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112 Cards in this Set

  • Front
  • Back
epidermis comes from what developmental tissue?
ectoderm
dermis comes form what developmental tissue?
mesoderm
loss of skin can lead to drop in photoactivation of what?
vitamin D
Thickness/Thiness of skin is all based on what layer?
Stratum cornified
Name the layers of the epidermis from top to bottom.
Stratum Corneum
-stratum lucidum (optional in thin, NOT THICK)

Stratum granulosum

Stratus spinosum

Stratum Basale
Name the basic pattern of skin (top to bottom)
epidermis

basement membrane

dermis

subcutis
consists of a single layer of cells on the basement membrane
basal layer / stratum basale
where are keratinocytes found?
basement membrane
how are keratinocytes held together?
numerous desmosomes

hemidesmosomes
specialized cells found in the stratum spinosum
keratinocytes matured

langerhans cells
melanocytes are limited to what layer?

cell processes of the melanocytes are found in what layer?
basal layer

stratum spinosum
keratohylain granules contain ? that when activated is involved in cross0linking the cell's cytokeratin into the tough kertains of the stratum ?
profillaggrin

corneum
? fuse with plasma membrane & release contents, phospholipid lamellae which re-organize extracellularly to provide waterproofing
lamellar bodies (membrane coating granules)
Thin interface between epidermis and reticular dermis named for the dermal papillae that extend up in between the epidermal ridges of epidermis
papillary
What makes up the dermis? (3 layers)
Papillary

Reticular

Subcutis (hypodermis)
Thickest layer made up of coarse bundles of collagen fibers with interspersed elastic fibers running in different directions.
reticular
subcutaneous CT that consists mainly of adipose tissue -- large blood vessels, large blood vessels are found here with terminal hair follicles and pacinian corpuscles.
subcutis
what gives skin its resistance to friction and tangential stress?

(5 things)
basal layer - hemidesmosomes

spinous layer - desmesomes

dermo-epidermal junction - high surface area

reticular dermis - collagen and elastin

subcutis - allows skin to move freely from underlying structures
what layer's primary function is to prevent chemical penetration and transepidermal water loss?
stratum corneum
dead keratinocytes become what in the stratum corneum?
corneocytes
describe the intact cornified envelope.
crosslinking of cytoskeleton and plasma membrane

FILAGGRIN participates in this process
name the barriers/components that help prevent water loss and chemical penetration
stratum corneum

sebaceous glands
what are the organelles that contain the pigment melanin in melanocytes?
melanosomes
from what embryonic tissue/area do melanocytes come from?
neural crest
do melanocytes ever regenerate?
no. terminally differentiated
cell processes of the melanocytes do what?

in what layer do you find the cell processes
transfer melanin to keratinocytes

stratum spinosum
what cell is relatively the same for both sexes and all races?
melanocytes
where do melanosomes tend to accumulate in a keratinocytes?
apical part to protect the nuclear DNA of the keratinocytes
if there is a problem in the conversion of tyrosine to DOPA by tyrosinase, what could possibly happen?
loss of melanin conversion

= albinoism
peptides that are derived from the same precursor molecule (POMC) as ACTH
Melanocortins (melanocyte stimulating hormones MSH)
melanocortin (MSH) binds to what receptor ? found on what cell?

binding causes what?
MC1-R

Melanocytes

Increase production of MELANIN
What does exposure to UV light increase?
melanocyte proliferation

melanosome production

rate of transfer to keratinocytes
keratinocytes of the spinous layer have ? to combat UV damage
Antioxidant Enzymes

(catalases, peroxidases etc.)
What enters the epidermis to remove UV damaged cells?

Causes what cells to exit epidermis and present antigens to T cells?
Macrophages

Langerhan Cells
what are characteristic features of LANGERHANS CELLS

that help process antigen for presentation
Birbeck granules
What adhesion molecules do T cells acquire during proliferation of memory cells? that help them exit to extranodal sites
Cutaneous Lymphocyte Antigen
an epidermal cell located in the Stratum Basale associated with sensory perception
merkel cell
postganglionic fibers from the ganglia in the paravertebral chain supply ?

efferent or afferent?
blood vessels
sweat
sebaceous glands

efferent
afferent fibers of nerve endings innervate what 4 things?
naked nerve endings

networks around hair follicles

encapsulate nerve endings (meissner and pacinian)

Merkel endings
what encapsulated nerve endings do tactile sensation?
Meissner
True or False

There are sensory receptors present in both epidermis and dermis
TRUE
area of sensation transmitted to a single dorsal root and its ganglion is a ?
dermatome
What two things determine sptatial discrimination?
size of receptor's receptive field

density of receptors
dermal blood supply arrives from the ? and forms what two things?
Subcutis

deep arterial & venous vascular plexus (rete cutaneum)

superficial arterial & venous vascular plexus (rete subpapillare)
deep arterial & venous vascular plexus (rete cutaneum) is located at what junction?
dermal-subcutaneous junction
superficial arterial & venous vascular plexus (rete subpapillare) is at what junction?
reticular-papillary junction
speciailized A-V anastomoses in ACRAL skin especially in tips of fingers and toes. Invovled in fine-tuning of temperature regulation.
Glomera
bulk of thermoregulation occurs at which of the following?

artery
vein/venules
capillaries
Vein and Venules
What nerve activity is MOST important in overall control of skin blood flow?

(including over local factors)
Sympathetic activity
skin appendages are locally specialized ? derivatives
epidermal
simple coiled tubular glands.

most abundant where?

least abundant where?

purpose?
eccrine (sweat glands)

soles of feet

back

heat stabilization by flooding skin with water for evaporation
what is the prime stimulus for eccrine glands?

what controls eccrine glands?
heat

hypothalamic
innervation of eccrine (sweat glands) are by what type of nerve fibers?

what is the neruotransmitter used?
UNMYELINATED sympathetic C fibers

ACh
where is the secretory portion of Eccrine glands?

What are the 3 cell types?
DERMIS

clear cells
dark cells
myoepithelial cells
in eccrine glands, where/what do...

dark cells?
clear cells?
myoepithelial cells?
more interior --function unkown

rests on myoepithelial cels and basement membrane. PMemb. infloding. make primary sweat which is isotonic filtrate of blood

found between secretory cells and basement membrane. Help excrete sweat
Composition of duct portion of Eccrine glands?
Two layers of cuboidal cells with cell junctions that allow them to function as syncytium

no myoepithelial cells

absorption occurs of Na+/electrolytes making sweat hypotonic
large volumes of sweating can cause loss of what ion?
K+
apocrine sweat glands are found in what layer of tissue?
subcutaneous tissue
Where do apocrine sweat glands open up too?
hair follicles
Apocrine sweat glands contain what type of specialized epithelial cells?
myoepithelial cells
What type of innervation does apocrine sweat glands contain?
sympathetic adrenergic
What is a the pilosebaceous apparatus contain?
hair
hair follicle
arrector pili muscle
sebaceous gland
Where sebaceous glands found? (thin skin, thick skin)
thin skin
sebaceous glands secrete through what type of method?

(apocrine, endocrine etc.)
holocrine
True or False

Sebaceous glands are an outgrowth of external root sheath of hair shaft.
True
What helps sebaceous glands expel their secretions?
arrector pili muscles
What Type of Hair?

fetal hair that are shed shortly before or after birth?
Lanugo Hair
What Type of Hair?

located over most of the body, short, non-pigmented, after puberty it is converted to terminal hair in the axillary and anogenital regions and over the face and trunk in males
Vellus Hair
What Type of Hair?

located on scalp, beard, axilla, groin & other hairy areas

generally long, pigmented
(including eyebrow & eyelash hairs)
terminal hair follicles
What Type of Hair?

located on scalp, beard, chest, back axilla, and groin; these are follicles with an atrophied hair shaft & hypertrophied sebaceous gland
Sebaceous hair follicles

(sometimes lumped with vellus hairs)
The term used to describe the structural support & production portion lying beneath the skin surface
hair foolicle
what part of the hair follicle contains matrix cells which produce the hair shaft?
Hair bulb
Where are Melanocytes in the germinal layer that make melanin causing the color of the hair shaft found in the hair follicle?
hair bulb
What structure within the hair bulb contains capillaries and specialized fibroblasts which controls the number of matrix cells & thus hair size?
Dermal Papilla
True or False

The outer root sheath is continuous with the surface epidermis. Contains Melanocytes, Langerhans cells & Merkel cells -- can help in repopulate the epidermis after damage.
True
Where are multipotent stem cells for hair, epidermal & sebaceous gland regeneration found?
Bulge of the outer root sheath located near the insertion of arrector pili muscle
What determines the shape of the hair?
Inner-Root Sheath
True or False

Hair shaft is composed mostly of hair NONSPECIFIC keratins from matrix cells
FALSE

they are SPECIFIC keratins
What are the 3 cycles of hair?
Anagen (growth)

Catagen (involution)

Telogen (rest)
Anagen depends on interactions between what two things?

what gives the actual molecular single?
Follicular Epithelium
Dermal Papilla

Dermal Papilla
What stops anagen?
multiple different growth factors
Describe catagen stage
involution of follicles reflects a burst of apoptosis in follicular Keratinocytes

follicular melanocytes also undergo apoptosis & melanogenesis ceases
Describe Telogen stage
result of catagen -- hair shaft is no longer firmly anchored in the follicle
True or False

When the DERMAL PAPILLA signals FOLLICLE to enter anagen the old hair shaft is usually shed and a new shaft is formed through the anagen process
true
What causes the most dramatic effects in hair growth?

Where are the receptors found on?
androgens ---

dermal papilla
The nail plate and nail bed are sealed by the ?
Hyponchium
In what type of skin is stratum lucidum present?
Thick skin
Mammary glands are modified ? glands
sweat
Describe the hierarchy of structure in the breast.

Each gland in its FUNCTIONAL state is classified as a ? gland
Breast >> 15-20 mammary glands >> each gland/lobe >> many lobules



Compound tubuloalveolar gland
Each gland/lobe has its own ? that empties at the nipple
lactiferous duct
Name the parenchyma tissue of the mammary glands.
ducts

terminal duct- (leads to lobular unit)

alveoli
Name the stroma tissue of the mammary glands
INTERlobular CT

INTRAlobular CT
What forms the majority of an inactive gland and are always present
Ducts
What composes ducts in the mammary glands?

what regulates the development of ducts?
epithelial lining which can be secretory
myoepithelial cells

Estrogen
What are the smallest ducts from which functional breast alveoli will develop.

What type of stroma surround the ductules?
Terminal Duct

INTRAlobular type
Alveoli is derived from the outgrowths of the ?
terminal ducts
When are alveoli present (breasts)?
During late stage of pregnancy and lactation
What are alveoli composed up of?
alveolar cells

myoepithelial cells
? cells are the major cells responsible for the synthesis and secretion of milk
Alveolar
What regulates the development of secretory alveoli in the breasts?
Progesterone
The stroma found between the terminal duct-lobular units

The strome found within the terminal duct-lobular units
INTERlobular CT

INTRAlobular CT
Describe the composition of INTERlobular CT
dense CT
irregular CT

SPARSELY CELLULAR
fibrocytes
adipocytes
describe the composition of INTRAlobular CT
Loose delicate CT

HIGHLY CELLULAR
plasma cells
lymphocytes
macrophages
fibroblasts
Which stroma of the breast is hormonally sensitive and can become edematous in the ? phase
INTRAlobular CT

Premenstrual
When are terminal duct-lobular units developed?

(stage)

Are there any secretory alveoli present?
Puberty

No
Describe the two modes of alveolar cell secretion?
Apocrine - lipid secretion

Merocrine - protein secretion
What does apocrine glands secrete in alveolar cells?

merocrine?
lipid secretion

protein secretion
What are the two types of secretory products found in lactation?
Colostrum - secreted for the first few days after birth -- HIGH ANTIBODY content

Milk - secretory product released after the colostrum phase
Describe the neurohormonal reflex arc of secretion and ejection of milk
infant suckling - stimulate sensory nerves >> causes PROLACTIN from pituitary gland >> milk synthesis and secretion

also OXYTOCIN released >> causes ejection of milk due to myoepithelial cells
Do male breasts have Terminal Ducts-lobule units?
NO
What type of muscle surrounds lactiferous sinuses allowing nipple erection?
smooth muscle
True or False

Nipples have increased SEBACEOUS & APOCRINE glands.
True