1. The Skin Also known as the Integumentary System= covers all body surfaces

2. Skin Video

3. Contains these tissues: 1. Epithelial Tissue –a. Found in outer layer of skin (covers body) 2. Connective Tissue –a. Consists of tough, flexible fibers that holds the body together. 3. Muscle Tissue –a. Push hairs up in skin (goose bumps) 4. Nervous Tissue –a. Helps detect pain, pressure, heat, cold

4. Consists of three major regions –Epidermis – outermost superficial region –Dermis – middle region –Hypodermis (superficial fascia) – deepest region

5. Functions Covers all body surface: inside and out Ex. Lung linings capillaries anchored by basement membrane reproduce rapidly tightly packed attached by desmosomes

7. The Two Layers of the Skin (Outer and Inner) 1. Epidermis –a. Outermost layer of skin 1. Exterior –Consists of 25 to 30 layers of dead cells (continually being shed) –Contains keratininized stratified squamous epithelium - protective protein –Contains keratinocytes, melanocytes, Merkel cells, and Langerhans’ cells

8. b. Characteristics –1. No blood vessels –2. Newer cells below push up to surface –3. Older cells layer up and die –4. Hardening = keratinizing –5. calluses form –6. shields against moisture loss –7. Prevents invasions of organisms –8. Ability to tan

9. Over view…. 2. Outer portion of the skin is exposed to the external environment and functions in protection 3. Interior Contains living cells (continually forming new cells) Melanin (pigment) found in this layer

10. 3. Epidermal ridges –a. Known as fingerprints

11. Identifying Markers

12. Types of Fingerprints: 1. Arch

13. 2. Whorl

14. 3. Loops

15. 4. Double Loops

16. 5. Mixed Combinations

17. Layers of Epidermis From outer to inner: 1. Stratum Lucidum = (Clear Layer) 2. Stratum Granulosum = (Granular Layer) a. Granular in appearance 3. Stratum Spinosum = (Prickly Layer) – a. Thick part 4. Stratum Basale = (Basal Layer)b a. Deepest layer 5. Stratum Corneum = (Horny Layer) a. Layer of hard cells

18. Layers of the Epidermis: Stratum Corneum (Horny Layer) 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 to biological, chemical, and physical assaults

19. Layers of the Epidermis: Stratum Lucidum (Clear Layer) Thin, transparent band superficial to the stratum granulosum Consists of a few rows of flat, dead keratinocytes Present only in thick skin

20. Layers of the Epidermis: Stratum Granulosum (Granular Layer) Thin; three to five cell layers in which drastic changes in keratinocyte appearance occurs

22. Layers of the Epidermis: Stratum Spinosum (Prickly Layer) Cells contain a weblike system of intermediate filaments attached to desmosomes Melanin granules and Langerhans’ cells are abundant in this layer

23. Langerhans Cells

25. Langerhans Cells….. On infection of an area of skin, the local Langerhans' cells will take up and process microbial antigens.infectionskin microbialantigens They are similar in shape and function to macrophages. macrophages

26. Merkel Cells Merkel cells are present in small numbers in the stratum basale, or the deepest layer, of the epidermis. They are located near areas of well- vascularised, richly innervated connective tissue. Each Merkel cell is intimately associated with a nerve terminal, forming a structure known as a Merkel cell-neuron complex, or a Merkel disc. Merkel cells possess desmosomes and keratin filaments, which suggests that they may have an epithelial origin.

27. Layers of the Epidermis: Stratum Basale (Basal Layer) Deepest epidermal layer firmly attached to the dermis Consists of a single row of the youngest keratinocytes Cells undergo rapid division, hence its alternate name, stratum germinativum

28. The basal cell layer contains cells called melanocytes. Melanocytes produce the skin coloring or pigment known as melanin, which gives skin its tan or brown color and helps protect the deeper layers of the skin from the harmful effects of the sun. Sun exposure causes melanocytes to increase production of melanin in order to protect the skin from damaging ultraviolet rays, producing a suntan. Patches of melanin in the skin cause birthmarks, freckles and age spots. Melanoma develops when melanocytes undergo malignant transformation.

29. 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

30. Layers of the Epidermis: Stratum Basale (Basal Layer)

31. 3. Dermis –a. Known as the inner, thicker portion of skin –b. Contains: Blood vessels Nerves Nerve endings Hair follicles Sweat glands Oil glands

32. –c. Attached to an underlying layer of subcutaneous (fat) layer. This fat layer helps absorb impacts, retain heat, store food.

33. 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 (fingerlike projections) and reticular

34. 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, Meissner’s corpuscles, and free nerve endings

35. 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

36. Dermis Characteristics Uneven surface Contains: –Fingerlike papillae –Fibrous and connective tissue –Muscle fibers –Hair follicles –Blood vessels –Nerve fibers –Pacinian Corpuscles = heavy pressure –Meissner’s Corpuscles = light pressure --Sevbaceous glands --Sweat glands

37. Sweat Glands Different types prevent overheating of the body; 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 secrete cerumen –Mammary glands – specialized sweat glands that secrete milk

38. Sebaceous Glands Simple alveolar glands found all over the body Soften skin when stimulated by hormones Secrete an oily secretion called sebum

39. Structure of a Nail Scalelike modification of the epidermis on the distal, dorsal surface of fingers and toes

40. Hair Filamentous strands of dead keratinized cells produced by hair follicles Contains hard keratin which is tougher and more 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

41. Hair Function and Distribution Functions of hair include: –Helping to maintain warmth –Alerting the body to presence of insects on the skin –Guarding the scalp against physical trauma, heat loss, and sunlight Hair is distributed over the entire skin surface except –Palms, soles, and lips –Nipples and portions of the external genitalia

42. 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

43. Hair Follicle

45. Types of Hair Vellus – pale, fine body hair found in children and the adult female Terminal – coarse, long hair of eyebrows, scalp, axillary, and pubic regions

46. Hair Thinning and Baldness Alopecia – hair thinning in both sexes True, or frank, baldness –Genetically determined and sex-influenced condition –Male pattern baldness – caused by follicular response to DHT

47. Functions of the Integumentary System Protection – chemical, physical, and mechanical barrier Body temperature regulation is accomplished by: –Dilation (cooling) and constriction (warming) of dermal vessels –Increasing sweat gland secretions to cool the body Cutaneous sensation – exoreceptors sense touch and pain

48. Functions of the Integumentary System Metabolic functions – synthesis of vitamin D in dermal blood vessels Blood reservoir – skin blood vessels store up to 5% of the body’s blood volume Excretion – limited amounts of nitrogenous wastes are eliminated from the body in sweat

49. Skin Cancer Most skin tumors are benign and do not metastasize A crucial risk factor for nonmelanoma skin cancers is the disabling of the p53 gene Newly developed skin lotions can fix damaged DNA

50. Skin Cancer The three major types of skin cancer are: –Basal cell carcinoma –Squamous cell carcinoma –Melanoma

51. Basal Cell Carcinoma Least malignant and most common skin cancer Stratum basale cells proliferate and invade the dermis and hypodermis Slow growing and do not often metastasize Can be cured by surgical excision in 99% of the cases Hard, dry scaly growths with reddish base Fair skinned people most at risk Over forty and out in sun at risk Sun causes DNA damage

52. Squamous Cell Carcinoma Arises from keratinocytes of stratum spinosum Arise most often on scalp, ears, and lower lip Grows rapidly and metastasizes if not removed Prognosis is good if treated by radiation therapy or removed surgically

53. Melanoma Cancer of melanocytes is the most dangerous type of skin cancer because it is: –Highly metastatic –Resistant to chemotherapy Known as melanocarcinomas Caused by sunburn

54. Melanoma Melanomas have the following characteristics (ABCD rule) –A: Asymmetry; the two sides of the pigmented area do not match –B: Border is irregular and exhibits indentations –C: Color (pigmented area) is black, brown, tan, and sometimes red or blue –D: Diameter is larger than 6 mm (size of a pencil eraser)

55. Melanoma Treated by wide surgical excision accompanied by immunotherapy Chance of survival is poor if the lesion is over 4 mm thick

56. Burns First-degree – only the epidermis is damaged –Symptoms include localized redness, swelling, and pain –Heals in 2 weeks, no scars Second-degree – epidermis and upper regions of dermis are damaged –Symptoms mimic first degree burns, but blisters also appear –Damage is to dermis Third-degree – entire thickness of the skin is damaged –Burned area appears gray-white, cherry red, or black; there is no initial edema or pain (since nerve endings are destroyed) –Dermis destroyed

57. Rules of Nine Body is divided into 11 areas, each accounting for 9% of the total body surface area (water loss)

58. Rule of Nines Estimates the severity of burns Burns considered critical if: –Over 25% of the body has second-degree burns –Over 10% of the body has third-degree burns –There are third-degree burns on face, hands, or feet

59. Developmental Aspects of the Integument: Fetal Epidermis develops from ectoderm Dermis and hypodermis develop from mesoderm Lanugo – downy coat of delicate hairs covering the fetus Vernix caseosa – substance produced by sebaceous glands that protects the skin of the fetus in the amnion

60. Developmental Aspects of the Integument: Adolescent to Adult Skin and hair become oilier and acne may appear Skin shows the effects of cumulative environmental assaults around age 30 Scaling and dermatitis become more common

61. Developmental Aspects of the Integument: Old Age Epidermal replacement of cells slows and skin becomes thinner Skin becomes dry and itchy Subcutaneous fat layer diminishes, leading to intolerance of cold Decreased elasticity and loss of subcutaneous tissue leads to wrinkles Decreased numbers of melanocytes and Langerhans’ cells increase the risk of skin cancer

62. Hypodermis Subcutaneous layer deep to the skin Composed of adipose and areolar connective tissue

63. 4.Maintains homeostasis a. Skin sweats to cool off body when too hot. Blood vessels also dilate to radiate heat away from body. b. Goose bumps form to trap a layer of air next to the skin to keep warmer. c. Information sent to brain from skin about sensory changes. d. Vitamin D is produced when sun activates changes in the skin. e. Skin acts as a barrier.

64. Skin is a Barrier

65. Steps to healing an injury 1. Cut 2. Epidermal cells divide 3. Blood clots at injury site 4. A scab forms 5. White blood cells gather (pus) 6. Gap fills pushing scab loose.

66. Shallow Cut New epithelial cells will fill in.

67. Deep Cut Broken blood vessels allow clots to form –Fibrin + blood cells + platelets –Fluids dry to form scab –Fibroblasts are attracted by chemicals at wound site –New collagenous fibers form –Phagocysts eat dead cells –Scab falls off –Connective tissue forms scars –Deep wounds look granulated

68. Burns 1. First degree burns –a. Involve damage to epidermal cells –B. Usually heal in one week

69. 2. Second degree burn –a. Damage to both epidermis and dermis –B. Blistering and scarring

70. 3. Third degree burns –a. Destroys both the epidermis and dermis –b. Skin function lost –c. Skin grafts needed