Receives more medical treatment than any other organ
Exposed to radiation, trauma, infection, and chemicals
Layers of the skin
Epidermis
Dermis
Hypodermis
Accessories of the Integumentary System
Hair
Nails
Glands – sweat, oil, mammary
Functions of Skin
Resistance to trauma and infection
Water (keratin + glycolipids help reduce loss)
UV radiation
Harmful chemicals
Vitamin D synthesis
Sensory functions
Thermoregulation
Non-verbal communication
Epidermis
Keratinizedstratified squamous epithelium
Stratum basale
Deepest layer of epidermis, keratinocytes "born" here from stem cells, high rates of mitosis, tactile (Merkel) cells, melanocytes
Melanocytes
Produce melanin (UV absorbing pigment), melanin exported from melanocytes via melanosomes, melanosomes taken in by keratinocytes, melanin granules clustered on superficial side of cell, melanocyte activity genetically & hormonally determined, can be increased by UV exposure
Melanin & Skin Pigmentation
Number of melanocytes similar among different skin colors, amount & distribution of melanin produced differs, dark skin – more melanin & more spread out across keratinocytes, light skin – less melanin & concentrated around nucleus of keratinocytes
Stratum spinosum
Desmosomes between keratinocytes give "spiny" appearance under microscope, cells also joined by tight junctions – aids in water retention, mitosis in lower layers but ends as you get into upper layers, keratinocytes pushed upward by newly dividing cells in s. basale, dendritic cells "wander" through here
Stratum granulosum
Keratohyalin granules in cells, release a protein that binds keratin together creating very tough layer just inside membranes of cells, lamellar bodies release lipid mixture forming epidermal water barrier, cells begin to die
Stratum lucidum
Only in thick skin, transparent, flat cells (dead), clear protein – eleidin
Stratum corneum
Up to 30 layers of dead keratinocytes, flattened, enucleated, still contain the keratin bundles, what keeps them together if they're dead, eventually flake off – dander
Dermis
Connective tissue layer beneath the epidermis, vascular – provides oxygen, nutrients for epidermis, hemoglobin – pink hues, sweat and sebaceous glands, nerve endings, houses hair & nail roots, tattoo ink must reach dermal layer
Dermis - Cells
Fibroblasts – produce ECM, mast cells – release chemicals that create inflammatory response (e.g., histamines), leukocytes (white blood cells) – important in immunity
Dermis – Papillary Layer
Upper layer, areolar connective tissue, loose organization allows for mobility of leukocytes, extends via dermal papillae into stratum basale of epidermis, creates fingerprints, epidermis has epidermal ridges that reach downward, nerve fibers & touch receptors
Dermis – Reticular Layer
Lower layer, dense, irregular connective tissue, itch, stretch & pressure receptors, collagen & elastin fibers provide strength & elasticity, collagen binds to water to keep skin hydrated
Hypodermis
Subcutaneous tissue, mostly adipose tissue, some areolar tissue, common site of drug injection (many blood vessels), energy reservoir & thermal insulation