Integument Flashcards
What is in the integument?
skin, sweat glands, sebaceous glands, hair, and nails
largest organ system of the body
What’s the function of skin?
protection regulation of body temperature reception absorption excretion
What is thick skin?
part of the epidermis covers palms and soles - do not have hair follicles sweat glands are present no sebaceous glands no erector pilae muscles
What is thin skin?
part of the epidermis
covers most of the body
contain hair follicles, sebaceous glands, sweat glands, and erector pilae muscles
What are the two layers of skin?
epidermis
dermis
What type of epithelium is in the epidermis?
stratified squamous keratinized epithelium
What are the two types of cells found in the epidermis?
keratinocytes (most common)
non-keratinocytes
What are epidermal ridges?
the epidermis have folds that extend down into the dermis
What are dermal papilla?
the dermis have projections into the epidermis
What’s the purpose of ridges and papilla?
to increase surface area and to ensure both the epidermis and dermis stay together (prevent slippage)
What are the basal cells in the epidermis and what’s their significance?
the layer of epidermal cells where the epidermis meets the dermis (also called stratum basale). it is the area of intense mitotic activity
Describe what happens as cells migrate from stratum basale to the surface of the skin
as cells migrate they acquire more keratin, become keratinized, die and slough off (about 20-30 days)
What are the different types of non-keratinocytes that are found in the epidermis?
Langerhans cells
Merkel cells
Melanocytes
What are Langerhan cells derived from?
precursors in the bone marrow travel in the bloodstream and take up residence in the epidermis where they differentiate into Langerhan cells
What’s the function of Langerhan cells?
they are antigen-presenting dendritic cells
they phagocytize foreign bodies, process them and present them to immune cells
What layer do Langerhan cells mostly reside?
mostly in stratum spinosum and some in superficial dermis
How would Langerhan cells look in a micrograph?
pale cytoplasm that appear as a halo around cells, cytoplasmic processes that extend into the extracellular space of neighboring cells
In an EM of Langerhan cells, what can be seen?
membrane-bound Birbeck granules
these cells have a rod (with Birbeck granules) and a vesicle. Together the cells look like a tennis racket
Where are Merkel cells found?
found among keratinocytes of stratum basale
numerous in fingertips and base of hair follicles
What’s the function of Merkel cells?
they are mechanoreceptors that convey tactile sensory
What are Merkel cell-neurite complexes?
formed from unmyelinated nerve terminals approaching Merkel cells
How are Merkel cells attach to keratinocytes
via desmosomes
What are melanocytes derived from?
neural crest cells
Where are melanocytes found?
stratum basale and superficial dermis
What’s the function of melanocytes?
synthesize the pigment melanin and distribute to neighboring keratinocytes
the melanin provide UV protection for DNA of the skin (sun umbrellas)
Briefly describe the synthesis of melanin in melanocytes
1) tyrosinase is synthesized in RER
2) the enzyme is packaged by the Golgi and into membrane vesicles called melanosomes
3) melanosomes uptake tyrosine in the cytoplasm and tyrosinase inside then converts it into melanin
What are melanin granules?
1) melanosomes that have become dark from the synthesis of melanin
2) no longer have tyrosinase activity
3) end up in the cytoplasmic processes of melanocytes
Describe how melanocytes distribute melanin
the cytoplasmic processes (packed with melanin granules containing melanin) extend into the stratum spinosum where the melanin granules will be released in vesicles
the granules then surround the nucleus of the neighboring cells, acting like sun umbrellas to provide natural UV protection
What is pigmentation of the skin due to? Briefly describe how these factors differ in a darker individual versus a lighter individual
the number of melanocytes in everyone (regardless of race) are the same
pigmentation of the skin is due to tyrosinase activity, number of melanin granules, size, distribution, and rate of breakdown.
for darker individuals: tyrosinase activity will be increased; number of melanin granules are more abundant; size of melanin granules are bigger; distribution of granules are more scattered versus in the nucleus, the rate of breakdown is much slower compared to lighter individuals
What is vitiligo?
depigmentation in part of the skin due to decreased or complete loss of melanocytes
What is albinism?
absence or defective tyrosinase, can’t make melanin, no skin pigment
**melanocytes are present!
What are some causes of malignant melanoma?
hereditary
light skin
excessive sunlight
How is ABCDE used in the diagnosis of melanoma?
A - appearance B - Border (irregular, contour, lesions with a lot of notches and dimples) C - Color (irregular, pigmentation) D - Diameter E - Evolution (changes)
What does strata mean?
layers