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The skin

The skin

  • The skin consists of three major layers
    • Epidermis – outer superficial layer
    • Dermis – middle layer
    • Hypodermis – deepest layer
  • Outer portion of the skin is exposed to the external environment and functions in protection

The epidermis

  • Composed of keratinized stratified squamous epithelium
  • Made up of four distinct cell types and five layers
  • Cells of the epidermis
    • Keratinocytes – produce the fibrous protein keratin
    • Melanocytes – produce the brown pigment melanin
    • Langerhans’ cells – epidermal macrophages that help activate the immune system
    • Merkel cells – function as touch receptors in association with sensory nerve endings

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
  • Stratum Spinosum (Prickly Layer)
    • Cells contain a system of intermediate filaments attached to desmosomes
    • Melanin granules and Langerhans’ cells are abundant in this layer
  • Stratum Granulosum (Granular Layer)
    • Thin layer in which drastic changes in keratinocyte appearance occurs
    • Keratohyaline and lamellated granules accumulate in the cells of this layer
  • Stratum Lucidium (Clear Layer)
    • Thin, transparent band superficial to the stratum granulosum
    • Consists of a few rows of flat, dead keratinocytes
    • Present only in thick skin
  • Stratum Corneum (Horny Layer)
    • Outermost layer of keratinized cells
    • Accounts for three quarters of the epidermal thickness
    • Functions include reducing water loss and protection from abrasion and penetration
    • Renders the body relatively insensitive to biological, chemical, and physical assaults

The dermis

  • Second major skin region containing strong, flexible connective tissue
  • Cell types include fibroblasts, macrophages
  • Also mast cells and white blood cells
  • Composed of two layers called the papillary and reticular dermis
  • Papillary dermis
    • Areolar connective tissue with collagen and elastic fibres
    • Its superficial surface contains peg-like projections called dermal papillae
    • Dermal papillae contain capillary loops, Meissner’s corpuscles and free nerve endings
  • Reticular dermis
    • Accounts for approximately 80% of the thickness of the skin
    • Collagen fibres in this layer add strength and resiliency to the skin
    • Elastin fibres provide stretch-recoil properties

The hypodermis

  • Subcutaneous layer deep to the skin
  • Composed of adipose and areolar connective tissue

Sweat glands

  • Different types prevent overheating of the body; secret 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 and secrete cerumen
  • Mammary glands – specialized sweat glands that secret milk

Functions of skin

  • Protection – chemical, physical, and mechanical barrier
  • Temperature regulation
    • Achieved by dilation (cooling) and constriction (warming) of dermal vessels
    • Sweat glands increase secretions to cool the body
  • Cutaneous sensation – receptors sense touch and pain
  • 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

Author:  Dr Shakeeb Khan

 

 
 

Last updated: 05 January 2008

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