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skin facts
- - largest organ in the body
- - 16% of body weight
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epidermis characteristics
- - avascular
- - composed of keratinized stratified squamous epithelium
- - contains 4 layers (thin skin) or 5 (thick skin)
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epidermal layers
- stratum basale: deepest layer, where mitosis occurs, sites of Merkel cells and melanocytes (this layer also called stratum germinativum)
- stratum spinosum: 8-10 layers of keratinocytes (site of Langerhans cells)
- stratum granulosum: transition to dead keratinocytes (cells undergo apoptosis), lamellar granules form, which are lipid secretions that help fill the space in this and the remaining layers, also acts as a water repellant
- strata lucidum (only in thick skin): dead cells in palms and soles)
- stratum cortex: outer surface - contains flat dead keratinocytes (callus forms with constant friction)
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4 types of epidermal cells
- - keratinocytes
- - melanocytes
- - merkel cells
- - Langerhans cells
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keratinocytes
- makes keratin, which is a fibrous protein that provides PROTECTION
- about 90% of the cells in the epidermis
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melanocytes
makes melanin, which acts to protect the nucleus of keratinocytes against UV radiation
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Langerhans cells
involved in immune response (ie: with HPV or gonorrhea, pus comes out of genitals due to langerhans cells immune response). cells come from RED bone marrow
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Merkel Cells
involved in sensation of touch - have nerve structures that they are in contact with (deep in the epidermis)
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keratinization
process of keratin accumulation as going from the stratum basale to the stratum cortex
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dandruff
dead keratinized cells shedding from the scalp
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dermis characteristics
- vascular
- elastic, resulting in the cause of stretch marks and wrinkles due to too much stretching
- composed of connective tissue containing collagen and elastic fibers
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dermal layers
- papillary region: superficial region that is 1/5 of the dermis, has nerve endings and areolar connective tissue containing collagen and elastic fibers
- reticular region: deeper region, has dense irregular connective tissue containing collagen and elastic fibers, adipose cells, hair follicles, nerves, sebaceous glands (oil) and sudoriferous glands (sweat)
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how can skin color vary
- different amounts of 3 pigments
- 1. melanin
- 2. carotene
- 3. hemoglobin
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melanin
yellow-red or brown-black pigment produced by melanocytes. People have similar amount of melanocytes, but differences in production of melanin determine skin color
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how does a mole form
a mole (nevus) forms from a localized overgrowth of melanocytes
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carotene
yellow-orange pigment found in stratum corteum, subcutaneous layer and dermis
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hemoglobin
red color pigment from erythrocytes (RBCs) flowing in dermal capillaries
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subcutaneous layer
below the dermis, not actually part of the skin. Attaches to underlying tissue and organs. contains LAMELLATED Corpuscles that detect external pressure applied to skin
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hair
- composed of dead keratinized cells
- shaft: projects above the surface of the skin (composed of medulla, cortex and cuticle)
- root: penetrates into dermis (more layers, same as above but after cuticle there is an inner, external and dermal root sheath (furthest out)
- epithelial root sheath: consists of inner and external roof sheaths
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arrector pili
muscle around hair that makes it stand up when cold, for example
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oil glands
sebaceous glands: connected to hair follicles, secrete sebum - oil that prevents dehydration of hair and skin and kills some bacteria
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sweat glands
- sudoriferous glands - there are two types
- eccrine: helps to cool the body by evaporating, also eliminates waste (ions such as salt, ammonia and urea)
- apocrine: located mainly in the skin of axilla and groin, secretes when physical, emotional stress. hypohydrosis is excessive sweating (can be treated with bottom)
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Skin types
- thick skin: palms and digits and soles (contains stratum lucid)
- thin skin: other parts of the body (also called hairy)
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nails
- composed of keratinized cells, have 3 parts
- free edge
- transparent nail body
- nail root
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Skin FUNCTIONS
- 1. protection
- 2. absorption and secretion
- 3. regulation of body temperature
- 4. blood reservoir
- 5. site of vitamin D synthesis
- 6. cutaneous sensations
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Types of wound healing
- epidermal wound healing: basale epithelial cells migrate towards each other and fill the gaps
- deep wound healing: blood clots, then the SCAB forms as the new cells fill the gaps and push the blood clot to the surface.
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