagnosis of Fox-Fordyce disease should be clearly stated.

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