The skin is an integral part of the integumentary system and consists of two types: thick skin which covers the palms of the hand and the soles of the feet, and thin skin which covers every other external surface of the body.
The layers of the epidermis from superficial to deep are Stratum Corneum, Stratum Lucidum, Stratum Granulosum, Stratum Spinosum, Stratum Basale, and Mnemonics: Come Let’s Get Sun Burned.
Stratum Basale is one layer of mitotically active cuboidal cells that is attached to the basement membrane by hemidesmosomes and integrins, and is attached to each other by desmosomes.
Stratum Spinosum has several layers of polyhedral cells that are attached to each other by desmosomes at the tips of short projections containing bundled keratin, or tonofibrils.
Stratum Granulosum is a thinner layer of flattened keratinocytes that are densely filled with keratohyalin granules containing flaggrin, and other proteins binding the tonofibrils.
Stratum Corneum is the most superficial layer that protects against water loss, friction, and microbial invasion, and consists of flat, terminally differentiated cells, or squames, which are slowly lost.
Stratum Lucidum consists of several layers of flattened dead cells, with faint nuclear outlines visible in only a few cells, and is usually only visible in thick skin; hard to identify in thin skin.
Epidermal appendages include hair follicles of terminal hair that span the entire dermis and usually extend deep into the hypodermis, nails formed in a manner similar to hairs, sebaceous glands that secrete sebum onto hair in the follicles or pilosebaceous units, and have only limited antibacterial, antifungoid activity, and sweat glands distinguished by their secretory mechanism.
The Dermis is the thick layer of connective tissue to which the epidermis is attached, found immediately below the epidermis, and has two sublayers: the Papillary Layer, a more superficial sublayer composed of areolar connective tissue that forms the dermal papillae, and the Reticular Layer, a thicker layer made up of dense irregular connective tissue.