Covers body; consists of skin and accessory tissues:
Nails
Hair
Sweat glands
Sebaceous glands
Integument = skin
Cutaneous membrane
Acts as a barrier to the outside world
Epidermis
Dermis
Subcutaneous layer (hypodermis)
Deep to dermis
Composed of alveolar and connective tissue
Not part of the integumentary system
Epidermis: Epithelium of the integument
Type: Keratinized, stratified squamous epithelium
Stratum Basale
Stratum Spinosum
Stratum Granulosum
Stratum Lucidum (only in thick skin)
Stratum Corneum
First three layers contain living keratinocytes
Deepest epidermal layer:
Single layer of cuboidal to low columnar cells
Contains three cell types:
Keratinocytes: Large stem cells, divide to regenerate new cells, synthesize keratin
Melanocytes: Produce and store melanin, respond to UV light, transfer pigment granules to keratinocytes
Tactile cells (Merkel cells): Sensitive to touch, stimulate sensory nerve endings
Composed of several layers of polygonal keratinocytes
Nondividing keratinocytes attached by desmosomes
Contains epidermal dendritic cells (Langerhans cells) that initiate immune response
Contains 3 to 5 layers of keratinocytes
Keratinization begins here:
Keratinocytes fill with keratin
Nucleus and organelles disintegrate; cells die
Translucent layer with 2 to 3 dead cell layers
Present only in thick skin (palms, soles)
Cells filled with eleidin
Superficial stratum
Composed of 20 to 30 layers of dead, interlocking, anucleate keratinized cells
Provides protection against abrasion and infection
Hemoglobin: Oxygen-binding protein in blood; adds reddish color
Melanin: Dark pigment produced in melanocytes; varies by type:
Eumelanin: Brown/black shades
Pheomelanin: Lighter shades (tan, yellow, red)
Albinism: Lack of melanin production
Carotene: Yellow-orange pigment from certain vegetables
Nevus (mole): Localized overgrowth of melanocytes
Freckles: Localized areas of increased melanocyte activity
Hemangiomas: Skin discoloration due to a benign tumor of blood vessels
Friction ridges: Fingerprints due to large folds and valleys in the dermis and epidermis
Deep to epidermis
Composed of connective tissue
Contains:
Blood vessels
Sweat glands
Sebaceous glands
Hair follicles
Nail roots
Sensory nerve endings
Arrector pili
Motile dendritic cells
Papillary layer:
Superficial region, areolar connective tissue
Dermal papillae interlock with epidermal ridges
Reticular layer:
Deeper layer, dense irregular connective tissue
Collagen and elastic fibers oriented in parallel at specific locations
Orientation forms lines of cleavage or tension lines:
Incisions parallel to these lines heal faster
Stretch marks occur when skin is stretched beyond its capability
Flexure lines: Dermal folds at joints; cause visible creases
Striae (stretch marks): Result from excessive stretching
Blisters: Fluid-filled pockets from acute trauma
Tattoos: Permanent images created by injecting dye into the dermis
Hypodermis (superficial fascia):
Not part of integument
Composed of areolar and adipose connective tissue
Functions:
Protection
Energy storage
Insulation
Common injection site due to extensive vascular network
Produces Vitamin D
Regulates body temperature
Acts as a barrier to pathogens and physical damage
Allows for sensation through receptors
Stores lipids in adipose cells