Structure Of The Skin - Appendages Flashcards

1
Q

What are the three skin appendages

A

Hair, nails, glands

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2
Q

What are the three main skin glands

A

•Sebaceous
•Apocrine
•Eccrine

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3
Q

Where are sebaceous glands found in the body

A

Widely distributed:
largest glands in face and chest
=> most common areas of acne!!

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4
Q

Where are sebaceous glands in the skin and where do their secretions leave the skin

A

Wrapped around the hair follicle (pilosebaceous unit)
Holocrine secretion opening into pilary canal

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5
Q

Are sebaceous glands always active

A

No, they are hormone sensitive & so are quiescent pre-puberty. This explains the relationship between puberty & acne

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6
Q

What liquid do sebaceous glands secrete & what is this composed of

A

Sebum
- a mixture of lipids
- e.g. squalene, wax esters, TG and FFA

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7
Q

What is the role of sebaceous glands

A

Control moisture loss & protect against fungal infection

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8
Q

Where are eccrine sweat glands located in the skin and where do they open into

A

Located in the dermis
Secrete onto skin surface

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9
Q

Where are eccrine sweat glands most prominent

A

palms, soles, forehead and axillae

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10
Q

How are eccrine sweat glands regulated

A

Sympathetic cholinergic nerve supply –
mental, thermal and gustatory stimulation

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11
Q

What is the function of eccrine glands

A

cooling by evaporation
moisten palms / soles to aid grip

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12
Q

Describe the secretions produced by the eccrine sweat glands

A

Sweat
- Hypotonic fluid
- Mainly water (~98%)
- Some electrolytes e.g. NaCl, but most electrolytes reabsorbed

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13
Q

Where are apocrine sweat glands located in the skin

A

The dermis
They develop as part of the pilosebaceous unit

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14
Q

Where are apocrine sweat glands most prominent

A

Axillae, groin, eyelids, ears, mammary and perineal regions

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15
Q

How are apocrine sweat glands regulated

A

Androgen dependent

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16
Q

Describe the fluid secreted by apocrine glands & explain its odour

A

Produce an oily fluid which produces an odour after hitting the skin and being decomposed by bacteria

17
Q

Name the phases of hair follicle growth & state what happens in them

A

Anagen = growing
Catagen = involuting
Telogen = resting
Exogen = shedding

18
Q

Where in the body does skin not have hair follicles
(& so no pilosebaceous units & so no sebaceous/ apocrine glands)

A

Hands, soles of the feet & lips

19
Q

How is hair follicle growth regulated

A

It is influenced by hormonal levels e.g. thyroxine, androgens

20
Q

Is hair loss permanent in alopcia areata (autoimmune hair loss) Why or why not?

A

No - autoimmune reaction doesn’t permanently damage the follicle

21
Q

What are pilosebaceous units composed of

A

Hair follicle
Hair shaft
Arrector pili muscle
Sebaceous glands

22
Q

What is the role of arrector pili muscles

A

When it contracts it causes the hair to stand erect, and a “goosebump” forms on the skin

This serves as a thermoregulator to help maintain body temp in cold conditions

23
Q

What are the three segments of a hair follicle

A
  • Infundibulum - between the sebaceous gland duct & the epidermal surface
  • Isthmus - between the insertion of the arrector pili muscle & the sebaceous gland duct
  • Hair bulb - contains the hair matrix & hair papilla, is the deepest part of the hair follicle
24
Q

What determines/ produces hair pigmentation

A

Melanocytes, that are located just above the dermal papilla

25
What is the papilla of the hair follicle (dermal papilla) & what is its role
Specialised connective tissue at the base of a hair follicle Have androgen receptors & control hair growth Provides oxygen/blood supply to hair bulb
26
What changes in the dermal papilla are associated with hair thinning
Reduced size & cellular activity
27
Describe the 3 layers of the hair shaft
Outer layer - Cuticle made up of keratin Middle layer - Cortex made up of specialised keratinocytes Inner layer - Medulla (only found in thick, coarse hair)
28
Name the two layers that cover the hair follicle cortex
External & internal root sheath
29
Does the hair shaft grow?
No - the hair follicle is the part that grows
30
Compare the hair structure of an Asian vs Black vs Caucasian individual
Asian hair - straight hair - strong hair - round, large cross-sectional hair follicle - fastest growing hair - high/low hair density Caucasian hair - straight/ curly hair - strong hair - round/oval cross-sectional hair follicle - fast/slow growing hair - highest hair density, most moisture content Black hair - curly hair - fragile hair - ellipsoidal cross-sectional hair follicle - slowest growing hair - lowest hair density
31
Where is nail produced
Nail matrix
32
What is nail composed of
Specialised keratins
33
Name a drug that increases nail growth
Anti fungals
34
Name the main components of nail
Nail matrix - where growth occurs, under skin Cuticle - protects nail matrix Nail bed - underneath the nail plate Nail plate - the nail itself
35
Name the three layers of the nail plate
Dorsal (outermost) Intermediate Ventral (innermost)
36
Summarise the three glands
Distribution - sebaceous glands - largest in face & chest - apocrine gland - axilla, mammary, ear, groin/perineal, eyelid - eccrine (sweat) glands - most in palm/soles, forehead, axilla Location - sebaceous glands - wrapped around hair follicle - apocrine glands - dermis, develop into pilosebaceous unit - eccrine (sweat) glands - dermis Opening - sebaceous glands - pilary canal - apocrine glands - pilary canal - eccrine (sweat) glands - skin surface Regulation/ stimulation - sebaceous glands - hormone sensitive, activated by puberty - apocrine glands - androgen dependant - eccrine (sweat) glands - sympathetic cholinergic NS Secretions - sebaceous glands - sebum (mixture of lipids) - apocrine glands - oily fluid - eccrine (sweat) glands - hypotonic fluid (~98% water) Role - sebaceous glands - controls moisture, prevents fungal inf. - eccrine (sweat) glands - cool by evaporation, moisten palms Associated clinical disorder - sebaceous glands - acne - apocrine glands - HS - eccrine (sweat) glands - Miliaria