Histology: Skin Flashcards

(36 cards)

1
Q

Which epidermal layers are mitotically active?

A

Stratum germanativum, stratum spinosum

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2
Q

Layers of epidermis

A

stratum germinativum, stratum spinosum, stratum granulosum, (stratum lucida), stratum corneum

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3
Q

Stratum Germinativum

A
  • Basal layer
  • Mitotically active
  • Hemidesmosomes & desmosomes
  • Polyribosomes
  • Intermediate filaments (keratin type) in cytoplasm

Tall cuboidal/columnar

Single layer

Keratinocytes NOT differentiated

Melanocytes HERE to give melanin

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4
Q

Skin Functions

A
  • Protection
  • Reception of stimuli
  • Excretion
  • Secretion
  • Thermoregulation
  • Wound healing
  • Fat metabolism
  • Vitamin D production
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5
Q

Stratum Spinosum

A
  • Mitotically active
  • Desmosomes –> ‘Prickle’ cell layer (spiny cells)
  • Polyribosomes
  • Intermediate filaments (keratin type) & tonofibrils
  • Membrane coating granules (keratinosomes)

Variable Thickness

Between SG - Sgran

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6
Q

Stratum Granulosum

A
  • No mitotic activity
  • Keratohyalin granules –> keratin
  • Nuclei become pyknotic (condense)

3-5 layers thick, flattened polygonal

Differentiated

Discharge lamellar bodies to surface

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7
Q

Stratum lucidum

A
  • Thick skin only
  • May be artifact
  • Appears ‘glassy’; eleidin???
  • Nuclei gone
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8
Q

Stratum corneum

A
  • Outermost layer
  • Cells are dead and flat
  • Cells are completely ‘keratinized’

Thickness varies

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9
Q

–Fibrous and proteinaceous material produced by epidermal cells

A

Keratin

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10
Q

2 Major components of keratin

A
  • Intermediate filaments/tonofibrils
  • Interfilamentous matrix
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11
Q

Phases of keratinization

A
  • Synthetic phase: Intermediate filaments, Membrane coating granules, Keratohyalin granules (Filaggrin and trichohyalin) made
  • Degradative phase: Membrane coating granule discharge, Lysosomal degradation of organelles, Consolidation of filaments and keratohyalin into a fibrous amorphous mass
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12
Q

Hard vs. Soft Keratin

A

•Hard keratins

–No granular cell layer phase

–Hair & nails

•Soft keratins

–Granular cell layer phase

–Epidermis and internal root sheath of hair

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13
Q

Functions of keratin

A

–Water-proofing

–Protection of underlying cells

–Defense against bacterial invasion

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14
Q

Psoriasis

A

–Results from an increase in the number of proliferating cells in the stratum basale and stratum spinosum

–Also, there is an increase in the rate of cell turnover

–Result: greater epidermal thickness and continuous turnover of the epidermis

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15
Q

Pemphigus Vulgaris

A

–An autoimmune blistering disorder caused by disruption of desmosomes linking keratinocytes

–Antibodies made against desmogleins

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16
Q

Bullous Pemphigoid

A

–Autoimmune blistering disorder of the dermis-epidermis junction

–IgG is directed against an antigen (BPA) in the dense plaque of the hemidesmosome

–Blister occurs in the lamina lucida region of the basement membrane

17
Q

Layers of Dermis

A

•Papillary layer

–Vascular papillae

–Nervous papillae

•Reticular layer

18
Q

Papillary layer of dermis

A

superificial, immediately beneath basement membrane of epidermis

Loose CT - collagen, some ret/elastic

Vascular papillae - capillary loop projections, nourish epidermis, thermoregulatory

Nervous papillae - special nerve terminations (meissners corpuscules, Krause end bulbs)

19
Q

Reticular layer of dermis

A

Deep layer, dense irregular CT (mostly type 1, some reticular fibers, many elastic fibers), less cellular

20
Q

Langer lines

A

direction of fibers in reticular layer create lines of skin tension (surgical insicisions paraless to these gape less and heal better)

21
Q

Hypodermis

A

Not part of skin

Loose CT

Fat

22
Q

Epidermal Cellular Elements

  • Keratinocytes
  • Melanocytes
  • Langerhan’s cells (APCs)
  • Merkel cells
A
  • Keratinocytes - skin cells, create keratin
  • Melanocytes - produce melanin to SG and SS
  • Langerhan’s cells (APCs) - macrophages, Fc and C3 receptors, APCs
  • Merkel cells - unmyelinated sensory nerves (light touch)
23
Q

Pigmentation of skin

A

Melanin - melanocytes in SB - pre-melanosome from ER w/ tyrosinase, put melanin in pre=melanosome - matures - secrete for pigmentation

24
Q

Vascular Supply to skin

A
  • Supplying vessels are subcutaneous
  • Rete cutaneum

–Network that sends branches in two directions

  • Subcutaneous side
  • Dermal side –> Rete subpapillare = Between papillary and reticular layers of dermis
25
General hair structure
Shaft Follicle in dermis/epidermis Associated w/ sebaceous glands, arector pili, apocrine sweat glands
26
Arrector Pili Muscles
Smooth muscle associated w/ hair follice one end anchored to CT sheath of follicle - one end in papillary layer of dermis Pulled perpendicular - goose bumps, allow sebaceous glands to secrete onto skin Sympathetic innervation
27
Nails
Nail plate (hard keratin) Nail bed - no stratum granulosum Nail matrix - closest portion of nail bed where cells proliferate
28
Sebaceous Glands
Usually w/ hair follicles Simple, branched alveolar gland - empty duct into hair follicle Holocrine secretion of oily sebum
29
Eccrine sweat glands
Merocrine (exocytosis) Simple coiled tubular glands Secretory portion - in deep dermis or hypodermis, coiled, dark cells-protein rich, clear cells - watery, myoepithelial cells squeeze secretion out - simple columnar Excretory duct - rises to epidermal surface, small lumen, stratified cuboidal
30
Apocrine sweat gland
Certain areas of body Secretory - large lumin, not as coiled, simple cuboidal/columnar, myoepithelial cells Excretory - duct into hair follicles, stratfied cuboidal Odorless but bacteria --\> scent
31
Free nerve endings in epidermis
May wrap around tactile cell of Merkel (touch) or just terminate (pain)
32
Encapsulated Nerve Endings
Glomerular (like Corpuscles of Ruffini, Krause's End Bulb's) = mechanoreceptors Tactile - fibrous capsule --Meissners and Pacinian
33
Meissner's Corpuscle
touch hairless skin
34
Pacinian corpuscle
Thick fibrous capusle, looks like onion, deep pressure and vibration, hypodermis
35
Wound Healing
Fibrin clot at bottom of cut, epidermis extends down sides of incision until both meet, fibroblasts and capillaries repair CT
36
Skin grafting options
Split-Skin grafts - piece of skin cut halfway down dermis, donor site re-epithelializes d/t hair follicles and sweat glands Full thickness graft - remove all dermis/epidermis - donor site cannot re-epithelialize self