Sakitamiwa Classification -

The white coating has completely disappeared, and the area is covered by newly formed, reddish regenerating epithelium. This is often called a "red scar".

A thin layer of regenerating epithelium (appearing as a reddish or pale area) begins to creep in from the edges of the ulcer. The slough on the ulcer floor begins to thin and contract. H2 (Healing-2): sakitamiwa classification

(Disclaimer: This content is for educational purposes. For medical diagnosis and treatment, please consult a licensed physician or current WHO/CDC guidelines.) The white coating has completely disappeared, and the

: Ulcers identified in the A1 or A2 stages pose a much higher risk for acute upper gastrointestinal bleeding compared to those in the healing or scarring stages. The slough on the ulcer floor begins to thin and contract

| Feature | Group I (Primarily Pulmonary) | Group II (Extra-Pulmonary) | | :--- | :--- | :--- | | | Lungs / Thoracic cavity | Outside the lungs (nodes, brain, bones) | | Pathophysiology | Localized primary complex | Hematogenous dissemination | | Radiology | Hilar adenopathy, lung infiltrates | Often normal lung X-ray (unless miliary) | | Contagiousness | Low (children usually paucibacillary) | None (unless concomitant pulmonary TB) | | Example | TB Lymphadenitis (Hilar) | TB Meningitis, Scrofula (Neck) |

The classification serves a function. By naming an illness "Sakitamiwa," the community validates the patient's suffering not as "just a fever," but as a specific event requiring specific ritual intervention (e.g., the application of oils, chanting, or social reconciliation).