Integument Flashcards
What are the properties of the skin?
Largest organ;15-20% of the body mass Functions as: barrier (protection) sensation thermoregulation
What are the major components of the skin?
Epidermis and its derivatives (stratified epithelium)
Dermis (CT)
Hypodermics (adipose tissue)
What are the characteristics of epidermis?
Stratified squamous epithelium
Principal cell=keratinocytes
Cell maturation characterized by accumulation of keratin and apoptosis
Possess 5 layers: stratum basale, stratum spinosum, stratum granulosum, stratum lucidement, stratum cornemuse
What are the characteristics of the stratum basale?
Basal most layer Single layer of cells Columnar/cuboidal cells Mitotic ally active cells Rest on the basement membrane Held by hemidesmosomes Autoimmune reaction causes blistering-Bullous pemphigoid
What are the characteristics of type stratum spinosum?
Several cell layers
Rounded cells
Desmosomes-spines
What are the characteristics of stratum granulosum?
Squamous cells
Keratohyalin granules
What are the characteristics of stratum lucidum?
Only in thick skin
Dead cells
Stain lightly with H&E
What are the characteristics of stratum corneum?
Most differentiated cells
Cells filled with keratin
Spaces between cells filled with lipid and impermeable for water
Stain dark with H&E
What are the cells of the epidermis?
Keratinocytes-predominant type, keratin production, water barrier formation
Melanocytes-Neural crest derived, produce melanin
Langerhans cell-APC
Merkel’s cell- Sensory cells
What is the keratinocytes cell structure?
Desmosomes
Intermediate filaments (keratin)
Keratohyalin granules-Filaggrin and trichohyalin, promote conversion(keratin filaments–>fibrils)
Lamellar bodies- membrane bound vesicles, mixture of lipids, epidermal water barrier
What are the keratinocytes tumors?
Squamous cells carcinoma-from stratum spinosum, HPV
Basal cell carcinoma-Most common skin cancer
Treatment: surgery (95% cure rate)
What are the characteristics of melanocytes?
Neural crest derived
No desmosomes
Dendritic cell
Association with keratinocytes
Produce and secrete melanin which protects against UV
Melanosomes-melanin granules, phagocytosis by keratinocytes
What are the melanocytes tumors?
Malignant melanoma-derived from melanocytes
Asymmetrical
Border irregular
Color variation
What are the phases of melanoma?
Radial growth phase: Tumor grows in all direction Bright pigmentation Vertical growth phase: Tumor grows toward dermis Little pigmentation Reaches lymphatic vessels
What are the characteristics of Langerhans’ cells?
Monocyte derived
No desmosomes
APC-alerts T-cells, generate immune response
Indented nucleus
Birbeck granules-endosomes, racquet shaped