Case Study: Busto Arsizio Hospital improves diagnosis and treatment of generalized morphea with Wolters Kluwer UpToDate

A Closer Look at Scleroderma with Generalized Morphea

Busto Arsizio Hospital's Internal Medicine department, led by Dr. Guido Bonoldi, faced a difficult diagnostic challenge involving a patient with an unidentified skin condition. The patient presented with cutaneous sclerosis and hyperpigmentation, and initial assessments by her GP were inconclusive, suggesting a possible paraneoplastic syndrome. This complex case required accurate, point-of-care information to guide diagnosis and treatment, a need met by the vendor Wolters Kluwer ELM Solutions and their UpToDate clinical decision support resource.

By utilizing UpToDate from Wolters Kluwer, Dr. Bonoldi was able to quickly diagnose the patient's condition as generalized morphea, a form of cutaneous scleroderma, by matching the clinical presentation to an image within the resource. The platform's treatment algorithm then guided the decision to prescribe phototherapy, resulting in a confirmed diagnosis and an effective, targeted treatment plan. This solution empowered the clinician to make a confident decision, avoiding misdiagnosis and ensuring the patient received appropriate care.