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. 2023 Nov 15;24(22):16357. doi: 10.3390/ijms242216357

Table 1.

Classification of burns.

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