Skin Flashcards

(38 cards)

1
Q

What are the layers of the skin?

A
  1. Epidermis
  2. Dermis
  3. Subcutis
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2
Q

Which layers of the skin are waterproof?

A

Epidermis

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3
Q

Why does the skin wrinkle when wet?

A
  • mediated by sympathetic nervous system

- due to vasoconstriction in dermis

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4
Q

Explain the function of the skin as a physical barrier

A
  • structure of skin: resists trauma
  • stratified epithelium: resists abrasive forces
  • fat in subcutis: shock absorber
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5
Q

Explain vitamin D synthesis in the skin

A

7-dehydrocholestrol in plasma membranes of epidermal keratinocytes and dermal fibroblasts converted to previtamin D3 by UVB

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6
Q

Where is vitamin D stored in the skin?

A

Subcutis adipocytes

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7
Q

Which hormones act on the skin?

A

Androgens

Thyroid hormones

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8
Q

Where do androgens act in the skin?

A

Follicles

Sebaceous glands

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9
Q

Where do the thyroid hormones act on the skin?

A
  1. Keratinocytes
  2. Follicles
  3. Dermal fibroblasts
  4. Sebaceous glands
  5. Eccrine glands
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10
Q

What does skin colour depend on?

A
  1. Melanin
  2. Carotenoids
  3. Oxy/deoxyhaemoglobin
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11
Q

Describe melanin secretion

A

Synthesised in melanosomes within melanocytes from tyrosine

Transported via dendrites to adjacent keratinocytes

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12
Q

What are the functions of melanin?

A
  • skin colour

- scatters/filters UV light

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13
Q

What colours are:

  • Phenomelanin
  • Eumelanin
A
  • red/yellow

- brown/black

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14
Q

Does everyone have the same number of melanocytes?

A

Yes

Density varies between body cites

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15
Q

Does the skin contain more eumelanin or pheomelanin?

A

Eumelanin

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16
Q

Deleterious effects of melanin

A
  1. Prone to photodegradation (may generate ROS)
  2. Pheomelanin increases release of histamine
  3. Lots of melanin = less ale to utilise UV light to make vitamin D
17
Q

Skin response to sunlight

A
  1. Immediate pigment darkening
  2. Persistent pigment darkening
  3. Delayed tanning
18
Q

Explain immediate pigment darkening

A
  • photooxidation of existing melanin
  • redistribution of melanosomes
  • occurs within mins and lasts hours-days
19
Q

Explain persistent pigment darkening

A

(Tanning)

  • UVA&raquo_space; UVB
  • oxidation of melanin
  • occurs within hours
  • lasts 3-5 days
20
Q

Explain delayed tanning

A
  • increased melanin synthesis
  • occurs 2-3 days after UV exposure
    • maximal at 10-28 days
21
Q

Explain the skin’s barrier to infection

A

The properties that render the skin a barrier to water also help prevent infection

A range of peptides synthesised by granular-layer keratinocytes have antimicrobial properties

22
Q

Which cells in the epidermis contribute to the immune system?

A
  • Langerhans cells

- keratinocytes

23
Q

How do Langerhans cells contribute to the immune system

A
  • antigen-presenting cells

- secrete cytokines

24
Q

How to keratinocytes contribute to the immune system?

A

Secrete cytokines and chemokines

25
Which cells in the dermis contribute to the immune system?
1. Regulatory T cells 2. Natural killer cells 3. Dendritic cells 4. Macrophages 5. Mast cells
26
What is the skin’s immune response?
1. Langerhans cells migrate to dermis -> lymph nodes activate a T-cell response 2. Keratinocytes proliferate and secrete cytokines 3. Leucocytes enter skin from blood
27
What are the sensory cells in the skin?
1. Merkle cells 2. Pacinian corpuscles 3. Meissner corpuscles 4. Myelinated & unmyelinated sensory nerve endings
28
Where are the sensory cells in the skin found?
Dermis | Except Merkle cells - found in basal epidermis
29
What do Merkle cells sense?
Light touch
30
What do Pacinian corpuscles sense?
Pressure / vibration
31
What do Meissner corpuscles sense?
Touch
32
What do myelinated and unmyelinated sensory nerve endings in the skin sense?
- pain - itch - temperature
33
What is the insulating factor in the skin?
subcutaneous fat
34
What prevents heat loss in the skin?
1. Cutaneous blood flow 2. Eccrine sweating 3. Hair
35
What is the equation for heat storage?
Heat storage = metabolism - work - evaporation +/- radiation +/- conduction +/- convection
36
Describe autonomic regulation of the skin
Sympathetic alpha-noradrenergic: vasoconstriction | Sympathetic cholinergic: vasodilation
37
Explain the mechanism of piloerection (goosebumps)
1. Arrector pili muscles innervated by sympathetic alpha-adrenergic fibres 2. Contraction raises cutaneous hairs
38
What does subcutaneous fat in the skin act as?
- insulator - shock absorber - energy store