Chapter 1 Skin Flashcards
From where does apocrine sweat units and sebaceous gland originate?
Apocrine frim upper follicular epithelium
Sebaceous from midregion of follicle
What is the pattern of merkel cell when with poly and monoclonal keratin 20 staining?
Paranuclear dot
Mutation in keratin 5,14 and 1,10 result to?
Epidermolysis bullosa simplex
Epidermolysis keratosis
Respectively
What regulates epidermal differentiation?
Histones
3 manifestations of abnormal keratinization?
Parakeratosis (retained nuclei) Corps ronds (rounds, clear to pink abN keratinized cells) Grains (elongated, basophilic, abN keratinized)
What are the phases of keratinization?
Synthetic
Degradative
What are responsible for desmosomal adhesion?
Cadherins
Desmogleins and desmocollins (Calcium dep)
Responsible for keratin filament aggregation
Filaggrin
Melanocyte:keratinocyte ratio?
1:10
Appearance of melanocyte in H&E stain?
Cell with ample amphophilic cytoplasm or as a clear cell in the basal layer of epidermis
Where are melanosomes produced?
Golgi bodies
Reason for red head?
LOF mutation in melanocortin 1 receptor (MC1R) –> eumelanin to pheomelanin
Reason for vitiligo and albinism?
Vitiligo - destruction of melanocyte
Albinism - N # of melanocyte, unable to fully pigmented melanosomes
Layer of epidermis where langerhan cells are found?
Spinosum
Stain for langerhans? How do they appear?
Gold chloride, CD1 alpha, S-100
Dendritic cells in sections, with folded nucleus and distinct intracytomplasmic organelles and birbeck granules
Where does langerhans originate
Bone marrow
Monocyte-macrophage lineage