Exacerbated by

The periodontal community will likely be changing some of their disorder descriptions to include the phrase "exacerbated by".

Though I have no precise examples, it might be something like "severe generalized periodontitis exacerbated by uncontrolled diabetes" or even possibly a procedure such as "severe generalized periodontitis exacerbated by chemotherapy".

There are is an existing concept in SNOMED that use this phrase e.g. 707245003|Angular cheilitis due to nutritional deficiency (disorder)| with a synonym of "exacerbated by".

An unapproved qualifier exists of 410660005|Aggravated by (attribute)| that has a synonym of "Exacerbated by".

Would like your thoughts.