17 - Skin Flashcards
What are the functions of the skin?
- Prevent water loss
- Prevent ingress of pathogens
- Sensation
- Lubrication
- Secretion (e.g pheromones, urea)
- Absorption (as avascular)
- Thermoregulation
- Vitamin D synthesis
- Protection and repair (melanin, fibroblasts, abrasion)
- Storage of energy
What are the three layers of the skin and what are the layers within these layers called?
What else can the hypodermis be called?
Subcutaneous layer
What are the two layers of the dermis?
- Papillary (upper)
- Reticular (lower)
What is the structure, location and function of the hypodermis?
Location: Lowest layer
Structure: Adipose tissue, loose CT with macrophages, fibroblasts etc. Vascular and nerve bundles
Function: Insulate, shock absorber, energy store for below muscles, connect skin to underlying bone and tissue, make hormones e.g leptin
What does the thickness of the hypodermis tell us?
- Thick if well fed as lots of fat
- Gets thinner with age
- Very thick on feet (shock aborb) and palms (grip)
- Men have thickest in abdomen and shoulders
- Female have thickest in thighs, buttocks, hips
What is the issue with having a thinner hypodermis as you get older?
- Lose ability to thermoregulate as less fat
- Leads to wrinkling
What are other words for the epidermis?
Corium and cutis
What is dermal papillae?
Interdigitations of epidermis and dermis, holds the epidermis and prevents the whole layer being lost.
What is the stucture and function of the dermis?
Structure: Dense irregular CT. Varying thickness, thicker hands and fit. Collagen and elastin. Papillary and reticular regions
Function: Sensation (mechanoreceptors), hold shape of skin, thermoregulation (hairs and sweat glands)
What leads to wrinkling?
- Thinner hypodermis
- Thinner dermis due to less collagen and elastin
What is the structure of the epidermis?
- Held together by adherens junctions
- Avascular
Can Leah Give Shri Babies
Horny, Granular, Prickle Cell, Basal
What is the function of the epidermis in general?
- Prevent water loss
- Prevent pathogen ingress
- Keratin synthesis
- Prevent tissue loss by abrasion
- Present pathogens to immune cells
What is the structure and function of the stratum corneum?
- Horny cell layer
- Dead squames of keratinocytes
- Thickest on palms and soles of feet
- Keratin shed when abrasion
- Prevent waterloss and pathogen ingress
What is the structure and function of the stratum lucidium?
- Thin clear layer only found in palms and soles of feet
- Flat cells with keratin
What is the structure and function of the stratum granulosum? (granular layer)
- Stratified squamous
- Lamellar granules that make tonofibrils and secrete them
- Tonofibrils (keratin filaments and keratinohyalin)
What is the structure and function of the stratum spinosum?
- Cuboidal (3 layers min held by desmosomes)
- Produce lamellar bodies and first golgi
What is the structure and function of the stratum basale?
- Columnar cells constantly dividing keraitnocytes
- Appositional growth, move away from basal layer as they differentiate
- Home to melanocytes
- Produce tonofilaments
Label the parts of the epidermis.
What is the keratin synthesis pathway?
- Tonofilaments made in the s.basal
- Lamellar bodies produced in s.spinosum
- In granulosum, lamellar bodies combine keratohyalin granules and tonofilaments to form tonofibrils (keratin)
What happens once keratin has formed in s.granulosum?
- Secreted and acts as a waterbarrier
- Desmosomes broken down so keratin can be shed
What is psoriasis?
Condition characterised by silvery scaly skin, due to the transit time of keratinocytes being 2-3 days rather than 28-40 days. Skin doesnt have time to produce keratin
What is hyperkeratosis?
Too much keratin build up, especially hands and feet.
Due to cells not undergoing apoptosis so continue to lay down keratin or due to desmosomes not being broken down