1. Integumentary system: Did you know? A fingernail takes about 6 months to grow from base to tip. A human being loses an average of 40 to 100 strands of hair a day. Each square inch of human skin consists of 20 feet of blood vessels. Every square inch of the human body has an average of 32 million bacteria on it. Humans shed about 600,000 particles of skin every hour - about 1.5 pounds a year. By 70 years of age, an average person will have lost 105 pounds of skin.

2. What is the integumentary system? Largest organ in the body Integumentary = “covering” Why is skin called an organ? Components: –Skin (cutaneous membrane) and epidermal derivatives (glands, hairs, hair follicles, nails)

3. What are the regions of the skin? Epidermis and dermis –Epidermis: keratinized squamous epithelium –Dermis: areolar and dense irregular CT Hypodermis (subcutaneous layer): loose CT (areolar and adipose) –Not technically skin

4. What does the skin do? Communication: sensory receptors Site of waste secretion: sweat Protection: serves as physical barrier against –Abrasion, water loss, microorganisms, UV damage –Anti-microbial soaps (acid mantle, CDC study)

5. What does the skin do? Body temperature regulation –Hot: vasodilation, sweat –Cold: vasoconstriction, goose bumps Metabolic function: –vitamin D synthesis Made from cholesterol Important for Ca 2+ absorption in small intestine –Prevents folate destruction (reproductive fitness protection)

6. What does the hypodermis do? Allows skin to move freely, shock absorber, insulates against heat loss Not present everywhere –E.g. none on shin

7. Which of these events occur as a result of a decrease in body temperature? A. blood vessels in the epidermis dilate, at first B. blood vessels in the dermis constrict if skin temperature falls below 15 degrees C C. contraction of arrector pili muscles D. sweat is produced E. all of these

8. The Layers of the Epidermis

9. How many types of skin are there? Two types –Thin skin Most parts of the body All but stratum lucidum (total = four layers) 75-150 µm thick

10. How many types of skin are there? –Thick skin Palms & soles Includes stratum lucidum (total = five layers) 400-600 75-150 µm thick

11. Compare them against each other Thin Skin Thick Skin

12. Let’s look at the layers of the epidermis… Stratum basale –Closest to blood supply –Regenerative layer –keratinocytes –Contains melanocytes –Cancers include _____ and ______

13. Stratum spinosum –Still some division –Cancer is called ____

14. Stratum granulosum –Organelles disintegrate  granules

15. Stratum lucidum –Only present in thick skin

16. Stratum corneum –Packed keratin

17. Let’s look at them all together

18. So, what are all the cells found in the epidermis? Keratinocytes = most common Melanocytes Langerhans (dendritic) cells Merkel (tactile) discs

19. What types of cells are in the epidermis? Keratinocytes: make keratin –Structural protein, type of intermediate filament (tough) Hydrophobic! –Desmosomes hold keratinocytes together, attach them to basement membrane Connections required for skin integrity What happens without them? Healthy skin Pemphigus bulgaris

20. Melanocytes –Spider-like pigment cells, make/secrete melanin –Keratinocytes endocytose pigment and concentrate on sunny side –Melanin absorbs UV, protects basale layer from damage Sunlight increases melanin production –If cancerous: melanoma What types of cells are in the epidermis?

21. In which layer of epidermis do the nucleus and other organelles disintegrate, and the cells die? A. stratum basale B. stratum corneum C. stratum granulosum D. stratum lucidum E. stratum reticularis

22. Which of these qualities must a medication possess if it is absorbed from a skin patch? A. lipid-soluble B. water-soluble C. must contain keratin D. must be slightly acidic E. must contain melanin

23. The Dermis

24. What about the dermis? Strong, flexible Mostly dense irregular CT With fibroblasts, wandering defense cells Highly vascularized: control body heat, nourish epidermis Large component of sensory receptors

25. What’s the purpose of the dermis? Blood supply Sensory perception Structural integrity

26. What two layers make up the dermis? Papillary layer –Areolar CT –Fingerprints –Open spaces for ________ Reticular layer –Dense irregular CT –Collagen fibers in all directions to _____________

27. What else is found in the dermis? Hair follicle –Note: epidermis dips down here Sweat glands (more later) Blood vessels Nerves Arrector pili muscle

28. What are arrector pili? Small, smooth muscles One per each hair on your body Goose bumps

29. Skin Derivatives

30. What are some examples of skin derivatives? Hair, hair follicles Sebaceous glands Sweat glands Nails

31. What do I need to know about hair? Three zones of keratinized cells –Bulb: where hair originates in dermis Nerves surround –Root Remainder of hair in follicle –Shaft Shaft is portion outside epidermis

32. What do I need to know about hair? Three layers to hair –Medulla Core of loosely arranged cells and air space –Cortex Densely packed keratinized cells –Cuticle One layer of scaly cells

33. What do I need to know about hair? Arrector pili: smooth muscle

34. What are nails? Modified epidermis –Hard, keratinized layers on a nail bed of epidermal cells –Three parts Root (embedded in skin) –Root contains nail matrix (stratum basale) Body Free edge –Cyanotic: nail beds bluish

35. What are sweat glands? Sweat (sudoriferous) glands –3-4 M/person –Insensible sweat

36. What are sweat glands? Two types: merocrine and apocrine Merocrine (AKA eccrine) –Most common all but nipples, axillary and external genitalia –Secretes via exocytosis on apical side –Sweat is blood filtrate –Sympathetic nervous system

37. What are sweat glands? Apocrine: axillary and groin areas –Larger glands, type of eccrine –Ducts empty into hair follicles Secrete sweat, fatty acids and proteins Bacterial break down of fatty acids causes odor –Mammary: modified sweat gland –Ceruminous: secrete wax Only in auditory canal

38. What are sebaceous glands? Holocrine glands: excrete broken down cell –Sebaceous glands: oil- producing glands of scalp

39. What are some common skin- related conditions? Erythema Jaundice Bronzing Pallor Albinism Hematoma Hemangiomas— if you have them, you’ve had them your entire life!

40. The specific layer that shapes the ridges for fingerprints and footprints is the A. hypodermis. B. papillary layer of the dermis. C. reticular layer of the dermis. D. underlying muscle layer. E. superficial bony layer.

41. In which of these layers are melanocytes found? A. dermis B. hypodermis C. stratum corneum D. stratum basale E. stratum lucidum

42. Arrector pili muscles A. consist of skeletal muscle fibers. B. are attached directly to the hair shaft. C. contract in response to frightening situations. D. cause sweat glands to contract. E. assist in the production of sebum.

43. How does the skin repair itself? Two repair processes (see Ch. 5) –Fibrosis: production of fibrous CT (scar) –Regeneration: replacement of damaged tissue with same tissue type –Both repair processes occur in skin –Scars = fibroblasts

44. Skin graft

45. Scar formation results from the efforts of which cells? A. melanocytes B. fibroblasts C. keratinocytes D. fibrocytes E. Langerhans (dendritic) cells