Skin Flashcards

1
Q

Key ideas about the skin

A
  • largest organ (12-15%
  • barrier to external environment
  • insight to internal health, even in adulthood
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2
Q

what are the layers of the skin

A

Epidermis (uppermost layer)
Dermis

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3
Q

Is hypodermis a layer of the skin? why?

A

No as it is a layer of tissue that binds skin to underlying tissue

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4
Q

Is the dermis thicker or the epidermis?

A

Dermis

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5
Q

what are fibroblasts?

A

Cells that produce the extracellular matrix proteins in the dermis
(main ECM protein is collagen)

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6
Q

What other ECM proteins are produced?

A

Laminin and fibronectin

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7
Q

What do these ECM proteins do?

A

they form elastic and reticular fibres

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8
Q

what are the 2 zones within in the dermis?

A

papillary layer- thin loose connective tissue, movement of leukocytes, mast and macrophage cells
reticular layer- thick dense irregular connective tissue layer, less cells + adipocyte clusters

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9
Q

what are adipocyte clusters?

A

They are fat cells that cluster together in the reticular layer
*These can cause stretching of skin in individuals with lots of fat

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10
Q

what accessory organs pass through the dermis?

A

nails, hair, oil + sweat glands

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11
Q

The skin has a rich layer of blood + lymphatic vessels as well as a specialised vessel know as?

A

arteriovenous anastomoses

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12
Q

Why are arteriovenous anastomoses vessels important?

A

they are important for thermoregulation

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13
Q

what causes sensitivity within the dermis layer?

A

nerve endings

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14
Q

what is the structure of the epidermis made of?

A

keratinised stratified squamous epithelium

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15
Q

what are the 5 layers of the epidermis?

A
  1. Stratum Basale
  2. Stratum spinosum
  3. Stratum granulosum
  4. Stratum corneum
    5- stratum lucidum (TRANSLUCENT LAYER ONLY IN THICK SKIN THAT PROTECTS FROM MECHANICAL STRESS)
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16
Q

What are the 2 types of skin and how are they different?

A

Thick- 5 layers, smooth + no hair (palms, feet and fingertips)
Thin- 4 layers

17
Q

Does the epidermis have any blood vessels?

18
Q

What are the properties of Stratum Basale?

A

They have:
- keratinocytes- stem cells constantly dividing to replenish the skin (mitotically active)
- Melanocytes- give skin colour
- Tactile/Merkel cells- connected to sensory nerves

19
Q

Other than melanin, what else gives skin pigmentation?

A

Blood perfusion
Carotene pigments

20
Q

what are the 2 types of melanin?

A

pheomelanin- red/ yellow pigment
eumelanin- brown/ black pigment

21
Q

What are Melanocytes and how do they work?

A

They are cells that release Melanin

Melanin is a UV absorbent, antioxidant –> protects skin form UV damage

Melanosomes produced by melanocytes are phagocytosed by Keratinocytes –> these then surround the nucleus on the sun side for protection

22
Q

What are the types of wavy boundry in the skin?

A
  • Dermal papillae - raised areas eg fingerprint (the ones going up)
  • Epidermal (rete) ridges (the ones going down)
  • These prevent the sliding of layers - providing high degree of mechanical stress
23
Q

What are the properties of the Stratum Spinosum?

A

-Several keratinocyte layers
-Usually thickest layer (except in thick skin = stratum corneum)
-Deepest cells are mitotic - and they are pushed upwards –> cease to divide (stops dividing)
-As they go on this journey, they produce Keratin filaments –> flatten more in upper layers

-KERATINOCYTES ARE STRONGLY LINKED BY DESMOSOMES
-TIGHT JUNCTION ENSURE WATER RETENTION OF SKIN
-DENDRITIC CELLS PRESENT

24
Q

What are the properties of Stratum Granulosum?

A

-3-5 layers o flat keratinocytes (more present in thick skin than thin skin)
-Post-mitotic, tight junction claudins - important barrier function
-contain dark-staining granules - bind to cytoskeleton
cells undergo apoptosis - programmed cell death
-produce glycolipid-filled vesicles - these spread over the surface of this layer and form a waterproof barrier between stratum spinosum

25
What are the properties of Stratum Corneum?
-Most superficial (on the surface) - 15-30 layers of dead cornified calls flattened on the surface -lots of keratins -enclosed within insoluble amalgam of cross-linked proteins -surrounded by extracellular lipid envelope (fused lamellar bodies) -especially resistant to abrasion, penetration and water loss
26
What are nails and how are they formed?
composed of dead scaly cells densely packed with hard keratin fibers New cells added by mitosis in the nail matrix Appearance can indicate underlying conditions - iron deficiency --> flat or concave - long term hypoxemia --> clubbed
27
What are the three types of barriers in skin protection?
1. Physical barrier 2. Biochemical barrier 3. Immunological barrier
28
What are the five types of glands found in the skin?
1. Eccrine/merocrine sweat glands 2. Apocrine sweat glands 3. Holocrine sebaceous glands 4. Ceruminous glands 5. Mammary glands
29
How do eccrine sweat glands function and what is their
Produce watery perspiration Controlled by sympathetic nervous system via myoepithelial cells Primary role in temperature regulation Release secretions directly to skin surface
30
What are the characteristics of apocrine sweat glands?
Cells "pinch off" into ducts Release secretions into hair follicles Function as scent glands Respond to stress and sexual stimulation Located in armpits and genital regions
31
How do holocrine sebaceous glands work?
Entire cell disintegrates to release product Produce oily sebum that lubricates skin and hair Primarily located on face, chest, and back Differentiated epithelial cells accumulate lipids before rupturing
32
What immune cells are present in the dermis?
Macrophages and monocytes Mast cells Eosinophils Neutrophils B and T lymphocytes
33
What is the role of dermal immune cells?
Tissue remodelling Repair processes Tissue proliferation Release of cytokines and chemokines Maintain balance in immune response
34
How does counter current heat exchange work in the skin?
Occurs between arterial and venous blood flow in extremities Located in dermis Minimizes heat loss Important for maintaining core temperature
35
What is special about blood flow in apical skin?
Contains high density of arteriovenous anastomoses (AVA) Rich sympathetic innervation using norepinephrine Core temperature increase → decreased sympathetic tone → increased blood flow Core temperature decrease → increased sympathetic tone → decreased blood flow
36
How does non-apical skin regulate temperature?
Uses sympathetic nervous system acetylcholine release Activates eccrine sweat glands Releases vasoactive molecules These molecules relax vascular smooth muscle cells Results in increased perfusion and heat loss
37
Which areas of the body are most important for heat exchange?
Areas with high surface area to volume ratio: Ears Finger pads Toes
38
What characterizes the skin's microflora?
Contains over 1,000 species Includes harmless commensals Contains opportunistic pathogens (e.g., S. aureus) Plays role in skin defence