Skin and Atopic Dermatitis Flashcards

1
Q

What are the two main parts of the skin?

A

Epidermis (Outer Layer)

Dermis (Connective tissue)

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2
Q

What kind of tissue is the dermis made from?

A

fatty adipose tissue and contains strong connective tissue made up of collage and elastin

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3
Q

How does the epidermis gain oxygen and nutrients?

A

Relies upon diffusion from the blood vessels in the dermis

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4
Q

What do sweat glands produce?

A

Watery sweat for thermoregulation and protein rich sweat during emotional sweating

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5
Q

What prevents the skin from dehydration?

A

sebaceous glands produce an oil

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6
Q

How is the dermis protected from microbes?

A

Phagocytic macrophages are found in the dermis layer

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7
Q

What are the 4 main types of cells found in the epidermis?

A

Keratinocytes, melanocytes, langerhans cells and merkel cells

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8
Q

What is the most common cell in the epidermis

A

Keratinocytes form 90% of the cells in the epidermis. They are arranged in layers and produce keratin which protects the underlying tissue against heat, microbes and chemicals

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9
Q

What role doe melanocytes play in the epidermis?

A

transfer melanin containing granules to the keratinocytes

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10
Q

How do Langerhans cells aid the immune system

A

They are antigen presenting cells and recognise an invading microbe and stimulate the immune response to destroy it

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11
Q

Which cells detect touch?

A

Merkel cells

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12
Q

What are the innate skin defences against infection?

A

Cornified outer layer of skin
Physical barrier of interlocking keratinocytes
Extracellular anti-microbial lipids
Acid pH of sweat
Defensins in sweat
Anti-bacterial effect of oil from sebaceous glands

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13
Q

What is atopic dermatitis?

A

Common chronic inflammatory skin disease

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14
Q

Which antibody is produced in excess in AD?

A

IgE in response to common environmental and food antigens

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15
Q

What are the common symptoms and location of AD?

A

Itching, dry and red skin.

Folds of the arms, back of the knees, wrists, face and hands

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16
Q

What are the defects in the epidermal barrier in AD?

A

Decreased expression of filaggrin
Decreased levels of ceramics and sphingosine
Decreased production of antimicrobial peptides

17
Q

What is the role of IgE in atopic dermatitis?

A

Cause mast cells to induce histamine release
Activation of eosinophils
Enhance antigen presentation to T cells

18
Q

What treatments can be administered for AD?

A

Emollients
Antiseptics
Antibiotics
Topical corticosteroids

19
Q

What are the aims of therapy for AD?

A

Minimizing contact with known allergens
Reduce the dryness and inflammation of the skin
Reduce bacterial presence