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Chapter 5: Integumentary System

  • Overview: The integumentary system, also referred to as cutaneous membrane or skin, is the body's covering and is the largest organ. It plays a crucial role in protecting the body from various threats, preventing water loss, regulating temperature and metabolism, facilitating sensory reception, and reflecting overall health.

Outline for the Chapter

  • Structure and function of the integument
    • Epidermis: strata and cells
    • Dermis: regions, accessory structures, and specific tissues
    • Hypodermis: not part of the integumentary system but closely involved
    • Nails, hair, and glands: accessory structures
    • Repair and failure: aging

Functions of the Integument

  • Protects against:
    • Trauma
    • Chemicals
    • Pollutants
    • Microbes
    • Sunlight (selectively permeable)
  • Prevents water loss:
    • Transdermal water loss, insensible perspiration, and sensible perspiration
  • Regulates temperature and metabolism:
    • Involves vitamin D production
  • Provides sensory reception:
    • Tactile cells provide detailed sensory information
  • Indicators of overall health
  • Dermatology: the study and treatment of the integumentary system

Epidermis

  • Characteristics:
    • Keratinized, stratified squamous epithelium (KSSE)
    • Avascular; receives nutrients via diffusion from the dermis
  • Strata (Layers) of the Epidermis, top to bottom:
    • Stratum Corneum:
      • Composed of 20 to 30 layers of dead, flattened, non-nucleated, keratin-filled cells
      • These cells spend about 2 weeks in this layer before being shed
      • Provides a hostile environment for many microbes
      • In one year, approximately 8 lbs of skin cells are shed
    • Stratum Lucidum:
      • Present only in thick skin (palms and soles)
      • Cells are pale, featureless with indistinct boundaries
    • Stratum Granulosum:
      • Three to five layers of keratinocytes
      • Keratinization begins; cells become thinner, flatter, and membranes thicken
      • Nuclei and organelles disintegrate; cells begin to die
      • Lamellar granules release lipids to prevent water loss
    • Stratum Spinosum:
      • Known as the “spiny layer”
      • Contains several layers of cells with large, centrally located nuclei and spinelike processes
      • Limited mitosis; cells attach via desmosomes, providing structural integrity
      • Contains dendritic cells involved in immune defense; they present pathogens to helper T-cells
    • Stratum Basale:
      • Single layer of cuboidal cells in contact with the basement membrane
      • High mitotic rate; source of new cells that produce keratin
      • Three types of cells:
        • Keratinocytes: stem cells, produce keratin
        • Melanocytes: produce and store melanin in response to UV exposure
        • Tactile Cells: few in number, stimulate sensory nerve endings for touch

Tactile Receptors in the Integumentary System

  • Meissner’s Corpuscle:
    • Composed of elongated Schwann cells and connective tissue capsule
    • Functions in light touch sensitivity
  • Pacinian Corpuscle:
    • Myelinated nerve surrounded by collagen layers
    • Sensitive to pressure and vibration
  • Merkel Cells:
    • Specialized skin cells that contribute to sensory reception
  • Free Nerve Endings:
    • Pain and temperature receptors
  • Ruffini Endings:
    • Detect stretch and sustained pressure

Variations in the Epidermis

  • Thin Skin: Covers most of the body, lacks stratum lucidum
  • Melanin Production:
    • Melanin: a pigment derived from the amino acid tyrosine
    • All individuals have a similar number of melanocytes; variation lies in melanin activity and color
    • Types of Melanin:
      • Eumelanin (brown/black pigment)
      • Pheomelanin (red/yellow pigment)
    • Function of Melanin: Protection against UV radiation

Dermis

  • Location: Beneath the epidermis, consists of two types of connective tissues:
    • Areolar connective tissue
    • Dense irregular connective tissue
  • Structures: blood vessels, sweat glands, sebaceous glands, hair follicles, nail roots, sensory nerve endings, and smooth muscle tissues
    • Papillary Layer:
      • Composed of areolar connective tissue
      • Contains nerve endings and interlocks with the epidermis
    • Reticular Layer:
      • Composed of dense irregular connective tissue
      • Houses large collagen fibers forming a mesh
      • Contains blood vessels, hair follicles, sweat, and sebaceous glands

Hypodermis

  • Location: Beneath the dermis and not part of the integumentary system but closely related
  • Functions:
    • Highly vascular, promoting rapid absorption of substances injected (e.g., hypodermic needles)
    • Provides insulation and cushioning

Structures Derived from the Epidermis

  • Nails: Protect digit ends and are scalelike modifications made of keratin
  • Types of Hair: Produced throughout life
    • Lanugo: Fine, downy hair present in the second trimester
    • Vellus: Primary human hair on most of the body
    • Terminal Hair: Found on the scalp, eyebrows, eyelashes, and beard

Functions of the Nails

  • Protection against mechanical stress and injury
  • Composed of the stratum corneum and features like the lunula (thickened stratum basale) and nail fold
  • Health implications: Exposure to chemicals can be hepatotoxic and nephrotoxic

Hair Anatomy

  • Functions: Protection, heat retention, sensory reception, visual identity, dispersal of chemical signals
  • Zones of Hair:
    • Hair Bulb: Base of the hair where living cells are found
    • Root: Portion deep to the skin surface comprised of dead cells
    • Shaft: Hair extending beyond the skin surface, dead cells
  • Follicles: Surround the root, extending into the dermis; associated with arrector pili muscles which cause goosebumps

Exocrine Glands

  • Sweat Glands:
    • Merocrine: Most numerous, commonly produce sweat, approximately 3-4 million in adults
    • Apocrine: Found in armpits, groin, and other areas; secrete a viscous fluid that bacteria feed on, causing odor
  • Sebaceous Glands: Produce sebum for skin lubrication and bactericidal properties
  • Ceruminous Glands: Located in the ear, produce earwax (cerumen)
  • Mammary Glands: Produce milk

Skin Repair

  • Methods of Repair:
    • Regeneration: Replacement of damaged cells with the same type
    • Fibrosis: Formation of scar tissue due to extensive damage
  • Burns: Major cause of accidental death; severity classified as first, second, or third degree

Aging and the Skin

  • Changes with Aging:
    • Slower skin repair processes
    • Loss of collagen fibers leading to sagging and wrinkles
    • Decreased immune effectiveness due to lower dendritic cell count
    • Skin dryness or scaling
    • Decrease in melanocytes affecting pigmentation
    • Reduced vitamin D production

Types of Skin Cancer

  • Information on the most common and least dangerous types of skin cancers, including risk factors for developing the deadliest forms
  • Importance of knowing the ABCs of the most deadly type (Asymmetry, Borders, Color, Diameter) for early detection.

End of Chapter

  • Reminder to complete homework and quizzes.
  • Encouragement to read further on the subject.