Degree 1 |
Meaning asymptomatic or latent, with no clinical alterations |
Degree 2 |
Alterations were visible only due to palpation or muscle contraction, and they included alterations to the circulatory system, absence of pain, and reduction in skin temperature and elasticity |
Degree 3 |
When an “orange peel” appearance was visible upon simple inspection and alterations were similarly visible even without tissue compression, and the alterations became more apparent under compression, with these changes involving the presence of nodules during palpation and changes in the sensations of pain |
Degree 4 |
Alterations could be observed in any position adopted by the subject, and these were large and painful nodules adhering to the deep tissues. In this last degree, the skin was flaccid and wrinkled, it presented a “nutshell” appearance. Fibrosis was a dominant characteristic, pain sensations were increased, and compromised nervous tissue could be present |