Skin Structure and Function Overview

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Questions and Answers

What is the primary role of the epidermis in skin function?

  • Regulates body temperature
  • Acts as a physical barrier (correct)
  • Facilitates vitamin D production
  • Provides immune surveillance

Which cells are primarily involved in the initial division within the stratum basale?

  • Merkel cells
  • Keratinocytes (correct)
  • Undifferentiated cells
  • Melanocytes

What is the primary function of apocrine sweat glands located in the dermis?

  • Regulate body temperature through evaporation
  • Eliminate waste products from the body
  • Secrete sebum for hair lubrication
  • Produce pheromones and respond to emotional stimuli (correct)

What process begins to occur in the stratum granulosum?

<p>Cell destruction (B)</p> Signup and view all the answers

Which of the following correctly describes desmosomes in the stratum spinosum?

<p>Help hold keratinocytes together (C)</p> Signup and view all the answers

Which of the following accurately describes terminal hairs?

<p>Long, dark, and thick, found in specific areas (A)</p> Signup and view all the answers

What is primarily absent from the palms and soles concerning the dermal structure?

<p>Terminal hairs (C)</p> Signup and view all the answers

What is the primary function of the skin appendages (adnexa)?

<p>Aid in thermoregulation (C)</p> Signup and view all the answers

Which type of cell is primarily associated with the sensation of touch?

<p>Merkel cells (B)</p> Signup and view all the answers

In which phase of hair growth is the hair actively growing at a rate of about 1 cm per month?

<p>Anagen phase (B)</p> Signup and view all the answers

What effect does Botox have on the body in relation to cholinergic innervation?

<p>Blocks the release of acetylcholine (B)</p> Signup and view all the answers

How does the skin contribute to the body's immune function?

<p>By acting as an outpost for immune surveillance (D)</p> Signup and view all the answers

Which epidermal layer is primarily responsible for waterproofing the skin?

<p>Stratum granulosum (C)</p> Signup and view all the answers

Which type of hair is typically referred to as 'peach fuzz'?

<p>Vellus hairs (C)</p> Signup and view all the answers

What is the primary material that forms the physical barrier of the stratum corneum?

<p>Corneocytes (B)</p> Signup and view all the answers

What is the lifespan of a hair in the catagen phase?

<p>3-4 weeks (D)</p> Signup and view all the answers

Where do apocrine sweat glands primarily drain in the body?

<p>Into the midportion of hair follicles (B)</p> Signup and view all the answers

What is one of the functions of subcutaneous fat in the skin?

<p>Provides insulation and energy storage (C)</p> Signup and view all the answers

What is produced by sebaceous glands, and what is its primary function?

<p>Sebum, to lubricate skin and hair (C)</p> Signup and view all the answers

Which areas of the body are primarily serviced by sebaceous glands?

<p>Face, scalp, and upper trunk (C)</p> Signup and view all the answers

What is the primary function of Langerhans cells?

<p>First line of skin's immunologic defense (A)</p> Signup and view all the answers

Which layer serves as the glue between the dermis and epidermis?

<p>Basement Membrane Zone (BMZ) (A)</p> Signup and view all the answers

What type of cells are responsible for producing collagen in the dermis?

<p>Fibroblasts (C)</p> Signup and view all the answers

Which of the following components is NOT found in the dermis?

<p>Keratinocytes (B)</p> Signup and view all the answers

Which structures are involved in thermoregulation in the skin?

<p>Eccrine sweat glands (B)</p> Signup and view all the answers

What happens at the dermal-epidermal junction in conditions that cause blister formation?

<p>Attachment failure of hemidesmosomes (B)</p> Signup and view all the answers

Which cell type acts as mechanoreceptors predominantly found on the palms and soles?

<p>Merkel cells (A)</p> Signup and view all the answers

Which function is NOT associated with blood vessels in the dermis?

<p>Producing melanin (B)</p> Signup and view all the answers

What is the primary role of melanocytes in the skin?

<p>Pigment production (C)</p> Signup and view all the answers

What type of glands are eccrine sweat glands classified as?

<p>Exocrine glands (D)</p> Signup and view all the answers

Flashcards

Epidermis

The outermost layer of skin, providing protection from the environment and consisting of multiple layers.

Stratum Basale

The deepest layer of the epidermis where cell division occurs, leading to keratinocytes, melanocytes, and Merkel cells.

Keratinocyte

A cell type in the epidermis responsible for producing keratin, a protein that gives skin its strength and structure.

Melanocytes

Cells in the epidermis that produce melanin, the pigment responsible for skin color and protection from UV radiation.

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Merkel Cells

Cells in the epidermis that contribute to touch sensation, working with nerve fibers.

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Stratum Spinosum

The second layer of the epidermis where cells begin to differentiate and become keratinocytes, connected by desmosomes.

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Stratum Granulosum

The third layer of the epidermis where cells continue to differentiate and produce more keratin, along with waterproofing elements.

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Stratum Corneum

The outermost, dead layer of the epidermis, composed of corneocytes, forming a physical barrier against the environment.

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Corneocytes

The tough, dead cells that make up the stratum corneum, providing the skin's physical barrier.

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Skin Appendages (Adnexa)

Specialized structures within the skin, including hair follicles, sweat glands, and sebaceous glands.

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Dermal-Epidermal Junction (BMZ)

The junction between the epidermis and dermis, acting as a strong adhesive layer and the site of blister formation in many diseases.

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Collagen

A strong, fibrous protein that provides structural integrity to the dermis, giving skin its strength and elasticity.

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Elastin

A protein that provides flexibility to the dermis, allowing skin to stretch and recoil.

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Dermis Blood Vessels

A network of blood vessels located in the dermis, responsible for supplying nutrients to skin cells and regulating temperature.

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Dermis Nerves

Specialized sensory receptors in the skin that detect touch, pressure, pain, and temperature.

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Eccrine Sweat Glands

Sweat glands located throughout the skin, responsible for thermoregulation by releasing sweat.

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Hair Follicles

Hair follicles are invaginations of the epidermis into the dermis that produce hair.

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Sebaceous Glands

Glands associated with hair follicles that secrete sebum, a lipid-rich substance that lubricates and protects the skin.

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Apocrine sweat glands

A type of sweat gland found in the dermis that is responsible for producing sweat.

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Acetylcholine

A chemical messenger that plays a crucial role in communication within the nervous system.

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Botox

A protein that blocks the release of acetylcholine, preventing muscle contraction.

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Dermis

The layer of skin beneath the epidermis, containing connective tissue, blood vessels, and hair follicles.

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Vellus hair

A type of hair that is short, fine, and covers most of the body.

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Terminal hair

A type of hair that is longer, thicker, and darker than vellus hair. Found in areas like eyebrows, eyelashes, and scalp.

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Anagen

The growth phase of hair. During this stage, hair grows about 1 centimeter per month.

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Catagen

The transitional phase of hair growth, where the hair follicle shrinks and the hair stops growing.

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Telogen

The resting phase of hair growth, where the hair shaft is shed.

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Study Notes

Skin Structure and Function

  • Skin is the largest organ, weighing approximately 4 kg and covering 2 m².

Functions of the Skin

  • Barrier to physical agents
  • Protects against mechanical injury
  • Prevents dehydration of the body
  • Reduces UV radiation penetration
  • Regulates body temperature
  • Provides a surface for grip
  • Acts as a sensory organ
  • Acts as an outpost for immune surveillance
  • Plays a role in Vitamin D production

Skin Components

  • Epidermis
  • Dermis
  • Skin appendages (Adnexa)
  • Subcutaneous fat

Epidermis: Layers

  • Stratum corneum
  • Stratum granulosum
  • Stratum spinosum
  • Stratum basale

Epidermis: Stratum basale

  • Cell division starts
  • Keratinocytes
  • Melanocytes
  • Merkel cells

Epidermis: Stratum spinosum

  • Differentiation begins
  • Undifferentiated cells become keratinocytes
  • Desmosomes hold keratinocytes together

Epidermis: Stratum granulosum

  • Differentiation continues, cells develop more keratin
  • Cell destruction begins
  • Waterproofing ("cementing")

Epidermis: Stratum corneum

  • Corneocytes
  • Cell death
  • Physical barrier
  • Microbiome (outermost layer?)

Epidermis Recap

  • Major physical barrier ("bricks and mortar")
  • Differentiation continues, forming keratin
  • Undifferentiated cells constantly dividing

Other Structures of the Epidermis

  • Langerhans cells: First line of skin's immunologic defense, derived from bone marrow
  • Melanocytes: Pigment-producing cells, protect from UV radiation
  • Merkel cells: Mechanoreceptors (more on palms and soles), Merkel cell carcinoma rare but deadly

Dermal Epidermal Junction

  • Basement Membrane Zone (BMZ): Serves as the "glue" between dermis and epidermis
  • Site of blister formation in many diseases
  • Four regions: Hemidesmosomes, Lamina lucida, Lamina densa, Anchoring fibrils

Dermis: Composition and Components

  • Provides structural integrity
  • Regulates functions of cells
  • Composed of collagen and elastin
  • Extrafibrillar matrix
  • Components include blood vessels, nerves, and appendages

Dermis: Nerves

  • Touch sensation
  • Hot and cold temperature detection
  • Pain
  • Free nerve endings
  • Dermatomes

Dermis: Blood Vessels

  • Superficial plexus
  • Deep plexus
  • Functions: Supply nutrition, regulate temperature

Dermis: Skin Appendages

  • Eccrine sweat glands
  • Apocrine sweat glands
  • Hair follicles
  • Sebaceous glands
  • Nails

Dermis: Eccrine Sweat Glands

  • Important for cooling
  • Emotions and thermal stimuli trigger
  • Cholinergic innervation
  • Botox blocks acetylcholine

Dermis: Apocrine Sweat Glands

  • Androgen dependent
  • Axillary and anogenital areas
  • Coiled tubule deep in dermis
  • Drains into midportion of hair follicles

Dermis: Sebaceous Glands

  • Androgen dependent (puberty)
  • Produces sebum
  • Part of pilosebaceous unit
  • Located on face, scalp, upper trunk (not on palms or soles)
  • Mucous membranes

Dermis: Hair

  • Protective and decorative
  • Entire body except palms and soles
  • Keratinous hair shaft pushes through epidermis
  • Basal cells at bottom of matrix
  • Color by melanin
  • Follicle attached to arrector pili muscles

Dermis: Hair Types

  • Lanugo hairs ("baby fur"): Normally shed before birth
  • Vellus hairs ("peach fuzz"): Covers most of the body
  • Terminal hairs: Longer, darker, thicker (eyebrows, eyelashes, scalp)

Dermis: Hair Growth Phases

  • Anagen (growth): ~1 cm/month, duration varies by location
  • Catagen (transitional): 3-4 weeks for scalp hair, ~50-100 scalp follicles switch every day
  • Telogen (resting): ~3 months for scalp hair, 25-100 hairs shed daily

Not-in-the-dermis: Nails

  • Hard-packed keratin
  • From matrix of dividing epidermal cells
  • Facilitate fine grasping and pinching
  • Nail plate thickness 0.3-0.65 mm
  • Fingernails grow 0.1 mm/day, toenails slower

Subcutaneous Fat

  • Lies between dermis and fascia
  • Insulates
  • Cushions
  • Energy reservoir
  • Hormone messaging
  • Wound healing support, hair follicle growth, and photoageing protection

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