Block III: SKIN video 4 (embryology of skin) Flashcards

1
Q

What cells are in the beggining of the embryo?

A

single layer of surface ectodermal cells sitting on a layer of mesoderm

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2
Q

explain the process of epidermis division Into what does the epithelium layer divide into?

A
  1. In the beginning of the 2nd month this epithelium
    divides and a layer of flattened cells, the periderm or
    epitrichium is laid down on the surface and the
    original layer becomes the basal layer. The
    periderm layer cells continually undergo
    keratinization and are sloughed off and replaced by
    cells from the basal layer
  2. Following this, the basal layer of cells at ~11
    weeks proliferates to form a third intermediate zone
    which will give rise to the outer layers of the
    epidermis apical to the basal layer. The basal layer is
    now called the stratum germinativum.
  3. By the end of the 4th - 5th month, the epidermis
    has the definative 4 or 5 layers seen in the adult
    skin. This process of differentiation of the layers
    starts at the cranial end and moves caudally. The
    cells at this point are called keratinocytes.
  • The periderm is shed and lost at about this time.
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3
Q

Which cells invade suring the 6th-7th week?

A

Neural crest cells invade into the developing
epidermis as early as the 6th to 7th weeks to
become melanocytes

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4
Q

What cells enter from bone marrow?

A

langerhan cells (dendritic cells) 7th week

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5
Q

which cells differentiate by week 4th-6th?

A

merkel cells

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6
Q

Where does dermis derive from?

A

The dermis derives from the mesenchyme
underlying the surface ectoderm

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7
Q

explain development of dermis

A

This
mesenchyme is derived from the somatic layer
of the lateral plate mesoderm & the
dermatomes from somites. By the 11th week
this mesenchyme called the corium starts to
develop both collagenous fibers and elastic
fibers and be divided into the papillary and
reticular layers.
* During the 3rd & 4th months, this tissue the
corium also forms the dermal papillae
projecting up into the epidermis between the
developing downward epidermal ridges. Both
capillaries and nerve fibers invade or develop
with these dermal papillae

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8
Q

explain hair development?

A
  • Hairs begin to develop during the 9th to 12th
    weeks, but they do not become easily
    recognizable until approximately the 20th week
  • A hair follicle begins as a proliferation of the
    stratum germinativum of the epidermis and
    extends into the underlying dermis as a hair bud.
  • The hair bud soon becomes a club-shaped hair
    bulb which continues to invaginate into the
    developing dermis.
  • At about the 12th week, the hair bulb is
    invaginated by a small mesenchymal hair papilla
    (hair dermal papillae) which induces the hair
    follicle cells immediately above (germinal matrix
    cells) to start formation of the hair, while the
    peripheral cells of the developing hair follicle
    form the epidermal root sheath, and the
    surrounding mesenchymal cells differentiate into
    the dermal root sheath.
  • Melanocytes invade the germinal matrix region of
    the follicle to produce melanin for the hair color.
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9
Q

Explain development of sebaceous glands

A

Most sebaceous glands develop as buds
(~week 15) from the sides of the developing
epidermal root sheaths of the hair follicles.
The buds grow into the surrounding CT and
branch to form the primordia of the alveoli
and their associated ducts. The central cells
of the alveoli break down, forming an oily
secretion called sebum; this is released by
the short duct into the hair follicle and passes
to the surface of the skin.

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10
Q

explain development of eccrine sweat glands

A

develop as
epidermal down growths—cellular
buds—into the underlying mesenchyme
at about week 16- 17. As a bud
elongates, its end coils to form the
primordium of the secretory part of the
gland. The epithelial attachment of the
developing gland to the epidermis forms
the primordium of the sweat duct. The
central cells of the primordial ducts
degenerate, forming a lumen. The
peripheral cells of the secretory part of
the gland differentiate into myoepithelial
and secretory cells

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11
Q

explain develop of aprocine sweat glands?

A

Also develop
from the downgrowths of the stratum
germinativum of the epidermis that give
rise to the hair follicles. As a result, the
ducts of these glands open into the
upper part of the hair follicles, superficial
to the openings of the sebaceous glands.
They begin to secrete during puberty.

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12
Q

What is ichthyosis?

A

This is a general term for a
group of skin disorders resulting from
excessive keratinization (keratin
formation) and thickening of the fetal and
infant skin. The skin is characterized by
dryness and fish-skin–like scaling, which
may involve the entire body surface.

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13
Q

identify

A

child with ichthosis (epidermolytic
hyperkeratosis)

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14
Q

What is colloidon infant?

A

is covered at birth by a thick, taut membrane that
resembles collodion or parchment. This membrane cracks with the first
respiratory efforts and begins to fall off in large sheets. Complete shedding of
membranes may take several weeks, occasionally leaving normal-appearing
skin. However, more often find skin with either of 2 disorders:
1) Lamellar Ichthyosis
2) Harlequin fetus

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15
Q

What is lamellar ichthyosis?

A

Lamellar Ichthyosis: Inherited as an autosomal recessive trait. Once the outer
layer of the colloidin skin is shed, the skin is red and scaly. Lips may turn
outwards, palmar-plantar hyperkeratosis, nail abnormalities, dehydration and
respiratory problems.

90% of cases due to mutation/defects in transglutaminase-1 gene (TGM1)
involved in crosslinking of proteins on cytoplasmic surface of keratinocyte
membranes in stratum corneum to form cornified cell envelope necessary to
make the cells impermeable to water.

In addition, since the cornified cell envelope is also necessary as a scaffolding for
the lipids released from the membrane coating granules to form the waterproofing
barrier in the intercellular space, the water-proofing in this part of the
mechanism may also be affected.

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16
Q

What is harlequin fetus?

A

More severe. Also inherited as an autosomal recessive
trait. The skin is markedly thickened, ridged, and cracked – very thick
diamond-shaped fish-scale like plaques that constrict breathing and
radically distort mouth, eyes, other features, and constrict limb movement
and respiration. In past most of the affected infants die during the first
week of life.

Generally due to mutation in ABCA12 gene on chromosome 2. This is a
transmembrane lipid transporter protein located in the membrane of the
membrane coating granule (lamellar body).

Note that both the lamellar icthyosis and the harlequin fetus result
from defects in enzymes which play a key role in the waterproofing
mechanism of skin. Thus that waterproofing mechanism is of
extreme importance.

17
Q

what are angiomas of skin?

A

are vascular anomalies in which some
transitory primordial blood vessels persist as solid or hollow cords;
the hollow cords contain blood. Birthmarks such as “Nevus
flammeus” on the posterior aspect of the neck or “port wine stains”
on the anterior or lateral surfaces of the face or neck are examples