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M14.04: Gouty arthropathy due to enzyme defects and other inherited disorders Hand

You have gout, which is causing discomfort in your hand.

The hand is made up of a lot of small bones and joints. Immediately after the forearm is the carpus. Then comes the metacarpus and then the individual fingers.

Gout involves uric acid crystals being deposited in tissue and causing discomfort. Uric acid crystals may be deposited when there is too much uric acid in someone’s blood. There are various reasons why you can have too much uric acid in your blood. There is an increase in uric acid in the blood when someone eats a lot of meat or drinks a lot of alcohol, for example. Someone may have too much uric acid in their blood if certain proteins fail to work properly. These proteins control the uric acid content in the blood. Uric acid is excreted by the kidney. So one may also have too much uric acid in the blood if the kidney ceases to function correctly.

You have a congenital disorder that involves a change to your metabolism. When the metabolism changes like this, the person is unable to break down or excrete as much uric acid as usual. It may also be that more uric acid is being produced than usual. As a result there may be more uric acid in the blood.

You have deposits of uric acid crystals in your joints. When uric acid crystals are deposited in joints, the joints affected may become inflamed, or damaged in some other way. An inflammation in the joints can cause various symptoms. Typical is a swollen, painful joint. The skin above the joint may also be red. It may also no longer be possible to move the joint as usual.

Additional indicator

On medical documents, the ICD code is often appended by letters that indicate the diagnostic certainty or the affected side of the body.

  • G: Confirmed diagnosis
  • V: Tentative diagnosis
  • Z: Condition after
  • A: Excluded diagnosis
  • L: Left
  • R: Right
  • B: Both sides

Further information

Note

This information is not intended for self-diagnosis and does not replace professional medical advice from a doctor. If you find an ICD code on a personal medical document, please also note the additional indicator used for diagnostic confidence.
Your doctor will assist you with any health-related questions and explain the ICD diagnosis code to you in a direct consultation if necessary.

Source

Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).