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What are the layers of the epidermis
stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum basale
stratum basale (basal layer)
deepest layer of epidermis
single layer of cells (keratinocytes, melanocytes, Merkel cells)
Merkel cells
function as touch receptors in association with sensory nerve endings
located at epidermal-dermal junction
Melanocytes
cells that produce melanin and protect UV against radiation
stratum spinosum (spiny layer)
several layers of cells connected with desmosomes
contain tonofilaments that resist tension
appear spiny under microscope
contains Langerhan's cells
Langerhans cells
epidermal macrophages that help activate the immune system
stratum granulosum (granular layer)
3-5 layers of cells that contain two types of granules
lamellated granules and keratohyaline granules
lamellated granules
contain a waterproofing glycolipid
keratohyaline granules
contains tough, insoluble proteins
makes epidermis tough and abrasive resistant
Stratum lucidum (clear layer)
Only in thick skin (palms, soles)
thin, translucent layer of dead cells
thickens epidermis
Stratum corneum (horny layer)
most superficial layer; dead cells filled with keratin (barrier area)
20-30 layers
cornification (waterproofing)
cornification (keratinization)
dead cells are filled with glycolipids and keratin to make a tough waterproof coating (superficial layer)
Dermis
middle layer of skin, consists of papillary and reticular layers
papillary layer
superficial layer of dermis
made of loose, areolar CT
surface projections called papillae
papillae
house blood capillaries, nerve endings, and Meissner's corpuscles (touch receptors)
thick skin --> surface of papillae supported by dermal ridges (causes fingerprints and enhances friction)
reticular layer
deep layer of dermis
made of dense irregular CT
contains Pacinian corpuscles (deep pressure receptors)
cleavage tension lines
areas of the reticular layer w/ less collagen bundles
*important for incisions
Striae
Stretch marks; Linear dermal scars that affects skin that is subjected to continuous stretching
Root hair plexus location
wrapped around the base on the hair follicle called bulb, stimulated when hair bends
Accessory structures of the skin
hair, skin glands, and nails
all derived from the stratum basale but reside in dermis
Sweat glands (sudoriferous glands)
simple, coiled, tubular, multicellular exocrine glands
eccrine sweat glands (merocrine)
abundant in palms, soles, and forehead (3mil per person)
secrete sweat for thermoregulation
use merocrine mode of secretion
composition of sweat
99% water
also contains antibodies, Vit. C, NaCl, dermicidin, metabolic waste
is sweat acidic or basic
acidic (pH 4-6)
What is the sweat acid mantle
combination of acidic sweat and dermicidin to push away microbial growth
Where are appocrine sweat glands located?
Armpits and genital areas (2000)
Appocrine sweat glands
sweat glands only active after puberty; secrete a milky sweat with lipids and proteins
ceruminous glands
produce ear wax (cerumen)
mammary glands
sweat glands that secrete milk
Oil glands (sebaceous)
simple, branched alveolar multicellular exocrine glands
located everywhere except palms and soles
holocrine mode of secretion
What do sebaceous glands secrete?
sebum (oil)
holocrine mode of secretion
accumulate products within, then rupture (sebaceous oil glands)
hair
pilli
produced by cells in the matrix inside follicles
functions for thermoregulation, protection
2 regions of hair
shaft and root
Explain thermoregulation with hair
In cold temps --> arrector pilli muscle cause goosebumps
hair insulates the skin
Nails
horny plates made from flattened keratinized epithelial cells, tightly packed cells
Nail body
visible part of the nail
free edge extends past finger (white part)
Nail root
the portion of a nail that is buried in a fold of skin
Lanula
crescent shaped area of nail body near cuticle
Hyponychium
secures the nail to fingertip
thickened stratum corneum
cuticle (eponychium)
narrow bond on epidermis
Where does nail growth occur
nail matrix
basal cell carcinoma
proliferation of keratinocytes in stratum basale
least malignant, grows slowly, common
squamous cell carcinoma
proliferation of cells in the stratum spinosum
2nd most common, grows faster than carcinoma
melanoma
proliferation of melanocytes
very agressive, highly metastic and resistant to chemo
What is ABCD
A (asymmetry); B (border); C (color change) D(diameter bigger than eraser)
Burns
Tissue damage from heat, chemicals, or radiation.
1st degree burn
damage only to the epidermis
heals within 3 days, sunburn
2nd degree burn
damage to entire epidermis and papillary layer of dermis
blisters (fluid in epidermal-dermal junction), heals within 3-4 weeks
3rd degree burn
Full thickness damage through skin into nerves and muscles
Rule of Nines (burns)
Used to guide treatment decisions for burns
divides the body into regions of 9%
autograft
obtained from another part of the body
allograft
skin graft from another person or a cadaver (usually temporary)
xenograft
a graft from another species (usually temporary and usually pigs)
artificial skin grafts
skin substitutes created in the laboratory that contain components of donated skin tissue that is more useful because it will not be rejected by the body
Wrinkles
form from loss of elasticity, lack of moisture and thinning
skin adheres to underlying muscle tissue as it thins
How does Botox reduce wrinkles?
blocks transmission of signals from nerves to muscles
hinders release of neurotransmitter