skin Flashcards

1
Q

what are the functions of skin?

A

barrier
sensation
thermoregulation
psychosexual communication
immunity
metabolic functions

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2
Q

what are the layers of epidermis?

A

stratum basale
stratum spinosum
stratum granulosum
stratum lucidum (thick skin only)
stratum corner

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3
Q

what are melanocytes?

A

melanin producing cells associated with basal layer

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4
Q

what are langerhans cells?

A

antigen presenting cells of immune cells

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5
Q

what are Merkel cells?

A

touch receptor cells in basal layers

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6
Q

disorder of keratinocytes

A

actinic (solar) keratosis

chronic sun exposure cause epidermal dysplasia

appears scaly and red patch

can lead to cancers

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7
Q

non melanoma skin cancers

A

basal cell carcinoma - follicular keratinocyte

squamous cell carcinoma - basal keratinocytes

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8
Q

what causes psoriasis?

A

extreme proliferation epidermal basal layer, response to inflammatory cytokines

turnover of cells reduced to 3-7 days

plaque psoriasis 90% of cases, affects elbows, knees, scalp or anywhere

treat w/ sunlight, Vit D or steroids

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9
Q

sun exposure

A

freckles - overproduction of melanin

sunburn - keratinocytes apoptosis, reddening, oedema

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10
Q

what causes vitiligo

A

Autoimmune disease, immune system attacks melanocytes

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11
Q

what causes malignant melanomas

A

Uncontrolled growth of melanocytes

more superficial the better

warning signs- ABCDEFG
asymmetry, border, colour, diameter, elevated, firm, growth

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12
Q

what is Merkel cell carcinoma

A

very rare, but aggressive and difficult-to-treat cancer.

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13
Q

What causes acne?

A

Blockage of the sebaceous gland

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14
Q

what is excessive sweating called?

A

hyperhidrosis

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15
Q

what causes alopecia?

A

hair follicle is targeted by the immune system, leading to hair loss

alopecia areata - patches on scalp

Alopecia totalis - total loss of scalp hair

Alopecia universalis - all body hair

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16
Q

what causes Epidermolysis bullosa?

A

Mechanically-fragile skin arising from mutations in a range of structural proteins

17
Q

damage to collagen and elastin in dermis

A

striae - rapid stretching of dermis

Solar elastosis - excessive uv light causes elastin deposition

18
Q

what causes keloid scars

A

over-activity of fibroblasts

19
Q

What causes urticaria & anaphylaxis

A

Degranulation of mast cells in the dermis