Anatomy of the Skin Flashcards

1
Q

What are cells of epidermis? What are their characteristics?

A
  1. Keratinocytes
    - Make up 90% of the cells in stratum corneum
    - produce fibrous protein keratin giving skin elasticity
  2. Melanocytes
    - Make up 10-25% of cells in basal layer
    - Produce pigment
  3. Langerhans cells - epidermal dendritic cells
    - Macrophages that help to activate immune system
    - play role in facilitating contact dermatitis - skin allergic reactions
  4. Merkel cells - Tactile cells
    - touch receptors
    - found mostly in thick skin
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2
Q

Name 5 layers of epidermis.

A
  1. Stratum Corneum (cornified layer)
  2. Stratum Lucidum (clear layer found in thick skin i.e. the palm & sole)
  3. Stratum Granulosum (granular layer)
  4. Stratum Spinosum (spinous or prickle layer
  5. Stratum Basale (basal layer)
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3
Q

Describe epidermal layer superficial to dermis.

A
  • Stratum Basale
  • firmly attached to the dermis, consisting of a single row of stem cells; for that reason also called stratum germinativum - undergoes rapid division
  • cells travel from basal layer to the surface that takes about 25-45 days
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4
Q

Which layer of epidermis is abundant in melanin granules and Langerhans cells? Describe it.

A
  • Stratum Spinosum
  • 8-10 layers of cells wrapped with web-like intermediate pre-keratin filaments attached to desmosomal junctions
  • has a “spiny” appearance
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5
Q

Which layer of epidermis consists of flattened cells deprived of nuclei and cytoplasmic organelles? Describe it.

A
  • Stratum Granulosum
  • thin 3-5 layers of cells where Keratohyalin and lamellated granules accumulate
  • the granules of this layer contain secretion rich in lipids that acts as a sealant as well as protein filaggrin that retains water within keratinocytes
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6
Q

Which layer of epidermis consists of a layer that flakes off? Describe it.

A
  • Stratum Corneum
  • consists of 20-30 layers of flat, keratinized membranous sacs and is 3/4 thickness of epidermis
  • keratinocytes are surrounded with a mixture of lipids that provide waterproof layer
  • protects from abrasions, penetration and makes up a biological/chemical barrier
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7
Q

Which layer of epidermis is present only in thick skin? Describe it.

A
  • Stratum Lucidum
  • found only in palms, soles and flexor aspect of digits
  • It is a thin and transparent layer superficial to stratum granulosum and consists of a few rows of dead keratinocytes with a main function to reduce friction between layers
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8
Q

Which layer of the skin contain fibroblasts and what is their role?

A
  • Dermis
  • Synthesizes most of the extracellular matrix of connective tissue
  • active role in damage repair
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9
Q

What are dermal papillae? What can they contain?

A

They are protrusions of dermal connective tissue into the epidermal layer and can contain one of four:
1) Capillary loops
2) Pacinian corpuscule
3) Meissner’s corpuscule
4) Free nerve endings

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10
Q

Which papillary corpuscule recepts pressure and vibration and which responds to light tough only?

A
  • Pacinian corpuscule pressure and vibration
  • Meissner’s corpuscule light touch only
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11
Q

How thick (relatively) is reticular layer of the dermis? What does it contain?

A
  • Reticular layer of the dermis constitutes ~80% of dermis
  • contains thick collagen fibers that provide stretch-recoil property as well as resilience and strength
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12
Q

What factors can negatively affect fibroblasts? What condition can it cause?

A

Some of the factors are steroid hormones regime, diet poor in protein and vitamin C deficiency.
Fibroblasts impairment can cause condition called Keloid - abnormal scaring resulting from from uncontrolled synthesis and excessive deposition of collagen at sites of prior dermal injury and wound repair. Results in prominent scar that extends beyond the wound.

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13
Q

What cells present in dermis can release histamine and heparin? What is their role there?

A

Among others - mast cells. They are numerous around blood vessels and constitute a line of defense (phagocytes) against microorganisms. Their nucleus is surrounded with vesicles containing histamine, heparin or tryptase responsible for inflammation. Disrupted mast cell (mechanical, chemical or antigen match) releases substances. In severe case can cause anaphylaxis.

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14
Q

What are three substances mostly responsible for the skin color?

A

1) Melanin
2) Carotene
3) Hemoglobin
+ Other factors.

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15
Q

Where is hypodermis found and what tissue is it made of?

A

Hypodermis merges with the deep aspect of the dermis. It is made of loose connective tissue.

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16
Q

What are some functions of hypodermis?

A

It is rich in adipose component, contributes to thermal insulation, acts as a shock absorber and constitutes a store of metabolic energy.

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17
Q

Where are lipomas found? What are they and how are they dealt with?

A

Benign tumors of fat (hypodermis). Most common soft tissue tumors of adulthood. Usually mobile, slowly enlarging, painless masses. Mostly solitary lesions, but their numerous presence can be caused by rare autosomal disease.
Complete excision is usually curative.

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18
Q

What layer of skin is affected by Erythema Nodosum? What is the cause of this disease?

A

It is an inflammation of the Hypodermis. Can be idiopathic, medication or autoimmune disease like Crohn’s.

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19
Q

Name four derivatives of epidermis.

A

1) Sweat glands
2) Sebaceous (oil) glands
3) Hairs and hair follicles
4) Nails

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20
Q

Describe eccrine gland.

A
  • Present on palms, soles and forehead.
  • Sweat: 99% water, NaCl, potassium, urea, ammonia, lactic acid, vitamin C, and antibodies.
  • Ducts connect to pores.
  • Function in thermoregulation (absence will lead to hyperthermia).
21
Q

Describe apocrine gland.

A
  • Present on axilla, perianal region, areolae and periumbilical skin.
  • functional from puberty onward
  • the secretion is initially sterile, but it undergoes bacterial decomposition to generate potent odor
22
Q

Name two specialized apocrine glands.

A

1) Ceruminous gland - in external ear canal; secrete cerumen (earwax)
2) Mammary gland

23
Q

What gland develops from hair follicles? What is it’s role?

A

Sebeaceous (oil) gland. Present over the entire body. Becomes active at puberty and secretes holocrine oils that have bacteriocidal effect as well as softens hair and skin.

24
Q

Name four parts of hair structure.

A

1) Shaft
2) Root
3) Follicle
4) Bulb

25
Q

What are some functions of hair?

A

Alerting the body to presence of insects on the skin.
Guarding the scalp against physical trauma, heat loss, and sunlight.

26
Q

Which structure of hair contains 3 concentric zones made of fillamentous cornified structures?

A

Hair shaft.

27
Q

Cuticle, cortex and medulla are part of which derivative of epidermis?

A

Hair - specifically hair shaft.

28
Q

What gives color to hair shaft? What makes it grey?

A
  • Melanin
  • Decreased melanin + air bubbles in shaft
29
Q

Where does hair follicle extend from?

A

Extends from dermis and throught the epidermis.

30
Q

Describe the structure of hair follicle.

A

Two-layered wall: outer connective tissue root sheath, inner epithelial root sheath.
Hair follicle receptor (root hair plexus):
* Sensory nerve endings around each hair bulb
* Stimulated by bending a hair

31
Q

The lowest part of the follicle is? What is its function?

A

Hair bulb. Encloses the dermal papilla, which is an imp cluster of inductive mesenchymal cells (needed for hair growth).

32
Q

What is the muscle responsible for “goose bumps”? What is it attached to?

A

Arrector pili.
Smooth muscle attached to hair follicle.
Absent from facial, eyelashes, eyebrows, nostrils, ear, axillary, and pubic hairs.

33
Q

What are the phases of hair growth?

A
  1. Anagen/Growing phase: hair is actively growing.
  2. Catagen/Involuting phase: hair growth ceases and follicle shrinks.
  3. Telogen/Resting phase: the inferior segment of the follicle is absent.
  4. Exogen/Shedding phase: hair sheds off.
34
Q

What is a common disorder of the pilosebaceous unit? What are the four factors causing it?

A

**Acne vulgaris. **
1- Plugging of the hair follicle as a result of abnormal keratinization of the upper portion (gives rise to comedones).
2- Propionibacterium acnes in the hair follicle (lives on the oil and breaks it down to free fatty acids which cause inflammation).
3- Presence of hormones (androgens).
4- Sebaceous gland activity (increased in presence of androgens).

35
Q

Name 5 structures of the nail. What are their functions?

A
  • Nail plate/body : strong plate of hard keratin
  • Nail bed: is a specialized form of skin, and has the same four layers of the epidermis of skin
  • Eponychium (cuticle): thickened layer of skin surrounding fingernails
  • *Lunule: white crescent at the proximal end
    Nail matrix: formed by proliferating cells in the nail root
36
Q

What is a disease related to pilosebaceous unit? What is the etiology?

A

Acne Vulgaris
* Plugging of the hair follicle results in abnormal keratinization
* Bacteria living in hair feasting on oil breaking it down to free fatty acids which cause inflammation
* presence of androgenic hormones
* sebaceous gland hyperactivity (caused by androgenes)

37
Q

Describe blood and nerve supply to the skin.

A

Skin receives blood from:
1. Cutaneous system
2. musculocutaneous system
3. fasciocutaneous system

Innervated by both somatic and autonomic systems makes it a major sensory surface and thermoregulatory organ.

38
Q

Which chemical mediators of inflammation are vasoactive amines?

What cells are they secreted by and what is their action

A

Histamine
* produced by basophils, platelets, and mast cells
* causes vasodilation and increased vascular permeability
Serotonin
* Produced by platelets
* Causes vasodilation and increased vascular permeability

39
Q

Which chemical mediators are products of arachidonic acid?

what is their action

A

Thromboxane A2
* Produced by platelets
* Causes vasoconstriction and platelet aggregation
Prostacyclin (PGI2)
* Produced by vascular endothelium
* Causes vasodilation and inhibits platelet aggregation
Prostaglandin E2
* Causes pain and vasodilation

40
Q

What is the role of bradykinin in inflammation mediation?

A

Bradykinin is a product of Kinin System.
* Increases vascular permeability
* Causes pain
* Vasodilation
* Bronchoconstriction

41
Q

What are three components of an acute inflammation?

A
  1. Chemodynamic changes
  2. Neutrophils
  3. Chemical Mediators
42
Q

What is the role of neutrophils in inflammation?

A
  • Margination and adhesion
  • Emigration
  • Chemotaxis
  • Phagocytosis and degranulation
  • Intracellular killing
43
Q

What are four possible outcomes of an acute inflammation?

A
  1. Complete resolution with regeneration.
  2. Complete resolution with scarring.
  3. Abscess formation.
  4. Transition to chronic inflammation.
44
Q

What blood ingredient is a hallmark of chronic inflammation?

A

Lymphocytes

45
Q

What is the role of cytokines in inflammation?

A

Cytokines are chemical mediators of inflammation.
* Interleukins and Tumor necrosis factor
* Causes fever, enhances adhesions of molecules

46
Q

What is the role of products of lipoxygenase pathway in inflammation?

A

Causes neutrophil chemotaxis, vasodilation and increased vascular permeability.

47
Q

What are four steps in chemodynamic changes during the inflammation?

A

1st: Initial transient vasoconstriction
2nd: Massive vasodilation mediated by histamine, bradykinin, and prostaglandins
3rd: Increased vascular permeability
4th: Blood flow slows due to increased viscosity, allows neutrophils to marginate

48
Q

What are the cardinal signs of inflammation?

A
  • Rubor
  • Calor
  • Tumor
  • Dolor
  • Functio laesa (loss of function)
49
Q

What are three types of cells based on their regenerative properties?

A
  • Labile cells :
    ○ regenerate throughout life
    ○ examples: surface epithelial cells, hematopoietic cell, stem cells
  • Stable cells
    ○ Replicate at a low level throughout life
    ○ Examples: hepatocytes, endothelium
  • Permanent cells
    ○ Cannot replicate
    ○ Examples : neurons and cardiac muscle
    ○ When dead - replaced by fibrous tissue