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adult skin surface area
1.5-2mÂČ (15%) of body mass
2 layers of the skin
epidermis = stratified squamous epithelium
dermis = connective tissue
underneath = hypodermis (mostly adipose)
skin thickness
varies around the body (average = 1-2 mm)
thinnest = eyelid (0.5 mm)
thickest = btwn shoulder-blades (6 mm)
**when ppl reference thick skin, they think of areas w/ mostly dead skin (soles of the feet, palms)
epidermis
keratinized stratified squamous epithelium
lots of dead cells @ surface filled w/ keratin (tough protein)
5 layers (upperâlower: CLGSB)
stratum basale
single layer of cuboidal/low columnar cells on basement mem
(cells from moreâless):
keratinocytes: make keratin & frequently replace cells lost @ surface
melanocytes: make melanin = accumulates on surface side of cell to protect (mainly DNA) from UV radiation
more spread out = darker skin color
tactile (Merkel) cells: touch reception
stratum spinosum
several layers of keratinocytes (deeper ones = constant mitosis to replace cells @ surface; cells closer to surface are thinner/flatter
dendritic cells: capture foreign cells/invaders and present to immune system to see if a response is needed
stratum granulosum
2-5 layers of flat keratinocytes (last layer of living cells)
lipid-filled vesicles release into layer to block O2/nutrients from layers above
stratum lucidum
thin translucent layer of dead cells
**mostly found in areas of thicker skin
stratum corneum
up to 30 layers of dead, scaly, keratinized cells
constantly flaking off as dander
fingerprints
stratum buckles on itself & forms epidermal rings
scars would appear as a slash thru normal pattern, and can permanently alter prints
time for cells to regenerate in epidermis
30-40 days for cell to work up from stratum basale to corneum
slows w/ age
speeds up w injured/stressed skin
calluses
result from mechanical stress, which speeds up keratinocyte multiplicationâthicker layer of dead cells (more protection)
dermis
0.2-4 mm thick
connective tissue
collagen fibers (majority, tough/flexible)
reticular fibers (thinner, similar to collagen fibers)
elastic fibers (stretches/recoils)
fibroblasts (cells which secrete collagen)
also includes:
blood vessels, sweat glands, sebaceous (oil) glands, hair follicles, nail roots, sensory nerve endings, smooth muscle connected to each hair

dermal papillae
extension of dermis into epidermis
extends further in sensitive skin (and allows nerve endings & blood vessels to be closer to the skin)
2 zones of the dermis
papillary layer = 1/5 thickness (near surface)
loose areolar tissue near papillae = more room for immune cells & to move around/capture threats
reticular layer
4/5 of dermis (deeper)
dense connective tissue
collagen forms thicker bundles (less room for ground subst)
cause of stretch marks
due to torn collagen fibers in reticular layers
as a result of growth thatâs too rapidâresultingly, fibers tear bc collagen has no stretch
hypodermis/subculaneous tissue
areolar/adipose tissue between skin/muscle
8% thicker in women than men (+is distributed differently)
**boundary btwn dermis/hypodermis isnât always clear, but more fat/adipose = better indication of hypodermis
role:
binding skin to underlying tissue
cushioning/insulation
energy reseverves
skin color
results as a combination of pigments
melanin: variety of hues (brown/tan/red/black)
varies throughout bodyâmore spread out = darker pigment
hemoglobin: red in blood vessels, white of collagen fibers, pink/red of dermis
blood vessels closer to the surface = more influence on overall skin color
carotene: yellow/orange pigment that builds up as a result of diet (ex: carrots, sweet potatoes, egg yolks)
bilirubin: yellow/orange pigment
produced when breaking down red blood cells & the wastes canât be eliminated as usual
addisonâs disease
change: patchy dark spots
pigment: increased melanin production
cause: damage to adrenal glands
albinism
change: pale/white skin
pigment: little/no melanin produced
genetic mutation
carotenemia
change: often on palms/soles, skin turns yellow/orange
pigment: high levels of carotene
cause: excessive intake of carotene-rich foods
cyanosis
change: skin/nails/lips look blue/grey/purple
pigment: low levels of hemoglobin
cause: not enough oxygen flowing throughout blood
erythema
change: red-ish/hot skin, inflammation
pigment: increased hemoglobin
cause: heat, increased blood flow (hyperemia), medicines, infections. pregnancy, cancer
jaundice
change: skin/whites of eyes look yellow
pigment: built up bilirubin
cause: liver issues, or babies being unable to process bilirubin well enough