Lecture 12 The Integument (Skin) Flashcards

1
Q

What is a Keratinocyte?

A

Keratinised Squamous Cell

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2
Q

What is a melanocyte?

A

Melanin producing cell

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3
Q

What is the epidermis?

A

Superficial Layer of Stratified Squamous Epithelium consisting mostly of keratinocytes that undergo terminal differentiation.

Also has a basement membrane which is at the junction with the dermis

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4
Q

What is the dermis?

A

Deeper Layer of Connective Tissue and Skin Appendages

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5
Q

Is hair bearing skin thick or thin?

A

Thin

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6
Q

What three structures and in what order from superficial to deep make up the skin?

A

1) Epidermis
2) Dermis
3) Subcutaneous Adipose Tissue

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7
Q

What are four structures and in what order from superficial to deep make up the epidermis?

A

1) Horn Cell Layer
2) Granular Cell Layer
3) Prickle Cell Layer
4) Basal Cell Layer

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8
Q

What are the four cell types of the epidermis and what is their function?

A

Keratinocytes - Mechanical Protection and Waterproofing

Melanocytes - UV Light Protection for DNA

Langerhan Cells: Immune Function

Merkel Cells: Sensory Function

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9
Q

Describe the maturation of keratinocytes from the basal membrane to the horn cell layer

A

1) Basal Cells (Basal Cell Layer)
2) Spinous Cells held together by desmosomes ( Prickle Cell Layer)
3) Granular Cell with Desmosomes (Granular Cell Layer)
4) Cornified Cells with Desmosomes (Horn Cell Layer)

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10
Q

Describe the function of melanin, how they are formed and delivered

A

Melanin protects DNA against UV light

1) Melanocytes originate from the neural crest (S100 +)
2) The melanin is produced in melanosomes which are found in melanocytes
3) One melanocyte then delivers melanin to 36 keratinocytes via dendrites
4) Keratonocytes then phagocytose the tips of melanocyte dendrites

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11
Q

What causes the difference in skin colour between different individuals?

A

The number of melanocytes is the same however there is greater activity of melanocytes in darker skin people

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12
Q

What are some features of signs of melanoma

A

1) High Stage Tumours tend to be very thick
2) Increase in melanocyte numbers
3) Increase in melanocyte pleamorphism (big melanocytes and big nucleus)
4) Melanocytes found in areas other than above the basement membrane (eg melanocytes on the wrong side of the basement membrane

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13
Q

What are Langerhan Cells, where do they originate and what is their function?

A
  • They originate from the bone marrow (CD1 a+)

- They are also dendritic and are antigen presenting cells, immune sentinels surveying the microbiome of the skin

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14
Q

What are Merkel Cells, where do they originate and what is their function?

A
  • Merkel Cells originate from the neural crest
  • They are not recognisable in normal sections
  • They associate with the sensory nerve endings and mediate tactile touch/sensation
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15
Q

What are the five main components of the dermis?

A

1) Dense connective tissue (collagen, elastin, extracellular matrix)
2) Nerves, blood vessels, lymphatics, histiocytes, mast cells, plasma cells, lymphocytes
3) Mechanoreceptors, thermoreceptors, Pacinian corpuscules (vibration)
4) Subcutaneous fat
5) Epidermal Appendages, Pilosubaceous Units, Sweat Glands

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16
Q

What is the papillary dermis

A

Fingerprints

17
Q

What components make up the pilosebaceous unit for hair?

A

1) Hair
2) Subaceous Glands (Produces fatty secretions and oils that allows lubrication of the epidermal tunnel for the hair
3) Arrector Pili Muscle (Piloerection)

18
Q

What are the features of basal cell carcinoma?

A
  • Tumour of hair follice unit (Pilosubsaceous Unit)
  • Invasive and locally destructive but unlikely to metastasize
  • Will continue to grow locally
  • Related to sun exposure
19
Q

What muscle allows detection of vibrations?

A

Pacinian Corpuscle Muscle

20
Q

What are the two types of sweat glands and what is their function?

A

Eccrine Glands - Present all over the body and responsible for body temperature control

Apocrine Glands - Found in the axilla, nipple and groin, responsible for odour and and larger than eccrine glands