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Melanin
Produced in vesicles called Melanosomes, in melanocytes in the stratum basale
The enzyme Tyrosinase joins 2 molecules of the amino acid tyrosine to form melanin
Melanosomes migrate to the tips of the melanocyte and are taken into the keratinocyte by phagocytosis
Melanin is transported to the area superficial to the nucleus, where it shields the DNA from UV radiation, although it is not complete protection
Melanin degrades after a few days, so it must be replaced

Melanin effects
Melanin synthesis increases on exposure to UV radiation
Immediate Effects: Oxidize the melanin, which darken
Secondary Effects: Damage DNA of melanocytes, which increases melanin production
Melanin also decreases the synthesis of vitamin D to control the amount and keep it within a specific range
Individuals living in Africa have darker skin to prevent excess vitamin D production, while people in northern Europe have lighter skin to synthesize more vitamin D
Common Variations of Pigmentation
freckles, moles, albinism
Freckle
Small area of increased melanin production in a local spot
Mole (Nevus)
Area of increased pigmentation, caused by local proliferation of melanocytes
Albinism
Melanocytes fail to manufacture tyrosinase
Results in lack of skin pigmentation and greatly increased the risk of keratinocyte DNA damage from UV radiation
Tanning
Tanning is a $5-billion-a-year business in United States
alone where salons promote the notion of a “healthy tan”
But is there such a thing as a healthy tan?
While UVA rays are linked with tanning and UVB rays are
linked with burning, the mechanism of increased melanin
production is the same for both types of rays—oxidative
damage to existing melanin and DNA damage to
melanocytes that can lead to skin cancer
Any amount of tanning damages melanocytes and other
skin elements, ages skin prematurely, and increases risk
of skin cancer
Carotene
Yellow-orange pigment ingested in egg yolks, and yellow and orange vegetables that accumulates in the stratum corneum
Imparts a slight yellow-orange color to the skin
Particularly visible in thick skin
Hemoglobin
Iron-containing protein in red blood cells that gives blood its red color
Blood resides in the dermis, which is highly vascularized
In fair-skinned individuals, the epidermis is partly translucent, so the skin has a pinkish hue

Skin Color as a Diagnostic Tool
Blood flow to the dermis, and oxygen levels within that blood, affect skin color
ex. erythema, pallor, cyanosis, bilirubin, jaundice
Erythema
Increased blood flow to the dermis to remove heat or during injury
Appears bright red in fair-skinned individuals and as darker or lighter areas in dark-skinned individuals
Pallor
Decreased blood flow to the dermis to remove heat
In severe cases, collagen is visible
Appears white and is especially visible in fair-skinned individuals
Cyanosis
Low amounts of oxygen are in the blood from breathing difficulties, low red blood cell numbers, or if hemoglobin is unable to bind oxygen
Appears bluish in fair-skinned individuals, and bluish in the lips, gums, and nail beds in dark-skinned individual
Bilirubin
Breakdown product of red blood cells, which may build up in the blood in certain conditions and cause Jaundice
Jaundice
Appears yellow-orange in the skin and the whites of the eyes