Composed of the skin, hair, oil and sweat glands, nails and sensory receptors
Integumentary system
Helps maintain a constant body temperature, protects the body, and provides sensory information about the surrounding environment
Dermatology
Medical specialty that deals with the structure, function, and disorders of the integumentary system
Skin
Covers the external surface of the body and is by weight the largest organ of the body
Layers of the skin
Epidermis
Dermis
Subcutaneous tissue
Epidermis
Superficial, thinner portion, composed of epithelial tissue; Avascular
Dermis
Thicker connective tissue portion; dermis is highly vascular
Subcutaneous tissue
Also called the hypodermis; the tissue consists of areolar and adipose tissues; It also contains nerve endings called "lamellar corpuscles" or Pacinian corpuscles that are sensitive to pressure
Cell types in the epidermis
Keratinocytes (85%)
Melanocytes (8%)
Dendritic cells
Tactile epithelial cells
Keratinocytes
Produce a fibrous protein called "keratin"; Also produce lamellar granules, which release a water-repellent sealant that decreases water entry and loss and inhibits the entry of foreign materials
Melanocytes
Pigment producing cells of the body; Produce the pigment melanin (yellow-red or brown-black pigment)
Dendritic cells (Langerhans cells)
Arise from red bone marrow and migrate to the epidermis, where they constitute about 5% of the epidermal cells; Involved in immune response
Tactile epithelial cells (Merkel cells)
Least numerous (2%); Located in the deepest layer; They make contact with the flattened process of a sensory neuron (nerve cell), called a non-encapsulated sensory corpuscle or Merkel disc
Layers of the epidermis
Stratum basale
Stratum spinosum
Stratum granulosum
Stratum lucidum
Stratum corneum
Stratum basale (Stratum germinativum)
Deepest layer; Single-row of cuboidal or columnar keratinocytes; Some cells are stem cells that undergo cell division; Contains keratin intermediate filaments (tonofilaments)
Stratum spinosum
Superficial to stratum basale; Numerous keratinocytes arranged in 8-10 layers with bundles of keratin intermediate filaments
Stratum granulosum
5 rows of flattened keratinocytes, in which organelles are beginning to degenerate; Cells contain "keratohyalin" and "lamellar granules"
Stratum lucidum
Present only in skin of palms, palmar surfaces of digits, soles, and plantar surfaces of toes; Consists of 4-6 rows of clear, flat, dead keratinocytes with large amounts of keratin
Stratum corneum
Few to 50 or more rows of dead, flat keratinocytes that contain mostly keratin
Dermis
Composed of irregular connective tissue containing collagen and elastic fibers; Woven network of fibers has great tensile strength and ability to stretch and recoil easily; Much thicker than epidermis
Layers of the dermis
Papillary dermis
Reticular dermis
Papillary dermis
About 1/5 of thickness of the total layer; Contains thin collagen and fine elastic fibers; Surface area is increased by dermal papillae; Contains capillary loops and tactile receptors
Reticular dermis
Attached to subcutaneous tissue; Contains bundles of thick collagen fibers, scattered fibroblast, and various wandering cells; Collagen fibers are arranged in netlike manner
Epidermal ridges
Produced during the 3rd month of fetal development; Follow the contour of the dermal papillae of the papillary dermis; Form fingerprints
Melanin
Causes the skin's color to vary from pale yellow to reddish-brown to black; Pheomelanin is yellow to red, Eumelanin is brown to black; Synthesized by melanocytes in melanosomes; Serves a protective function by absorbing UV radiation
Hemoglobin
Red color; The oxygen-carrying pigment in red blood cells
Carotene
Yellow-orange pigment that gives egg yolks and carrots their color; Precursor of Vitamin A stored in the stratum corneum and fatty areas of the dermis and subcutaneous tissue
Albinism
Inherited inability of an individual to produce melanin; Melanocytes are unable to synthesize tyrosinase
Vitiligo
Partial or complete loss of melanocytes from patches of skin produces irregular white spots; Due to immune system malfunction
Accessory structures of the skin
Hair
Skin glands
Nails
Hair
Present on most skin surfaces except the nipples, the palms, palmar surfaces of the fingers, the soles, the plantar surface of the toes, and labia minora, and prepuce of the penis; Hair shaft and hair root consist of three concentric layers of cells: medulla, cortex, and cuticle of hair
Functions of the skin
Thermoregulation
Blood reservoir
Cutaneous sensations
Synthesis of Vitamin D (Calcitriol)
Types of wound healing
Epidermal wound healing
Deep wound healing
Epidermal wound healing
1. Epidermal stem cells surrounding the wound break contact with the basement membrane
2. The cells will enlarge and migrate across the wound
3. The cells appear to migrate as a sheet until advancing cells from opposite sides of the wound meet
4. When epidermal cells encounter one another, they stop migrating due to cellular response called "contact inhibition"
Skin structures
Labia minora
Prepuce of the penis
Hair shaft components
Superficial portion
Deep to the shaft that penetrates into the dermis
Hair shaft and root
They both consist of three concentric layers of cells: medulla, cortex, and cuticle of hair
Medulla
Lacking in thinner hair, is composed of two or three rows of irregularly shaped cells that contain large amounts of pigment granules in dark hair, small amounts in gray hair, and lack of pigment granules and presence of air bubbles in white hair
Cortex
Forms the major part of the shaft and consist of elongated cells
Cuticle
Outermost layer; consists of single layer of thin flat cells that are most heavily keratinized