Integument 1 Flashcards
Hair follicle growth stages
Anagen: mitotic, growth
Catagen: cell-proliferation
Telogen: resting
Exogen: old hair shed
Epidermal response to injury
Hyperplasia
Hyperkeratosis
Edema
Acantholysis
Inflammation
Dermal responses to injury
Pigmentary incontinence
Edema
Inflammation
Acanthosis (epidermal hyperplasia)
↑ # of cells in the epidermis (S. spinosum)
Rete ridge formation
Hyperkeratosis
↑ thickness of S. corneum
Digital pads and planum nasale
Orthokeratosis or Parakeratosis
Orthokeratosis (hyperkeratosis)
Squamous epithelium anuclear
Parakeratosis (hyperkeratosis)
Squamous epithelium have nuclei
Zinc responsive dermatosis and hepatocutaneous syndrome
Epidermal/ intercellular edema
Spongiosis
Widening of the intercellular spaces with more prominent intercellular bridges
Epidermal/ intracellular edema cell effects
↑ size, cytoplasmic pallor, displacement of the nucleus to the periphery
Severe= Intraepidermal vesicles
Acantholysis
Separation of the keratinocytes due to damage to the desmosomes (intercellular bridges)
Loss of cohesion between epidermal cells → clefts, vesicles, bullae
Free epidermal cells in the vesicles are called …
Acantholytic cells or acanthocytes
Microvesicles, vesicles, and bullae
Mico and macroscopic fluid- filled, acellular spaces within or below the dermis (lined by epith. cells)
Blisters
Subcorneal vesicle
S. corneum forms the roof of the vesicle
Impetigo or pemphigus foliaceous
Suprabasal vesicle
S. spinosum forms the roof
Pemphigus vulgaris
Supraepidermal vesicle
Entire epidermis separates from the dermis and forms the roof
Bullous pemphigoid or thermal burns