Skin and Function Part 1 Flashcards

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1
Q

What is the epidermis?

A

Outer layer of skin, stratified cellular epithelium

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2
Q

What is the dermis?

A

Layer beneath the epidermis, connective tissue

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3
Q

What is the epidermis formed from embryonically?

A

Ectoderm-form a single layer periderm, gradual increase in layers of cells, periderm cells cast off

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4
Q

What is the dermis formed from embryonically?

A

Mesoderm

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5
Q

What are melanocytes?

A

Pigment producing cells from neural crests

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6
Q

What is gastrulation and when does it occur?

A

Cellular organisation into germ layers; occurs days 7-10

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7
Q

What does the skin look like at 4 weeks?

A

Periderm on top of basal layer, both sit atop dermis (corium)

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8
Q

What does the skin look like at 16 weeks?

A

Keratin layer (top layer), then granular layer then prickle cell layer, finally basal layer atop of dermis, melanocytes migrate from neural crest

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9
Q

What does the skin look like at 26 weeks?

A

Epidermis has formed, melanocytes have appeared as well as sebaceous glands, arector pili muscle and hair follicles

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10
Q

What are Blaschko’s lines?

A

Developmental growth pattern of skin caused by mutations within cells, not following vessels/nerves/lymphocytes, normal development up until 18 weeks

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11
Q

What is the other name for Blaschko’s lines?

A

Epidermal nevis

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12
Q

What does skin consist of?

A

Epidermis, appendages, dermo-epidermal junction, dermis, sub-cutis (predominantly fat)

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13
Q

What are the four layers of the epidermis, starting from the most superficial?

A

keratin layer, granular layer, prickle cell layer, basal layer

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14
Q

What are other cells found in the epidermis?

A

Melanocytes, Langerhans cells, Merkel cells

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15
Q

What is 95% of the epidermis made from?

A

Keratinocytes (contain structural keratins)

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16
Q

How thick is the epidermis?

A

1.5 mm

17
Q

How are prickle cells connected?

A

Via little spikes (desmosomes) which vibrate and allow them to move upwards

18
Q

What is epidermal turnover and how is it controlled?

A

Balance of cells in/out; controlled by growth factors, cell death and hormones

19
Q

What can result from a loss of control of epidermal turnover?

A

Skin cancer and psoriasis

20
Q

How long does it take for the epidermis to fully regenerate?

A

28 days from bottom to top

21
Q

What are some features of the basal layer?

A

Usually one cell thick, small cuboidal cells, lots of intermediate filaments (keratin), stem cells so highly metabolically active

22
Q

What are some features of the prickle cell layer?

A

Larger polyhedral cells, lots of desmosomes, intermediate filaments connect to desmosomes

23
Q

What are some features of the granular layer?

A

2-3 layers of flatter cells, large keratohyalin granules, Odland bodies, high lipid content, cell nuclei loss

24
Q

What do keratohyalin granules contain?

A

Structural filaggrin and involucrin proteins

25
Q

How does eczema arise?

A

The granular area is deficient in filaggrin so people can’t conserve water

26
Q

What are corneocytes?

A

Overlapping non-nucleated cell remnants

27
Q

What do lamellar bodies release in the keratin layer?

A

Lipids

28
Q

Why does HPV occur?

A

Keratinocytes become infected due to deficient skin barrier

29
Q

What are some features of the keratin layer?

A

Insoluble cornified envelope, tight waterproof barrier, 80% keratin and filaggrin, has corneocytes

30
Q

Where does the cornified envelope originate from?

A

The granular layer

31
Q

Where are areas that mucosal membranes are found?

A

Eyes, mouth, nose, genito-urinary and GI tract

32
Q

What are some specialised forms of oral mucosa?

A

Masticatory (keratinised to deal with friction/pressure), lining (non-keratinised), specialised (tongue papillae)

33
Q

What are some features of ocular mucosa?

A

Lacrimal glands, eye lashes, sebaceous glands