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61 Cards in this Set
- Front
- Back
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The skin is composed of two major parts
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an epithelial epidermis and a connective tissue dermis, which in turn is attached to a subcutaneous areolar/adipose hypodermis, also known in gross anatomy as the superficial fascia
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During embryonic development the epidermis and its appendages, the hair follicles, sebaceous glands and sweat glands differentiate
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from ectoderm.
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Glands that deliver their secretions to an epithelial surface, such as the skin, are called
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exocrine
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Exocrine glands are classified as
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alveolar (a.k.a. "acinar") or tubulo-alveolar (a.k.a. "tubulo-acinar")
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There are five distinct epidermal layers
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the stratum germinativum (a.k.a. stratum basale); the fairly thick stratum spinosum; the stratum granulosum with the keratohyalin granules; the translucent stratum lucidum; and the scale-like stratum corneum.
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In the dermis beneath the epithelium you should identify the dermal papillae, some of which show a
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Meissner's Corpuscle.
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in the recto anal junction there are yellow-brown melanin granules visible in the deeper layers of of the epithelium (epidermis). These are predominantly
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eumelanin (as opposed to phaeomelanin) granules produced by melanocytes that are present in the basal layer of the epidermis
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Synthesis of Vitamin D in the skin
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In strata basale and spinosum by ultraviolet
irradiation of 7-dehydrocholesterol |
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Layers of the Skin
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Epidermis
Dermis Hypodermis (Superficial fascia) |
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Epidermis characteristics
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Stratified squamous
epithelium with four (thin skin) or five (thick skin) distinctive strata • Avascular |
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2 types of Dermis
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Papillary dermis
Reticular dermis |
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Papillary dermis characteristics
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Loose irregular
connective tissue |
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Reticular dermis characteristics
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Dense irregular
connective tissue |
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Hypodermis
(Superficial fascia) characteristics |
• Loose irregular
connective tissue |
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Epidermal strata
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Stratum corneum
• Stratum lucidum – present only in thick skin • Stratum granulosum • Stratum spinosum • Stratum basale (germinativum) |
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Stratum basale or
Stratum germinativum |
A single cell
layer that resides on top of the basement membrane • Contains epidermal stem cells. • Contains melanin |
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Attachment of the basal cell to
the basement membrane is through |
Hemidesmosomes and Desmosomes in the focal adhesion
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Stratum spinosum characteristics
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• Spinous cells have
spine-like cytoplasmic extensions • Desmosomal adhesions |
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Stratum granulosum
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Contains
keratohyalin granules. • Contains lamella bodies |
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Stratum lucidum
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• Present only in
thick skin • Thin clear layer of dead cells in between stratum granulosum and stratum corneum • Devoid of nuclei |
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Stratum corneum
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• Devoid of cellular
organelles and nuclei • Contain tonofibrils (keratin fibrils) • Create a physical barrier to protect layers beneath. • Apical layers are desquamated |
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Cells of the epidermis
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Keratinocytes
Melanocytes Merkel cells Langerhans cells |
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Keratinocytes
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The majority of epidermal cells
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Melanocytes
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Produce melanin
• Reside in the stratum basale |
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Merkel cells
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Constitute a mechanoreceptor
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Langerhans cells
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Epidermal dendritic cells
• Reside in the stratum spinosum • Antigen presenting cells |
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Keratinocytes from top to bottom
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Corneum cells
Lucidum cells Granular cells Spinous cells Basal cells |
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Mechanism of desquamation
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pH-dependent
activation of KLK (Kallikrein) leads to desmosome degradation at apical layers of epidermis, which causes desquamation. The ph change inactivates the Lymphoepithelial Kazal type inhibitor, KLK is no longer inhibited as a result. |
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Formation of epidermal permeability barrier is mainly due to the proccesses
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Cell envelope
Lipid Envelope |
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Cell envelope process
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Involucrin protein is deposited into the cell membrane. Loricirin is also deposited in the membrane and it cross links with invoulcrin. Granular cells release kerathohyalin granules containing fillagrin and trichohyalin. Fillaggrin helps in the aggregation of keratin fibrills
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Lipid Envelope
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Lamellar body inside granullar cell released into intracellular space.
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Melanocytes
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Reside in the
stratum basale. • Melanin- (melanosome) producing cells • Thymidine dinucleotides from damaged DNA will trigger melanogenesis. |
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The mature melanosomes
are transferred to |
neighboring keratinocytes.
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The rate of melanin
degradation determines |
the
tone of skin clolor. |
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~60% melanomas
contain a |
BRAF
mutation, which can be targeted by a specific inhibitor. |
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Merkel cells
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Neurosecretory
granules+, Keratin+ – Probably of epidermal origin |
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Merkel cells form
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synapse-like
contacts with enlarged terminal endings of myelinated nerve fibers "Mechanoreceptor" |
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Langerhans cells
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Bone marrow derived
• Reside in the stratum spinosum • Clear cells in the stratum spinosum stained with H&E • Professional antigen presenting cells – MHC class II positive – Motile • Positive for CD1a, S100 etc. |
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Dermis papillary layer
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Loose irregular
connective tissue – Capillary vessels – Meissner's corpuscles |
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Reticular layer
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Dense irregular
connective tissue – Blood vessels – Sweat glands |
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Hypodermis
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Adipose tissues
• Loose connective tissues • Pacinian corpuscles • Blood vessels • Sweat glands • Hair follicle roots (thin skin) |
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Meissnerʼs corpuscle function
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Low frequency stimuli
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Pacinian corpuscle function
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Pressure and vibration
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The major sites of thermoregulation
are the arteriovenous shunts (anastomosis) in the dermis. This anastomosis happens due to |
The subpapillary plexus, cutaneous plexus, subcutaneous plexus.
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Specializations derived from
the epidermis |
Hair follicles
• Sweat glands • Nail |
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Hair follicles and associated
structures |
Arrector pili
muscle • Follicular bulb • Hair bulb • Hair papilla • Sebaceous glands • Apocrine sweat glands |
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Arrector pili muscle innervated by
the |
sympathetic
branch of the autonomic nervous system |
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The follicular bulb harvors
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epidermal stem cells
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Mammary gland secretes milk lipids by
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apocrine secretion and the milk protein casein by merocrine secretion
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Sebaceous glands
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Excrete sebum to
the infundibulum via holocrine mechanism. |
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Merocrine secretion
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The secretory vesicle approaches the apical domain of an epithelial cell. The vesicular membrane fuses with the plasma membrane to release its contents into the extracellular space. The fused plasma membrane can be taken back into the cell by endocytosis and recycled for further use by secretory vesicles
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Apocrine secretion
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some of the apical cytoplasm is pinched off with the contained secretions
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Holocrine secretion
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the cell produces and accumulates a secretory product in the cytoplasm, such as sebum in sebaceous glands and then it desintegrates to release the secretory material
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Eccrine gland characteristics
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-Located throughout
skin, both thick and thin -Merocrine secretion watery, smaller lumen diameter -Clear cells produce water & ions and dark cells the protein -NaCl reabsorbed in the excretory duct |
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Apocrine gland characteristics
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Located in axilla, anal
region & mons pubis • Larger diameter lumen than eccrine glands • Merocrine secretion viscous, activity starts at puberty • One cell type secretes, secretion not modified in duct • Pheromones |
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Dark cells of an eccrine gland
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Contain
glycoproteins – Produce proteinaceous secretion |
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Clear cells of an eccrine gland
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Contain glycogen
– Produce watery components of sweat • Myoepithelial cells – Help excrete sweat |
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Cystic fibrosis- a genetic disorder; affects
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epithelial linings in GI & respiratory tracts and
in exocrine glands, eccrine sweat & pancreas; decreased reabsorption of Cl ion in the duct results in increase NaCl in the sweat |
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The nail plate
consists of |
hard
keratin, which corresponds to the stratum corneum |
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Nail plate is
surrounded by |
nail
matrix, where keratinocytes proliferate, make hard keratin and die |
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Dermal Repair occurs as follows
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Fibrin clot forms,
neutrophils move in, surface dries (i.e., scab) • Macrophages remove debris, granulation tissue fills space • Reepithelization by keratinocytes • Collagen deposition & scar formation by fibroblasts |