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Integumentary system
The boundary between the external environment and internal structures
Consists of 3 major regions: Epidermis, dermis, and hypodermis
Cells of the epidermis
Keratinocytes
Melanocytes
Langerhans cells
Merkel cells
Keratinocytes
Cells that produce fibrous protein keratin (within themselves in their cytoplasm)
Superficial cells are dead, the more deep ones are alive and are stem cells that constantly divide
Melanocytes
Cells that produce the brown pigment melanin, which is then taken internally by keratinocytes
Langerhans cells
Epidermal macrophages that help activate the immune system as the 1st line of immune defense
Merkel cells
Cells that function as touch receptors in association with sensory nerve endings
Layers of the epidermis (deep to superficial)
Stratum basale
Stratum spinosum
Stratum granulosum
Stratum lucidum
Stratum corneum
Stratum basale
The deepest epidermal layer, consisting of a single row of the youngest keratinocytes and is firmly attached to the dermis
Its cells undergo rapid division, hence its alternate name stratum germinativum
Stratum spinosum
The epidermal layer where melanin granules and Langerhans’ cells are abundant, as well as the cells in this layer contain a web-like system of intermediate filaments attached to desmosomes
Stratum granulosum
The epidermal layer consisting of 3-5 cell layers in which drastic changes in keratinocyte appearance occurs, as well as keratohyaline and lamellated granules accumulate in the cells of this layer
Stratum lucidum
The epidermal layer that’s thin and translucent, found in only thick skin areas (ex. palms of the hand, soles of the feet), containing 3-5 layers of dead keratinocytes
Stratum corneum
The outermost epidermal layer consisting of keratinized cells, accounting for 3/4 of the epidermal thickness
Functions in waterproofing, protection from abrasion and penetration, making the body relatively insensitive to biological, chemical, and physical assaults
Dermis
The 2nd major skin region containing strong, flexible connective tissue, including cells such as fibroblasts, macrophages, and occasionally mast cells and WBCs
Composed of 2 layers: Papillary and reticular
Papillary layer
The layer of the dermis that consists of areolar connective tissue with collagen and elastic fibers, along with peg-like projections dermal papillae, also connects with the epidermis basement membrane
Reticular layer
The layer of the dermis that accounts for ~80% of the thickness of the skin, consisting of collagen fibers that add strength and resilience to the skin and elastin fibers to provide stretch-recoil properties
Dermal papillae
Peg-like projections found in the papillary layer of the dermis, containing capillary loops, Meissner’s corpuscles, and free nerve endings
Meissner’s corpuscles
Mechanoreceptors for light touch
Hypodermis
The 3rd major skin region, subcutaneous (“under the skin”), consisting of adipose and areolar connective tissue
Skin color and the 3 main pigments
Due to the density of the pigments
Melanin
Carotene
Hemoglobin
Melanin
Yellow to reddish-brown to black pigment, responsible for dark skin colors
Local accumulations of this pigment result in freckles and pigmented moles
Carotene
Yellow to orange pigment, most obvious in the palms and soles of the feet (stratum corneum and thick skin)
Hemoglobin
Reddish pigment responsible for the pinkish hue of the skin
Types of sweat glands
Eccrine
Apocrine
Ceruminous
Mammary
Eccrine sweat glands
Sweat glands that are the most common on the body, mainly secreting water and salt, expels oil directly onto the skin and all over the body
Found in the palms, soles of the feet, and forehead
Apocrine sweat glands
Sweat glands developed around puberty that are responsible for the “funky” smell (due to bacteria metabolizing the glands’ release of lipids), expels into hair follicles
Found in axillary, anogenital areas, and around nipples
Ceruminous glands
Modified apocrine glands in the external ear canal that secrete cerumen (ear wax)
Mammary glands
Specialized sweat glands that secrete milk
Sebaceous glands
Simple alveolar glands that are found all over the body, secreting sebum (oil) to soften skin when stimulated by hormones
Hair
Filamentous strands of dead keratinized cells (which are more durable than the soft keratin of the skin) produced by hair follicles, consisting of the medulla (core), cortex, and outermost cuticle
Made up of the shaft projecting from the skin and the root embedded in the skin (dermis), and pigmented by melanocytes at the base of the hair
Distributed over the entire skin surface except palms, soles, lips, nipples, and portions of the external genitalia
Hair functions
Help maintain warmth
Alerting the body to presence of insects on the skin
Guarding the scalp against physical trauma, heat loss, and sunlight
Hair follicle
The root sheath extending from the epidermal surface into the dermis, with the deep end expanded to form the hair bulb, which contains a root hair plexus (a knot of sensory nerve endings) that wrap around each hair bulb
Bending a hair stimulates these endings (explaining how hair acts as sensitive touch receptors)
Goosebumps
Sensation created by arrector pili muscles contracting, causing the hair to stand upright, and the skin bunching up
Hair papilla
A small, cone-shaped structure located at the base of the hair follicle, made up of specialized connective tissue cells an a dense network of capillaries (tiny blood vessels)
2 types of hair
Vellus
Terminal
Vellus hair
Pale, fine body hair found in children and adult females
Terminal hair
Coarse, long hair found in the eyebrows, scalp, axillary, and pubic regions
Alopecia
Hair thinning, found in both sexes
True/frank baldness
The genetically determined and sex-influenced hair condition, caused by follicular response to DHT (dihydrotestosterone) and results in male pattern baldness
Autoimmune diseases related to baldness
Alopecia areata (“circle”)
Alopecia totalis (“entire region”)
Alopecia universalis ("entire body”)
Fetal developmental aspects of the integument
The epidermis develops from ectoderm, and the dermis and hypodermis develop from mesoderm
Lanugo
The downy coat of delicate hairs covering the fetus, which is covered by vernix caseosa (a wax that protects the fetus skin from amniotic fluid)
Vernix caseosa
The substance produced by sebaceous glands that protects the skin of the fetus in the amnion; The waterproof protective coating formed from dead skin cells and oily sebum