Lecture 1 Integument Flashcards
What does the Integumentary System consist of?
Skin and its derivatives
What are some skin derivatives?
Nails, hair, sweat glands and sebacious glands
T/F The integument is a complex organ that contains all four primary tissue classes
TRUE
What tissue class is found in the epidermis?
Epithelium
The dermis and hypodermis both contain which three tissue classes?
CT, muscle, and nerve
The skin functions as a barrier to protect the body from what?
Chemical irritants, water loss, microbes, and other orgnisms
What are some of the skin’s sensory perceptions?
The skin can function to percept heat, cold, touch, itch, pressure and pain
The exposure of which cells to UV light allows them to convert a cholesterol derivative into Vitamin D?
Epidermal keratinocytes
What is the Vitamin D form that is absorbed into blood?
Cholecalciferol
What hormone is cholecalciferol converted to by enzymes in the liver and kidney?
Calcitriol
What does calcitriol do?
It promotes calcium and phosphorus absorption from the intestines?
How does the integument excrete waste?
Thru sweat
What is sweat?
A watery solution of salts and urea (a nitrogenous waste)
Thermoregulation of the integument is regulated by which part of the brain?
Hypothalamus
Nuclei and other organelles break down in which layer of the skin?
stratum corneum
Name the layers of the skin from basement membrane to surface.
basale, spinosum, granulosum, lucidum, corneum
Mnemonic: Buy Some Green Licking Candy
What type of granules are found in stratum corneum that condense into dense plates that greatly strengthen cells?
keratin
Nuclei and other organelles break down in which layer of the skin?
stratum corneum
In which layer do keratinocytes multiply and start to move up and mature as they start to produce keratin precursor proteins?
stratum basale
In stratum granulosum, what type of cell produces numerous intermediate filaments that aggregate keratohyalin proteins into granules?
keratinocytes
What is the name of the intermediate filament that aggregrates keratohyalin proteins into granules?
tonofilaments
How are the lamellar bodies released in stratum granulosum?
By exocytosis
What are the 3 contents of the lamellar body?
phospholipids, glycosphingolipids, ceramides
What is the largest organ of the body? What is its percentage of body weight?
Skin. 15% of body weight
What are the three main divisions of skin?
- Epidermis
- Dermis
- Hypodermis
Hair, nails, and skin glands are modified _______ structures.
Epidermal
What is the nonintermediate filament protein that is the major product of keratinocytes in stratum granulosum which induces the aggregation of keratins?
Filaggrin
How are the lamellar bodies released in stratum granulosum?
By exocytosis
What are the 3 contents of the lamellar body?
phospholipids, glycosphingolipids, ceramides
Which envelope (cell or lipid) helps waterproof the epidermis?
lipid envelope
Why do our fingers and toes wrinkle after soaking?
Prolonged exposure to water triggers the autonomic nervous system to constrict blood vessels in the tissue under the epidermis resulting in a loss of volume in each finger which causes the skin to shrink inward.
What is the autoimmune blistering disease that targets desmosomes and hemidesmosomes?
Pemphigus
What is the thickness of thin skin? How much of the body does it cover?
1-2 mm. Thin skin covers all of the body except palms on hands and soles on feet
What are the three immigrant cells of epidermis?
Melanocytes, Langerhans, Merkel
Which two immigrant cells of epidermis originate from neural crest cells?
Melanocytes and Merkel
Which immigrant cells of epidermis originates from the bone marrow cell?
Langerhans
How can thick skin be thickened?
By repeated pressure or friction
Which skin is more likely to have more layers of skin, thick or thin? What skin layer does thick skin have that thin skin does not (usually)?
Thick skin has more layers that thin skin. Stratum lucidum is present in thick skin but rare or non-existent in thin skin
What is the autoimmune blistering disease that targets hemidesmosomes in the basal layer?
advanced pemphigus vegetans
Which division of the skin has a papillary region of loose CT and irregular lower region that is dense? What is the dense irregular region called?
Dermis. The reticular region of the dermis
Which type of skin and hair has stable and abundant amounts of melanin and melanosomes, light-colored or dark-colored skin and hair?
dark-colored
What do most regions of the hypodermis contain?
Adipocytes
T/F The dermis contains many collagen fibers, hair follicles, sweat glands, blood vessel, lymphatic vessels, sensory receptors, nerves, and CT cells?
True
Which melanin pigment is a mixed polymer of tyrosine and cysteine that ranges in color from yellow to brown to reddish?
phaeomelanin
Which pigment is a yellow pigment found in vegetables and egg yolks that can become concentrated in the stratum corneum and in subcutaneous fat?
carotene
What is the key enzyme in the production of melanin that is used by neurons in the production of neurotransmitter dopamine?
tyrosinase
What are the melanin pigment granules produced by melanocytes called?
melanosomes
What is the process of transferring melanosomes into keratinocytes called? It is also known as melanosome secretion.
cytocrine injection
What is the abnormal skin color disease associated with yellowing of skin and the sclera due to excess of bilirubin in blood, usually caused by liver disease?
Jaundice
What is the abnormal skin color disease associated with bronzing which is caused by excessive ACTH from the pituitary gland that stimulates melanocytes?
Addison’s disease
What appearance do the keratinocytes have in the stratum spinosum?
Spiny or “prickled” in appearance
Which melanin pigment is a pure polymer of tyrosine?
black eumelalnin
What do Langerhans cells do?
They help protect against pathogens by engulfing them and then presenting characteristic parts of the devoured cells to lymphocytes
What are the characteristics of Langerhans cells?
Dendritic cell processes, indented nucleus, Birbeck granules
Do Langerhan’s Cells have desmosomes?
No desmosome junctions since they need to move around the keratinocytes like amoebas
What are the layers of the gross structure of the skin and underlying tissues?
- Epidermis
- Dermis
- Hypodermis
4, Fascia - Muscle
Mnemonic: Every Dog Has [a] Foul Mouth
What three other cells does the epidermis have besides keratinocytes?
Melanocytes, Langerhans, and Merkel Cells
What are layers of the epidermis named for?
They are named for the activity and morphology of the keratinocytes in each distinct zone
What is the deepest layer of the epidermis?
Stratum basale
T/F Lines of incision made parallel to Cleavage Lines tend to have slower healing.
False, lines of incision made parallel to cleavage lines heal more efficiently.
The stratum basale itself is a single layer of ______ cells sitting on the basement membrane
columnar
Melanocytes and Merkel Cells (tactile cells) are both attached to the basement membrane by what junction?
Hemidesmosome
Which epidermal layer has keratinocytes that produce intermediate filaments that are precursors to forming keratin?
Stratum spinosum
Why are spinosum keratinocytes prickled in appearance?
Because they undergo shrinkage during histological preparation while at the same time remaining attached to each other by numerous desmosomes
Where are lamellar bodies discharged into from the keratinocyte?
into the intercellular space to form a lipid envelope around the cell
What is the abnormal skin color disease associated with blueness resulting form deficiency of oxygen in the circulating blood?
cyanosis
What is the abnormal skin color disease associated with redness due to dilated cutaneous vessels which can be cause by anger, sunburn, heat, allergy, and embarrassment?
erythema
T/F Curly hair is flattened oval in cross section. Straight hair is round cross section.
True
What is the abnormal skin color disease associated with a patterned albinism thought to be cause by an autoimmune disorder?
vitiligo
Psoriasis is an example of what kind of abnormal cell growth?
Hyperplasia
What is the skin marking called when is is discolored by benign tumors of dermal blood capillaries?
hemangiomas (birthmarks)
T/F Blond hair contains a mixture of small amounts of black or brown eumelanin and red pheomelanin pigments.
True
T/F Freckles are flat; Moles are elevated
True
What disease is caused by a virus and can be transmitted by touch and are found in people who have weakened immune system?
warts (verruca vulgaris)
What is the skin marking that forms a unique pattern during fetal development?
friction ridges
What is the skin markings that form after birth by repeated closing of the hand or bending of the wrist or elbow?
flexion creases
What is the flexion crease that is a single palmar crease that is frequently associated with conditions such as Down syndrome and fetal alcohol syndrome?
simian crease
What are the lines called that indicate the direction of the collagen fibers in the reticular layer of the dermis?
cleavage lines (also called langer lines or tension lines)
What do you call excessive hair growth usually caused by a hormone imbalance?
hirsutism
What kind of baldness is under genetic and hormonal control?
pattern baldness
What disease is the thinning of hair of baldness that can occur in patches or across the entire body due to the body’s immune system attacking hair follicles causing round patches of hair loss?
alopecia
What are the 3 repeating stages of the growth cycle of hair?
growth (anagen), shrinking (catagen), resting (telogen) stages
How much does hair grow in young adults?
0.3mm/day
How long is growth stage in young adults?
6-8 years
How many inches can hair grow in a year?
4.3 inches
How long does the shrinking stage (catagen) last?
2-3 weeks
How long does the resting stage (telogen) last?
1-3 months
What kind of hair is a mixture of white hairs and some pigmented hairs?
gray hair