Objective: Localised scleroderma is a rare disease and the wound is difficult to heal because of tissue fibrosis. We present the case of a patient with localised scleroderma treated using the TIME (tissue, infection or inflammation, moisture and edge of wound) clinical decision support tool (CDST) for wound management. This includes: assessment, bringing, control, decision and evaluation (the ABCDE approach). The patient was fully evaluated and multidisciplinary teams were involved in wound treatment. Complications of wound healing were controlled and treated, and the wound was continuously assessed until it healed.
Conclusion: This method of wound management provides a sound theory for the evaluation and management of hard-to-heal wounds and is worthy of clinical application.
Keywords: TIME CDST; autoimmune disease; case report; collagen; hard-to-heal wound; localised scleroderma; wound; wound healing.