Patient is admitted to the hospital with probable SJS-TEN (Stevens-Johnson syndrome with toxic epidermal necrolysis overlap). The patient has a fever, chills, blistering of the mouth and eyes, and large areas on the trunk of the body where skin is peeling off. The patient recently began receiving allopurinol for gout. The attending physician admits the patient to the burn unit and documents that 30% of the body is affected by TENS and that the likely cause of this is the allopurinol.

Question

Quizplus · Accepted Answer

L51.3 - Stevens-Johnson syndrome toxic epidermal necrolysis overlap syndrome (SJS-TEN)
T50.4x5A - Toxic epidermal necrolysis due to drugs, initial encounter
L49.3 - Panniculitis affecting regions of neck and back, abdomen, and pelvis
M10.9 - Gout, unspecified

This answer includes codes for the patient's condition (SJS-TEN), the cause (allopurinol), the extent of the skin involvement (30%), and any additional symptoms (panniculitis affecting specific regions). The code for gout is also included as this is the reason the patient was originally prescribed allopurinol.

Patient Is Admitted to the Hospital with Probable SJS-TEN (Stevens-Johnson