Basic skin biology Flashcards
1
Q
What are the functions of the skin?
A
- Protective barrier against environmental insults
- Temperature regulation
- Sensation
- Vitamin D synthesis
- Immunosurveillance
- Cosmesis
2
Q
What is erythroderma?
A
- Arises as a complication of many skin conditions
- Total skin failure
- Can present as an extensive erythematous exfoliative rash
- Emergency presentation
3
Q
What are the effects of erythroderma?
A
- Hypothermia (loss of thermoregulation)
- Infection (loss of protective barrier)
- Renal failure (insensible losses)
- High output cardiac failure (dilated skin vessels)
- Protein malnutrition (high turnover of skin)
4
Q
What are the causes of erythroderma?
A
- Psoriasis
- Eczema
- Drugs
- Cutaneous T cell lymphoma
5
Q
What are the symptoms of erythroderma?
A
- Pruritus and discomfort
- Fatigue
- Anorexia
- Feeling cold
6
Q
What are the signs of erythroderma?
A
- > 90% of body surface area affected
- Erythematous
- Exfoliative
- Thickened
- Inflamed
- Scaly
- No sparing
7
Q
What are the four cell types of the epidermis?
A
- Keratinocytes
- Langerhans cells
- Melanocytes
- Merkel cells
8
Q
What is the function of keratinocytes?
A
- Protective barrier
9
Q
What is the function of Langerhans cells?
A
- Antigen presenting cells
10
Q
What is the function of melanocytes?
A
- Produce melanin
- Provides pigment to the skin
- Protects cell nuclei from UV DNA damage
11
Q
What is the function of Merkel cells?
A
- Contain specialised nerve endings for sensation
12
Q
What are the layers of the epidermis?
A
- Stratum corneum - horny layer, most superficial
- (stratum lucidum)
- Stratum granulosum
- Stratum spinosum
- Stratum basale - basal layer
13
Q
What does each layer of epidermis represent?
A
- A different stage of keratinocyte maturation
- Average epidermal turnover time is about 30 days
14
Q
What may pathology of the epidermis cause?
A
- Change in epidermal turnover
- Change in surface of skin
- Change in skin pigmentation
15
Q
What is the dermis composed of?
A
- Collagen
- Elastin
- Glycosaminoglycans