The scarring stage represents clinical cure, where the open wound is closed and completely re-epithelialized.
The central white slough becomes remarkably small, fragmented, or patch-like, rendering the overall ulcer depth shallow. Regenerating mucosal folds visibly converge from the periphery toward the central core of the wound, highlighting accelerated healing and wound contraction. 3. The Scarring Stage (S-Stage)
: The white exudate has completely disappeared. The ulcer is replaced by a flat, red, regenerating mucosal scar, often radiating outward in a star-like pattern. sakitamiwa classification
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The healing phase marks the active regression of the ulcer and the physical contraction of the wound area. The scarring stage represents clinical cure, where the
In this stage, the body actively repairs the defect, and the ulcer begins to shrink.
This group includes children where the tuberculosis bacteria are primarily located in the lungs and thoracic cavity. This is for informational purposes only
| Resource Level | Minimum required for Stages I–II | For Stages III–IV | |----------------|----------------------------------|------------------| | (clinic) | Tourniquet test, platelet count, urine dipstick | Transfer to district hospital | | Medium (hospital) | Rapid NS1 antigen test, bedside ultrasound for ascites | Complete blood count, ALT, creatinine, chest X-ray | | High (tertiary) | Quantitative RT-PCR for V-score, serum angiopoietin-2 | CT brain, continuous renal replacement therapy |
The Sakitamiwa classification groups congenital cutaneous and soft-tissue anomalies into four actionable categories—vascular malformations, vascular tumors, hamartomas/overgrowth syndromes, and developmental epidermal/dermal defects—emphasizing morphology, natural history, diagnostics, and tailored management to guide clinicians toward appropriate care.
| Feature | Biomedical Classification | Sakitamiwa Classification | | :--- | :--- | :--- | | | Pathogen (Virus/Bacteria) | Social/Spiritual Interaction | | Diagnosis | Lab tests, observation of physical signs | Patient history, context of onset | | Focus of Treatment | Eliminating the pathogen | Restoring balance/harmony | | Prognosis | Based on pathology | Based on ritual adherence |