Table 1.
Feature/ Degree |
I Superficial |
IIA Superficial Partial Thickness |
IIB Deep Partial Thickness |
III Full Thickness |
IV Full Thickness and Tissues Beneath |
---|---|---|---|---|---|
depth of the wound | epidermis only | epidermis + papillary dermis (saving skin appendages) | epidermis + papillary dermis + reticular dermis | epidermis + dermis + hypodermis | epidermis + dermis + hypodermis + tissues beneath (e.g., fascia, bones, tendons) |
counted in the calculation of TBSA | NO | YES | YES | YES | YES |
common cause | sunburn | scald (short exposure) | scald, oil (medium time exposure) | scald (long exposure), flame, steam, oil, chemical compounds, electricity | scald (long exposure), flame, steam, oil, chemical compounds, electricity |
characteristics | swelling, erythema, dryness, blanches with pressure | blisters filled with serum (as a result of the delamination of the epidermis from the basement membrane), blanches with pressure | blisters filled with serum, variety of colors: white/red/grey/yellow, usually excised and grafted | hard, waxy, leathery consistency, color: white/gray/charred, does not bleed when scratched, surgical treatment obligatory | hard, waxy, leathery consistency, color: white/gray/charred, does not bleed when scratched, reaching deeper structures, surgical treatment obligatory |
sensation | painful | extremely painful | painful or decreased sensation | insensate | insensate |
healing time | subsides after 72 h, skin peels off after 10 days, no scarring |
up to 3 weeks, possible color match defect, hypertrophic scarring (low to moderate risk) | up to 9 weeks, hypertrophic scarring (moderate to high risk) |
no healing capacity, without intervention it will separate over the weeks, hypertrophic scarring (high risk) | no healing capacity |
measures | should heal by itself |
should heal by itself | surgical intervention | surgical intervention |
surgical intervention |