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Skin
Largest organ in human body
• Protection
• Immunity
• Sensation
• Vitamin D production
• Body temperature
• Excretion
Function of Integumentary system
Keratin layer helps protect against
Water loss, friction, and pathogens
Keratosis pilaris
occurs when excess keratin accumulates and plugs hair follicles, producing small rough bumps on the skin
Melanocytes
Spider-shaped epithelial cells that synthesize the pigment melanin
Produce pigment for hair and skin color. Found in basal layer
Melanocytes purpose
Albinism
Caused by reduced or absent melanin production. May be melanocytes but they may not be functional at producing melanin
Eumelanin
usually means more natural UV protection
Pheomelanin
yellow to reddish natural pigment that contributes to human pigmentation, particularly in people with red hair, freckles, and fair skin
Tanning
Melanins response to UV exposure
Stem Cells
• Mitotically active
• Replace superficial epidermal cells
Stem cells in the basal layer continuously divide to replace old or damaged epidermal cells, allowing the skin to renew and repair itself.
Thick skin purpose
Protect against abrasions and friction
Thin skin purpose
Cover the muscles and grow hair
Cyanosis, jaundice, and albinism
Skin variations
Epidermis function
Protection, First line of defense
• Physical & chemical
• Innate
Nonspecific
• Physical barrier
Langerhans cells
Help detect potential threats
Vitiligo
occurs when melanocytes are lost or destroyed in certain areas of the skin, causing patches with little or no pigment.
1. Type of melanin produced
2. How much the melanosomes are filled with melanin granules prior to transfer
3. Number and size of melanosomes produced
4. How long the melanosomes persist in the keratinocytes
5. Degree of transfer within the dermis
Factors affecting pigmentation
Melanocytes produce melanin from tyrosine in specialized organelles (melanosomes)
THEN
Melanosomes are transferred to keratinocytes upon stimulation
THEN
Melanosomes in keratinocytes contribute to skin’s pigmentation
UV Rays
Tactile (merkel) discs
• Associated with fine touch and pressure
• Adapt slowly
• Small receptive field
• Basal layer
FEEL WHAT SOMETHING IS LIKE
Meissner’s (tactile) corpuscles
• Within Papillary dermis (on the border)
• Light touch, pressure, and vibration
• Adapt quickly
FEEL SOMETHING THAT HAS MOVED ACROSS YOUR SKIN
Vitamin D production
• Cells of the epidermis convert 7-dehydrocholesterol to cholecalciferol (Vitamin D3)
• Eventually this is converted to calcitriol in the kidneys
• Calcitriol increases calcium absorption (small intestine) and bone mineralization
can impair calcium absorption and bone mineralization in children, leading to rickets. Risk increases when sunlight exposure, dietary vitamin D, or calcium intake is low.
Low vitamin D
Papillary and reticular layer
Dermis layer consists of
• Hair
• Glands
• Blood vessels
• Nerves
• Smooth muscle
Dermis structure
Maintain steady internal temp
Dermis functions
Blood vessels do
• Vasoconstriction/dilation
• Radiation & convection
Sweat glands
Evaporation
Lines of cleavage
The orientation of skin tension lines (Langer’s lines) affects how incisions heal and how scars form.
Stretch
Elastic fibers in skin
Stretch marks
Extent of stretch is limited. They are usually pink; white scar as they heal.
Hypodermis
• Collagen and elastic fibers, fibroblasts and adipocytes
• Connects skin to underlying tissue
• Energy reserve
• Larger blood vessels
• Protection
• Foreign substances
• UV radiation
• Cushion
• Sensory
• Identification
• Location
• Keratinized cells form slender filament
Hair functions
• Hair Bulb
• Root
• Shaft
Parts of hair
Hair follicle
integumentary structure that surrounds and produces the hair.
Hair papilla
Connective tissue, blood vessels, and nerves
Hair matrix
Produces new hair
surgeons move the living follicle, not just the hair shaft. The transplanted hair bulb/matrix cells can survive in the new location and produce a new hair shaft.
Why does hair transplant work?
Medulla
• Cells contain soft keratin
• Formed by cells closest to the hair matrix
Cortex
• Cells contain hard keratin
• Formed by cells near the edge of the hair matrix
Cuticle
• Cells contain hard keratin
• Outermost layer
Hair color
• Generated by melanocytes residing in hair papilla
• Color depends on the amount and type of melanin
• As we age, these melanocytes stop producing as much melanin
Pheomelanin color
Red
Eumelanin color
Brown or black
Vellus hair
fine, short, lightly pigmented “peach fuzz,
Terminal Hair
thicker, longer, darker, and more deeply rooted.
Anlagen
active growth phase, when matrix cells in the hair bulb produce the hair shaft
• The longer the phase, the longer the hair can grow.
Catagen
short transition phase when hair growth stops and the follicle begins to shrink.
Telogen
the resting phase, when the follicle is inactive and the old hair remains in place temporarily.
• Cuticle
• Nail plate
• Nail bed
• Nail matrix
Pairs of nail
Sebaceous glands
• Secretes sebum
• Helps protect the surface of the skin
• Prevents water loss and bacteria growth
• Play a role in thermoregulation
• Holocrine glands
Apocrine sweat glands
• Armpits and pubic regions
• Secrete into hair follicles
• Product secreted used by bacteria, contributing to odor
Merocrine/Eccrine Sweat glands
• More numerous
• Secrete directly onto skin surface
• Thermoregulation, secretion, and protection (odorless)
• Skin thickness
• Elastic fibers
• Melanin production
• UV exposure
Age related changes to integumentary system