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Integument

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The Integumentary System

Chapter 5
The Integumentary System
• Composed of the skin, sweat and oil glands, hair,
and nails.
• Accounts for 7% of the body’s weight.
• Major role is protection from pathogens and
dehydration.
• Varies in thickness from 1.5 to 4.0 mm.
• Composed of 3 distinct layers.
• Epidermis, Dermis, and hypodermis or superficial
fascia
Epidermis
• Outermost layer.
• Composed mostly of keratinized stratified
squamous epithelium.
• Contains 4 distinct cell types and 4 to 5
distinct layers.
Cell Types of the Epidermis
• Keratinocytes—produce keratin, a fibrous protein
that give the epidermis its protective properties.
These cells are tightly connected by desmosomes.
Arise from the stratum basale. Undergo
continuous mitosis. Are pushed upward and
continuously become more keratinized.Those on
the surface of the skin are dead. Millions rub off
per day.
• Friction may lead to a thickening of the cells
known as a callus.
Cell Types of the Epidermis
• Melanocytes—synthesize melanin.
• Located at the deepest layer of the
epidermis.
• The melanin is transferred to the
keratocytes.
• Protects against UV damage.
Cell Types of the Epidermis
• Langerhans’ cells—arise from the bone
marrow.
• Act as macrophages that activate the
immune system.
• Merkel cells—present at the junction of the
epidermis and dermis. Associated with
sensory receptors.
Layers of the Epidermis
• Thick skin (on palms, fingertips, soles) has 5
strata.
• Thin skin has only 4. The stratum lucidum is
absent and the other layers are visibly thinner.
• Stratum Basale—deepest layer. Attached to the
dermis. Sometimes called the stratum
germinativum because of the constant mitosis that
occurs there. Made of a single row of
keratinocytes.
Layers of the Epidermis
• Stratum Spinosum—Several layers thick. Contain
many intermediate filaments. Consist mainly of
keratin like filaments. Resist tension. Melanin
granules and Langerhan’s cells are abundant in
this layer.
• Stratum Granulosum—3-5 cell layers
thick.Keratinocytes become more flattened and the
cells contain more keratin and lamellated granules.
• Stratum Lucidum—thin layer of dead
keratinocytes. Present only in thick skin.
Layers of the Epidermis
• Stratum Corneum—Outermost layer. 20-30
cell layers thick. Cells have thick cell
membranes and a great deal of keratin.Cells
are referred to as cornified.
The Dermis
• Made mostly of connective tissue.
• The hide of the human body.
• Richly innervated and vascularized.
• Contains the hair follicles, sweat glands, oil
glands, lymphatic vessels, and many
sensory receptors.
The Dermis
• Consists of 2 layers.
– Papillary layer—areolar connective tissue, heavily
vascularized. Contains the dermal papillae, capillary
loops, and Meissner’s corpuscles.
– In some areas these lie on top of the dermal ridges.
Cause the epidermal ridges that cause fingerprints.
– Reticular layer—dense irregular connective tissue.
• Importance of this structure.
• Flexure lines.
The Dermis
• Skin color—determined by melanin,
carotene, and hemoglobin.
• Why do different people have different skin
colors?
• Freckles & moles
• Role of melanin
• Role and source of carotenes &
hemoglobins.
The Dermis
• Photosensitivity
• Cyanosis
• Erythema
• Pallor—paleness
• Jaundice
• Bronzing
• Bruises & hematomas
Skin Appendages
• Sweat Glands—more than 2.5 million per person.
• Eccrine sweat glands—coil in the dermis, a duct
leads to a pore at the skin’s superficial surface.
• Sweat contents
• How does sweat work?
• Apocrine sweat glands—in the axillary and
anogenital areas. Empty into hair follicles. Contains
fatty substances and proteins. May cause body odor.
Begin to function at puberty. May contain
pheromones.
Sin Appendages
• Ceruminous glands—secrete earwax.
• Mammary glands—secrete milk.

• Sebaceous Glands—oil glands. Found


everywhere except the palms and soles.
• Secrete sebum.Usually secreted into hair
follicles.
• Bactericidal + other functions.
Skin Appendages
• Whiteheads
• Blackheads
• Acne—staphylococcus
• Hair—covers the entire body except for the
palms, soles, lips, nipples, and parts of the
genitalia.
• Functions of hair.
• Mostly dead keratinized cells.
Hair
• Parts of the hair
– Shaft
• Medulla
• Cortex
• Cuticle
– Split ends
– Root
– Hair color
– Hair follicle
• Hair bulb
• Root hair plexus
• Arrector pili—How and why is this important?
• Hair papilla
Hair
• Vellus Hairs
• Terminal Hairs—androgen sensitive
• Electrolysis
• Hirsutism
• Alopecia
• Male-pattern baldness
• Sex-influenced trait
Nails
• Modification of the epidermis
• Composed of keratin.
• Composed of a free edge, body, and a root.
• Nail bed—epidermis under the nail.
• Nail matrix—growth occurs here.
• Lunula
• cuticle
Functions of the Integument
• Chemical barriers—acid mantle, human defensin
• Biological Barriers—Langerhan’s cells and
macrophages.
• Physical barrier
– Some substances can cross the skin.
• Lipid soluble substances.
• Oleoresins—poison ivy.
• Organic solvents.
• Salts of heavy metals
Functions of the Integument
• Temperature Regulation
– Sweat glands
– Vasodilation and vasoconstriction
• Cutaneous Sensation
– Meissner’s corpuscles
– Pacinian corpuscles
– Root hair plexuses
– Pain and heat/cold receptors
• Metabolic Functions
– Vitamin D synthesis
• Blood Reservoir
– Shunts more blood into the circulation when needed.
• Excretion
Skin disorders
• Causes
• Basal cell carcinoma—30% of caucasians get this
type of skin cancer. Does not metastasize.
• Squamous Cell carcinoma—arises from the
keratinocytes in the stratum spinosum. May
metastasize.
• Melanoma—arises in the melanocytes. Rapidly
metastasizes.
• ABCD rule– Asymmetry, Border irregularity, Color,
Diameter
Burns
• Denaturation of cell proteins.
• Dehydration, protein loss, and infection.
• First degree burns—only the epidermis.
• Second degree burns—epidermis and upper dermis.
May include blisters.
• Third degree burns—full thickness. Not painful. Skin
grafting is almost always necessary.
• Grafting techniques
• Autograft
• Dangers of facial burns and burns near joints.
Aging Effects
• Lanugo Coat
• Vernix Caseosa
• Thinning of the skin
• Slowing of epidermal cell replacment.

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