12. Skin and Breast Flashcards
What are the 7 main functions of the skin?
- Barrier to infection
- Waterproofing
- Thermoregulation
- Protect against trauma
- Protect against UV light
- Vitamin D synthesis
- Sensation
Describe the epidermis basement membrane.
- Not usually visible on H&E
- Made of type 4 collagen
What are the 5 layers of the epidermis?
- Basement membrane
- Stratum basale
- Stratum spinosum
- Stratum granulosum
- Stratum corneum
Describe the stratum basale.
- Sits on the basement membrane
- Basal epithelial cells (stem cells)
- Contains melanocytes
What is the main function of melanocytes of the skin?
Synthesise melanin and transfer it to surrounding keratinocytes in melanosomes in response to MSH and ACTH stimulation
What is the main function of melanin?
Absorbs ultraviolet light, protecting us from non-ionising radiation damage
Describe the stratum corneum.
- Acellular
- Plates of keratin
- Prominent at certain sites
Describe the stratum spinosum.
- Plump polygonal keratinocytes
- Prominent intercellular adhesions
- Langerhans cells
- Merkel cells
What do Langerhans cells in skin do?
Antigen recognition
What is the purpose of Merkel cells?
Sensory
Describe the stratum granulosum.
- Flattened squames
- Eosinophilic cytoplasm
- Haematoxophilic kerato-hyaline granules
What are epidermal adnexae?
Downgrowths of the epidermis into the dermis
Name 4 epidermal adnexae.
- Hair follicles
- Sebaceous glands
- Eccrine sweat glands
- Apocrine sweat glands
What are sebaceous glands?
- Accompany hair follicles
- Produce sebaceous secretions which lubricate and waterproof hairs
- Holocrine secretion
What are apocrine glands?
- Accompany hair follicles
- Axillae and groins
- Ceruminous glands in the ear
- Simple coiled tubular glands
- Pheromones?
- Eosinophilic cytoplasm
- Apocrine secretion