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12/12 anatomy and function of the skin
Derm
70
Medical
Graduate
12/12/2011

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Cards

Term
properties of the skin
Definition
cosmetic
regulate body temp
vit D metabolism
sensory function
immune organ

preserve body integrity
absorbs, excrete fluid
protect from external insults/chemicals
water repellant
absorb UV light
barrier to microorganisms
Term
variability of skin
Definition
variable from person to person
-in color, consistency, textures, thickness, content of adnexal structures
Term
epidermis
Definition
outer layer of skin

keratinizing stratified squamous epithelium
Term
cell types of the epidermis
Definition
80% keratinocytes

10-15% melanocytes

3-5% Langerhans cells

<1% Merkel cells
Term
keratinocytes
Definition
main epidermis cell type

form 4 epidural layers:
basal, spinous, granular, cornified
Term
basal cell layer
Definition
aka stratum basale

single proliferative layer - deepest
basophilic (blue) columnar/cuboidal cells
cells divide and migrate up
Term
spinous layer
Definition
aka stratum spinosum, stratum malphighii

sits on top of basal cell layer
usually thickest layer
polygonal cells with eosinophilic (pink) ctoplasm
desmosomal spines
Term
granular layer
Definition
aka stratum granulosum

1-4 cell layers thick
basophilic keratohyaline granules - like "glue"
Term
cornified layer
Definition
aka stratum corneum

outermost layer
cells loose their nuclei and flatten out to form plated of keratin
shed as dead skin
Term
how long does it take for skin cells to completely turn over from basal layer to stratum corneum?
Definition
30 days

~15 to get to bottom of stratum corneum, then another 15 before they are sloughed off
Term
melanocytes

origin and location
Definition
epidermal cells interspersed in the basal layer

neural crest origin

melanocytes:basal cells = 1:4 (face) 1:10 (body)
Term
melanocytes

morphology
Definition
dendritic cell with stellate projections

cuboidal with eccentrically located, crescent-shaped nuclei

no desmosomoes
Term
melanocytes

function
Definition
produce melanin pigment - UV protection

melanin is packaged in melanosomes and transported to spinous layer keratinoctyes
Term
dark skin vs. light skin
Definition
same number of melanocytes

dark skin: more evenly spaced melanosomes --> increased pigmentation
Term
Langerhans cells

origin and location
Definition
bone marrow derived, migrates to skin

found above the basal cell, scattered in the suprabasilar epidermis and dermis
Term
Langerhans cells

morphology
Definition
dendritic cell with stellate projections

unique cytoplasmic organelle - Birbeck's granules - seen ultrastructually, but function unknown
Term
Langerhans cells

function
Definition
antigen presenting cell
mediator of skin immune response (delayed hypersensitivity rxn)

has surface markers for Fc, C3, and Ia antigens

numbers decreased with UV exposure
Term
Merkel cell

origin and location
Definition
found in epidermis and dermis

origin of cell is unknown
Term
Merkel cell

morphology
Definition
membrane bound dense core granules (like neurosecretory granules of APUD system)
Term
Merkel cell

function
Definition
indiviual cell - unknown

cells aggregate to form tactile corpuscles that act as slow-adapting touch receptors and associate with peripheral nerves
Term
basement membrane zone

OR

dermo-epidermal junction
Definition
area of three zones that attaches eipdermis to the dermis

Lamina lucida
Lamina densa
Sublamina densa
Term
lamina lucida

location and description
Definition
basement membrane zone right under basal cell layer of epidermis

electron-lucent (more clear) zone
Term
lamina lucida

function
Definition
anchoring filaments course through this zone, connecting the overlying basal cell at its hemidesmosone attachment plaque to the underlying lamina densa
Term
lamina densa

components
Definition
aka basal lamina

actual "basement membrane"

Type IV collagen
Term
lamina densa

function
Definition
anchoring fibrils (made of Type VII collagen) and dermal microfibril bundles attach lamina dense to the underlying dermis
Term
sublamina densa
Definition
intertwines with dermal collagen bundles
Term
3 types of epidermal appendages
Definition
pilosebaceous unit

apocrine gland

eccrine gland
Term
components of the pilosebaceous unit
Definition
1. hair follicle
2. sebaceous gland
3. arrector pili muscle
Term
portions of the hair follicle
Definition
the 3 I's:

infundibulum (most superficial)
isthmus
inferior
Term
hair components
Definition
cuticle, cortex, medulla
Term
hair follicle structure
Definition
glycogenated outer root sheath

internal root sheat
Term
phases of hair growth
Definition
1. anagen (growth) phase
3-4 years, 85-90% of hairs

2. catagen (involutional) phase
3 days, 1% of hairs

3. telogen (resting) phase
3 months, 10-14% of hairs
Term
sebaceous gland

location
Definition
found everywhere expect palms/soles

most abundant on face, chest, back and scalp
Term
sebaceous gland

structure
Definition
multilobular structure that connects to the infundibulum of the hair follicle

peripheral germinative cell layer

central lipid-laden cells with clear to foamy cytoplasm
Term
sebaceous gland

function
Definition
gland secretes SEBUM (lipid oily mixture) to provide emollients to hair/skin

secrete via holocrine secretion - cytoplasm fills and cells burst
Term
acne
Definition
a function of retrograde bursting of the sebaceous gland which then attracts an inflammatory reaction
Term
arrector pili muscle

muscle type
Definition
smooth muscle that inserts into perifollicular connective tissue
Term
arrector pili muscle

action
Definition
sympathetic contraction makes hair "stand up" (goose-bumps)
Term
apocrine gland

location
Definition
axillae, groin, eyelids, external auditory canal
Term
apocrine gland

structure
Definition
secretory coiled gland that leads to straight duct
Term
apocrine gland

secretory coiled gland
Definition
outer myoepithelial layer (squeezes)
inner cuboidal/columnar layer

apocrine decapitation secretion

found in deep dermis/superficial fat
Term
apocrine decapitation secretion
Definition
cytoplasm fills up with sweat and then little bits get pinched off to release
Term
apocrine gland

straight duct
Definition
connects to hair follicle (as part of the pilosebaceous unit) or skin surface
Term
apocrine gland

actions
Definition
odorless secretions
unknown function
enlarge and become active at puberty
stim by excitment/fear (adgreneric innervation)
Term
eccrine gland

location
Definition
found everywhere except mucous membranes

dense on palms, soles, axillae, forehead
Term
eccrine gland

structure
Definition
secretory coiled gland --> coiled duct --> straight duct --> spiraled duct

coils in epidermis, connects right up to skin surface
Term
eccrine gland

secretory coiled gland
Definition
smaller than apocrine gland; in deep dermis/superficial fat

outer myoepithelial layer
inner secretory layer (2 cell types)
Term
eccrine gland

spiraled duct
Definition
aka acrosyringium

intraepidermal portion
opens to skin surface
Term
eccrine gland

function
Definition
how we loose our heat

stimulated by thermal, mental, and gustatory stimuli

cholinergic innervation
Term
dermis
Definition
connective tissue layer between epidermis and subcutaneous fat

-papillary dermis
-reticular dermis
Term
papillary dermis
Definition
superficial dermis
relatively thin, whispy, fine, collagen

Type III collagen
Term
reticular dermis
Definition
deeper dermis
larger and thicker

Type I collagen
Term
dermis

connective tissue matrix components
Definition
*collagen*
elastic substance
ground substance
*fibroblasts*
mast cells
dermal dendrocytes
Term
collagen types found in the dermis
Definition
Types I, III, IV, VII

synthesized by fibroblasts
provide mechanical strength and extensibility
Term
Type I collagen - dermis
Definition
most abundant type

tightly bundled

reticular/deeper dermis
Term
Type III collagen - dermis
Definition
more fine, loosely arranged than I

papillary dermis
Term
Type IV collagen - dermis
Definition
basement membrane

lamina densa
Term
Type VII collagen - dermis
Definition
basement membrane

anchoring fibrils
Term
elastic tissue of the dermis
Definition
synthesized by fibroblasts

provides recoil and elastic properties
elastin and microfibrillar matrix containing fibrillin
Term
desmosine and isodesmosine
Definition
amino acids unique to elastin protein
Term
ground substance

composition
Definition
extracellular matrix

synthesized by fibroblasts, possibly mast cells

fibronectin and glycosaminoglygcans (mostly hyaluronic acid)
Term
fibroblast
Definition
chief cell in the dermis

produces collagen, elastin, ground substance

contractile cell during wound healing (too many --> keloid)
Term
nerve supply to skin
Definition
free nerve endings

Meissner's corpuscle

Merkel cell complex

Pacinian complex
Term
skin free nerve endings
Definition
temperature, pain puritis

a lot on fingers

within papillary tips
Term
Meissner's corpuscle
Definition
fine touch

a lot on fingers

within papillary tips
Term
Merkel cell complex
Definition
slow adapting touch
Term
Pacinian corpuscle
Definition
deep pressure, vibration

deep in dermis
Term
vascular supply to the skin
Definition
deep vascular plexus

superficial vascular plexus

nutrient supply via diffusion
Term
deep vascular plexus
Definition
located at dermal-subcutaneous interface

arterioles arise from this plexus to supply epidermal adnexal structures and superficial vascular plexus
Term
superficial vascular plexus
Definition
located in the papillary dermis

supplies capillaries, ed arterioles, and venules to dermal papillae
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