Delays in diagnosis, variations in treatment for morphea

Delays in diagnosis, variations in treatment for morphea
Patients with localized scleroderma (morphea) often experience delay in diagnosis and variability in treatment that is based more on the specialty of the provider than disease characteristics, according to a study published in the November issue of the Journal of the American Academy of Dermatology.

(HealthDay)—Patients with localized scleroderma (morphea) often experience delay in diagnosis and variability in treatment that is based more on the specialty of the provider than disease characteristics, according to a study published in the November issue of the Journal of the American Academy of Dermatology.

Weilan Johnson, M.D., from the Texas Health Presbyterian Hospital Dallas, and Heidi Jacobe, M.D., from the University of Texas Southwestern Medical Center, assessed the duration between morphea onset and diagnosis in a cohort of 224 patients. The specialty of the provider, initial evaluation, and therapy were also examined.

The researchers found that 63 percent of patients received a diagnosis more than six months after morphea onset. Most patients (83.5 percent) were diagnosed and treated by , with the more severe forms of morphea (linear and generalized) diagnosed and treated by rheumatologists. were the most commonly prescribed therapy (63 percent). Dermatologists mainly prescribed topical treatments or , even for those with linear and generalized morphea, while rheumatologists mainly prescribed systemic immunosuppressives and physical therapy.

"In summary, we identified several factors that impact the care of patients with morphea," the authors write. "These include delay in diagnosis and treatment, large variation in evaluation and therapy based on the specialty of the provider, and widespread use of evaluations and therapy with little evidence for their efficacy."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

New low-cost technique to detect rotavirus

19 minutes ago

Researchers at the Universidad Politécnica de Madrid (UPM) have found a way to enhance detection capacity of small concentrations of rotavirus. All this thanks to a new way to assess the biosensing response ...

UN launches mission to halt worldwide Ebola spread

59 minutes ago

The UN launched a mission on Thursday to prevent the worldwide spread of Ebola as the US hunted for people who came in contact with the first African diagnosed with the deadly virus outside the continent.

Ebola death toll passes 3,300: WHO

2 hours ago

The death toll in the world's worst-ever Ebola epidemic has now soared past 3,300, with the virus killing almost half of the more than 7,000 people it has infected, according to World Health Organization figures released ...

User comments