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Integumentary System
Dr. Abdul Ahad Shaikh
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Introduction
The skin and its accessory structures make upthe integumentary system
A surface area of 1.5 - 2 square meters
Weighs approximately 4-5 kg (9-11 lbs.) Forms the boundary between our internal and
the external environment
It is a malleable, tough, organ that is constantly
regenerating Without skin we would succumb to infection,
water loss, or heat loss
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Functions
ProtectionChemical barrier
Physical or Mechanical barrier
Biological barrier
Body Temperature Regulation
Cutaneous Sensation
Metabolic Functions
Blood Reservoir
Excretion
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Protection
Chemical barrier Skin secretions create an acid mantle
that retard bacteria reproduction
Sebum from sebaceous glands isbactercidal
Skin cells secrete a natural antibiotic
called human defensin
Melanin shields the skin from UV
radiation
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Protection
Physical or mechanical barrier Hard keratinized cells provide a continuous
barrier
Glycolipids of the epidermis block the
diffusion of water and water solublesubstances from between cells
Substances that do penetrate the skin in
limited amounts include
Lipid soluble substances; oxygen, carbon dioxide
and fat soluble vitamins (A, D, E, and K)
Natural and manufactured solvents, salts, and
drugs
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Protection
Biological barrier Langerhans cells of the epidermis
present foreign substances
(antigens) to the white blood cells
(lymphocytes) which in turn activate
our immune system
Macrophages of the dermis dispose
of viruses and bacteria that havepenetrate the epidermis but they also
work as presenters
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Body Temperature Regulation
The body works best when itstemperature remains within homeostatic
limits
Cooling occurs through radiation of heatand evaporation of water from the
surface of the skin
Heating occurs from metabolism, activity
and shivering
Extremes of environmental temperature
threaten homeostatic balance
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Cutaneous Sensation The skin is richly supplied with cutaneous
sensory receptors
Cutaneous receptors are classified as
exteroreceptors because they respond to
external stimuli
Cutaneous receptors include
Meissners corpuscles (light touch)
Pacinian corpuscles (deep pressure
Root hair plexuses (displacement of
hair shaft)
Free nerve endings (pain)
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Metabolic Functions
Sunlight bombarding modifiescholesterol molecules in the epidermal
cells are converted to a precursor of
vitamin D
Keratinocyte enzymes can disarm
many cancer causing carcinogens
Keratinocytes can also activate steroid
hormones
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Blood Reservoir
The skin can hold about 5% of thebodys entire blood volume
Blood volume can be diverted from the
skin to other organs in need
Blood volume can be diverted to the
skin for temperature regulation
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Excretion
Limited amount of nitrogen-containing
wastes (ammonia, urea, and uric acid)
are eliminated from the body in sweat
Sweating also excretes water and salt
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omeos a c m a ances o e
Skin
Homeostatic imbalances of the skin
range from mild to life-threatening
Homeostatic imbalances are readily
visible
There are over 1000 different conditions
and ailments affecting the skin
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Burns Burns are a devastating threat to the
individual because of their effect on theskin
The threat to life severe burns is loss of
body fluids contain protein and electrolytes Fluid loss can cause dehydration and
electrolyte imbalances
These in turn can lead to renal shutdownand circulatory shock
The amount of fluid volume lost is
estimated using the rule of nines
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Burns
Estimating the area of a burn using the rule of 9s
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Primary germ layer
Epidermis, hair, nails, skin gland- Ectoderm
Dermis (connective tissue)- Mesoderm
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Structure of the skin
The superficial portion of the skin is the
epidermis and is composed of epithelial
tissue
The deeper layer of the skin is dermis and
is composed of connective tissue
Deep to the dermis is the subcutaneous
layer or hypodermis (not a part of skin)
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Skin (Integument)
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Epidermis
A thick keratinized layer of stratified
squamous epithelium
Consists of four distinct cell types
Arranged in four or five distinct celllayers
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Cells of the
Epidermis
Keratinocytes
Melanocytes
Merkel cells Langerhans
cells
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Cells of the Epidermis
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Keratinocyte
Principle cell
of the
epidermis
Seen heremigrating
upward
through
various layersof the
epidermis
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Keratinocytes
Most of the epidermal cells are keratinocytes The chief role of keratinocytes is to produce
keratin, the tough fibrous protein that gives the
epidermis its protective qualities
Tightly connected by desmosomes
Keratinocytes arise from constant cell mitosis at
the deepest layer of the epidermis
Keratinocyte cells manufacture keratin during theirmigration to the skin surface
Keratins (cytokeratins) are polymers of type I and
type II intermediate filaments, found in the
genomes of vertebrates,
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Keratinocytes (continued)
As cells migrate to the surface their contentsbecome dominated by keratin
The cells will deform to become flattened,
dead structures that are keratin filled
Million of cells on the free surface rub off daily
A totally new epidermis every 25-45 days
Cell reproduction is higher in areas subject to
friction (hands, feet)
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Melanocytes
Spider
shaped
cells found
in Stratumbasale or
basal layer
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Melanocytes
Specialized epithelial cells that synthesizethe pigment melanin
Cells are found in the deepest layer of the
epidermis
Melancytes have many branching processes
that touch all keratinocytes in the basal layer
Processes carry melanin to keratinocytes
Melanin granules accumulate on the super-
ficial side of the nucleus of the ketatinocytes
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Melanocytes Melanin granules form a pigment shield that protects
the nucleus from ultraviolet (UV) radiation in sunlight
All humans have the same amount of melanocytes
Racial differences in skin coloring is thought to reflect
the kind and amount of melanin made and retained
Production of melanin is stimulated by DNA damageinduced by UVB-radiation
The photochemical properties of melanin make it an
excellent photoprotectant.
It absorbs harmful UV-radiation and transforms theenergy into harmless heat through a process called
"ultrafast internal conversion". This property enables
melanin to dissipate more than 99.9% of the
absorbed UV radiation as heat
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Langerhans
Cells
Star shaped
cells amongkeratinocytes
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Merkel
Cells
Spiky shaped
hemispheres
found at theepidermal -
dermal
junction
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Merkel Cells
Each Merkel cell is associated with adisc shaped sensory nerve ending
The combined structure is called a
Merkel disc Merkel discs function as a sensory
nerve receptor for touch
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Epidermal
layers
Four layers
in thin skin Covers most
of the body
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Epidermal
Layers Five layers
found in
thick skin
Stratum
lucidum is
extra layer
Found onfingertips,
palms and
soles of
feet
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Stratum
basale Deep layer
attached to
underlying
dermis
Singe row
of
youngest
cells
Ongoing
cell mitosis
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Deepest epidermal layer firmly attached to
the dermis
Consists of a single row of the youngestkeratinocytes
Cells undergo rapid division, hence its
alternate name, stratum germinativum
Stratum Basale (Basal Layer)
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Stratum Basale (Basal Layer)
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Stratum
spinosum Several cell
layers thick
Cells
contain a
web-like
system of
filaments
Abundant
Langerhans
cells in this
layer
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Cells contain a weblike system of
intermediate filaments attached to
desmosomes
Melanin granules and Langerhans cells
are abundant in this layer
Stratum Spinosum (Prickly Layer)
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Stratum
granulosum
Area of 3-5
cell layers
Ketatinocytes
flatten and
begin to
disintegrate
Release ofglycolipid
slows water
loss
Cell binding
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Thin; three to five cell layers in which
drastic changes in keratinocyte
appearance occurs
Keratohyaline and lamellated granules
accumulate in the cells of this layer
Stratum Granulosum (Granular Layer)
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Stratum
lucidum Consist of
a few rows
of clear,
flat, deadcells
Present
only in
thick skin
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Thin, transparent band superficial to the
stratum granulosum
Consists of a few rows of flat, dead
keratinocytes
Present only in thick skin
Stratum Lucidum (Clear Layer)
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Stratum
corneum Broad zone
20-30 cell
layers thick
3/4 of
epidermal
thickness
Protectsskin from
abrasion &
penetration
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Outermost layer of keratinized cells
Accounts for three quarters of the epidermal
thickness
Functions include:
Waterproofing
Protection from abrasion and penetration
Rendering the body relatively insensitive tobiological, chemical, and physical assaults
Stratum Corneum (Horny Layer)
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Dermis
Second major skin region containing
strong, flexible connective tissue
Cell types include fibroblasts,macrophages, and occasionally mast cells
and white blood cells
Composed of two layers papillary and
reticular
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Layers of the Dermis: Papillary
Layer Papillary layer Areolar connective tissue with collagen
and elastic fibers Its superior surface contains peglike
projections called dermal papillae
Dermal papillae contain capillary loops,
Meissners corpuscles, and free nerve
endings
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Layers of the Dermis: Reticular
Layer Reticular layer Accounts for approximately 80% of the
thickness of the skin Collagen fibers in this layer add strength
and resiliency to the skin
Elastin fibers provide stretch-recoil
properties
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Hypodermis
Subcutaneous layer deep to the skin
Composed of adipose and areolar
connective tissue
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Skin Color
Three pigments contribute to skin color
Melanin yellow to reddish-brown to black
pigment, responsible for dark skin colors
Freckles and pigmented moles result
from local accumulations of melanin
Carotene yellow to orange pigment, most
obvious in the palms and soles of the feet Hemoglobin reddish pigment responsible
for the pinkish hue of the skin
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Sweat Glands
Different types prevent overheating of thebody; secrete cerumen and milk
Eccrine sweat glands found in palms, soles
of the feet, and forehead Apocrine sweat glands found in axillary and
anogenital areas
Ceruminous glands modified apocrine
glands in external ear canal that secretecerumen
Mammary glands specialized sweat glands
that secrete milk
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Sebaceous Glands
Simple alveolar glands found all over the
body
Soften skin when stimulated by hormones Secrete an oily secretion called sebum
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Structure of a Nail
Scalelike modification of the epidermis on
the distal, dorsal surface of fingers and
toes
Figure 5.4
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Hair
Filamentous strands of dead keratinized
cells produced by hair follicles
Contains hard keratin which is tougher andmore durable than soft keratin of the skin
Made up of the shaft projecting from the
skin, and the root embedded in the skin
Consists of a core called the medulla, a
cortex, and an outermost cuticle
Pigmented by melanocytes at the base of
the hair
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Hair Follicle
Root sheath extending from the epidermal
surface into the dermis
Deep end is expanded forming a hair bulb A knot of sensory nerve endings (a root
hair plexus) wraps around each hair bulb
Bending a hair stimulates these endings,
hence our hairs act as sensitive touch
receptors
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Hair Follicle
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Hair Follicle