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51 Cards in this Set

  • Front
  • Back
What tissue type is the dermis made of?
Dense irregular connective tissue (mostly type I collagen) and some elastic tissue
Describe the two layers of the dermis.
Superficial (papillary) region: loosely organized collagen fibers; contains capillary network, nerve endings, immune system cells.

Deeper (reticular) layer: densely packed collagen bundles with more elastic fibers.
Name and describe the deepest layer of the skin.
Subcutis or hypodermis:

- mainly adipose tissue, but also contains larger blood vessels that drain/supply the dermal vasculature

- anchors skin to adjacent structures (e.g. skeletal muscle)

- forms superficial fascia and outer fascia of adjacent skeletal muscle and bone
Describe the interdigitating structures between the epidermis and the dermis. What is their function?
Rete ridges (aka rete pegs) are downward growths from the epidermis that penetrate the upper dermis. Dermal papillae are projections from the superficial dermis.

They provide resistance to frictional shearing force and increase surface area of contact between the two layers.
Name and describe the deepest layer of the epidermis.
Stratus basale (stratum germinativum):

- single layer of small cuboidal to low columnar cells
- less cytoplasm
- closely spaced
- slightly basophilic
- may contain melanin
- cells connected to each other and to keratinocytes by desmosomes
- connected to underlying basal lamina by hemidesmosomes
- are the mitotically active stem cells from which new cells (keratinocytes) arise
Name and describe the second-deepest layer of the epidermis.
Stratum spinosum (prickle cell layer):

- several cells thick
- larger cells than stratum basale
- desmosomes between cells (spinous connections)
- produce keratins (cytokeratins) that assemble into tonofilaments
- in mammals also contain lamellar bodies (aka membrane-coating granules)
- as cells mature and move towards surface, they increase in size and flatten
What are tonofilaments?
- intermediate filament formed by aggregation of keratins (cytokeratins)

- extend into cytoplasm and attach to dense plaque of desmosome
Name and describe the most superficial layer of the nonkeratinized portion of the epidermis.
Stratum granulosum (granular cell layer):
- 1-3 cells thick
- tight junctions between keratinocytes (permeability barrier)
- increased number of lamellar bodies that then release their contents into intercellular spaces
- contain keratohyaline granules

- oldest cells in this layer undergo modified apoptosis: degeneration of nucleus and metabolic apparatuses by lysosomal enzymes
Describe keratohyaline granules.
- basophilic
- contain filaggrin and trichohyalin, which promote aggregation of keratin into tonofibrils (soft keratin)
What are lamellar bodies?
- aka membrane-coating granules

- oval, membrane-bound organelles that contain a mixture of lipids, proteins, hydrolytic enzymes

- when their contents are released into intercellular space (stratum granulosum), glycolipids coat cell surface in stratum lucidum to form watertight seal

- only seen with EM
Name and describe the most superficial layer of the epidermis.
Stratum corneum (cornified cell layer):

- flattened, desiccated, no nucleus/organelles

- almost entirely filled with keratin filaments (so very eosinophilic)

- thickened plasma membranes coated by lipid-rich matrix (water barrier)

- cells are desquamated (exfoliated) through proteolytic process that degrades desmosomes; active process, not passive
What are the major biochemical components of cornification?
Menthos in rubber cement:

- cornified envelope (hard shell of menthos): proteins joined by transglutaminase

- keratin filaments (chewy inside)

- intercellular lipids (rubber cement)
Which layer of the skin does most of the metabolism of compounds?
Spinous cell layer
What are the components of the immunologic barrier of the skin?
In epidermis: Langerhans cells, keratinocytes

In dermis: dermal dendrocytes, lymphocytes, macrophages
How does the skin act as a structural barrier against bacteria?
- too dry for bacteria to live

- pH too high

- outer layer constantly shedding
How does the skin act as an innate (non-specific) immunologic barrier?
- keratinocytes can release antimicrobial peptides

- keratinocytes and to a lesser extent, Langerhans cells, release cytokines that attract neutrophils and macrophages
How does the skin act as an adaptive (specific) immunologic barrier?
Langerhans cells phagocytose foreign antigens, break it down within their lysosomes, migrate to lymph node, and present it to a T-lymphocyte to initiate immune response.
What are Langerhans cells?
- one type of antigen-presenting cell

- dendritic (processes extend between keratinocytes)

- precursors in bone marrow migrate to epidermis and differentiate there

- lobulated nuclei

- best seen with immunohistochemical staining
How does the skin act as a photoprotective barrier (against ionizing ultraviolet radiation)?
Hair, melanocytes, keratinocytes
What are melanocytes?
- scattered around basal cells of stratum basale [also found in external root sheath and hair matrix of follicles, in ducts of sweat glands, in sebaceous glands]

- round cell body with long, cytoplasmic processes that extend into stratum spinosum

- transfer melanin granules into cytoplasm of neighboring keratinocytes via cytocrine method called pigment donation
What are the two types of melanin?
Eumelanin: most common type, only photoprotective one; confers dark brown to black color

Pheomelanin: yellow to red
What are Merkel's cells?
- modified keratinocytes with epithelial and neural characteristics

- oval to elongate cells with processes parallel to epidermal surface

- present as aggregates in tylotrich pads

- contain cytoplasmic granules, keratin filaments, melanosomes

- bound to adjoining keratinocytes by desmosomes

- can function as mechanoreceptors as Merkel's corpuscle (Merkel's cell in close contact with afferent, unmyelinated nerve ending; neuron penetrates basal lamina and expands into a disc near the base of the Merkel's cell)
Describe the dermal-epidermal junction.
(Basement membrane zone)

Thin membrane synthesized by keratinocytes and fibroblasts. Minimal barrier function. Must be intact for re-epithelialization to occur.
What are the two anatomic regions of the dermis?
Adventitial dermis: near/surrounds epithelial structures

Reticular dermis: away from epithelial structures
Describe components of the dermis.
- collagen: provides tensile strength

- elastic fibers: mainly elastin, fibrillin; provide elasticity and recoil after stretching

- connective tissue mucins (glycosaminoglycans, proteoglycans): bind water (otherwise skin would be leather)
Name the regions of the hair follicle.
Hair shaft:
- infundibular region: from opening of follicle down to insertion of sebaceous duct

- isthmus region: sebaceous duct to arrector pili muscle

- inferior region: arrect pili muscle down, including hair bulb
Describe the organization of canine hair follicles.
Primary hairs (large) are cranial, and get progressively smaller caudally.
Name the four stages of the hair cycle.
1) Anagen
2) Catagen
3) Telogen
4) Exogen
Describe anagen.
- active growth of hair follicle

- inner root sheath: thin, smooth, pink layer next to hair shaft

- hair shaft not attached to inner root sheath, so there may be visible space

- sometimes the hair shaft will drop out, leaving empty space in middle of follicle

- prominent hair bulb
Describe catagen.
- end of active growth of hair

- hair converts to club hair: hair shaft attaches to inner root sheath, which cuts off the hair from its blood supply and the cells that produce new hair

- bulb replaced by keratin
Describe telogen.
- dormant phase of growth

- inner root sheath is lost when hair shaft undergoes tricholemmal cornification (bright red, serrated border, unlike pink and smooth inner root sheath)

- hair shaft is tightly annealed to root sheath
Describe exogen.
- shedding phase of cycle, when hair exits the follicle
Describe sinus hairs.
- aka whiskers, vibrissae, tactile hairs

- connective tissue adjacent to the follicle is different: vascular sinus that amplifies vibrations picked up by the hair

- cavernous sinus (has fibroeslastic trabeculae); dogs and cats also have annular sinus (no trabeculae)

- skeletal muscle fibers attach to outer layer of dermal root sheath (allows some voluntary control of movement)

- nerves penetrate external dermal sheath, ramify in trabeculae and inner dermal sheath
External root sheath vs. internal (inner) root sheath
External root sheath: derived from (and continuous with) epidermis-- not from hair bulb.

Internal root sheath: generated by matrix cells in hair bulb; 3 layers of soft keratin.
Describe the hair bulb.
- invagination of loose connective tissue at base of hair bulb is called dermal papilla

- dark blue matrix cells (cuboidal) overlie dermal papilla
Hard keratin vs. soft keratin
Hard keratin (nails, hair):
- formed without keratohyaline
- high in sulfur; immersed in little lipid
- harder, more resistant to mechanical stress

Soft keratin (skin):
- aggregates of keratin filaments (by filaggrin and trichohyalin in keratohyaline granules)
What is the arrector pili muscle?
Smooth muscle located caudal to the hair; originates in superficial layer of dermis and inserts on connective tissue sheath that surrounds the external root sheath.

When it contracts, it pulls the base of the follicle caudally so the hair stands upright.
Describe sebaceous glands.
- holocrine secretion of sebum (lipids, proteins) into a duct called pilosebaceous canal, which connects to hair follicle

- lubricates hair shaft as it exits infundibulum, adds sheen to coat, may have antibacterial activity

- newly formed cells (reserve cells) have round nuclei, eosinophilic cytoplasm (smooth ER)

- differentiated, sebum-producing cells are foamy, filled with lipid droplets; look like brown fat but have central nuclei and no connection to basal lamina
Describe circumanal glands.
- modified sebaceous glands found only in canines

- described as "hepatoid glands" because the cells resemble liver cells: round, grainy pink cytoplasm; round vesicular nuclei with euchromatin
Describe apocrine glands.
- merocrine secretion of pheromones, body odor, perspiration (in horses only)

- coiled, tubular glands; secretory portion in deep dermis; simple cuboidal, eosinophilic cells around a wide lumen

- secretory duct: bilayered epithelium, cuboidal cells
Describe eccrine glands.
- independent of hair follicles

- simple, blind-ended, coiled, tubular structure made of secretory segment and duct segment (acrosyringium)

- produce watery secretion (sweat)

- worthless in haired skin, so only found on footpads of dogs/cats
Names and functions of subcutaneous fat.
Aka subcutis or panniculus

Insulates, protects, acts as storage
What is the laminar corium?
Another name for dermis in the claw and hoof.
Name the layers of the equine hoof.
- stratum externum (or tectorium): outside wall of hoof

- stratum medium (aka coronary epidermis)

- stratum internum

- laminar corium (dermis)
Describe the stratum externum of the hoof.
- thin outermost layer of epithelium

- extension of perioplic epidermis (periople is outer covering of hoof)

- cornified epithelial cells; appear soft, white, shiny
Describe the stratum medium of the hoof.
- bulk of the wall of the hoof

- has prominent tubular horn (hard keratinized tubules/papillae) and intertubular horn (surrounds tubules)

- originates from coronary epidermis, grows downwards towards the ground
Describe the stratum internum of the hoof.
- innermost epithelial layer of hoof wall

- epidermal lamellae interdigitate with laminar corium

- primary epidermal lamellae: keratinized, fused with inner portion of stratum medium,

- secondary epidermal lamellae: oriented at ~right angles to primary lamellae; core of stratum spinosum cells with adjacent stratum basale cells

- insensitive (lack nerve endings)
Describe the laminar corium of the hoof.
- arises from dermis that covers the distal phalanges

- sensitive (contain nerve endings)
What are Pacinian corpuscles?
- found in upper dermis and hypodermis [also joints, periosteum, internal organs]

- myelinated nerve ending surrounded by capsule structure (like cross-sectioned onion: series of concentric lamellae with thin fluid between each layer)

- respond to deep pressure and vibration through displacing of capsule lamellae, which causes depolarization of the axon
What are Meissner's corpuscles?
- touch receptors that respond to low-frequency stimuli

- in papillary region of dermis (just beneath lamina basale), in hairless skin

- look like loose twisted skein of wool

- tapered cylinder perpendicular to surface, with 1-2 unmyelinated nerve endings (of myelinated nerves) spiraling inside, and flattened Schwann cells around
Describe mammary glands.
- modified apocrine sweat glands that develop under the influence of sex hormones

- branched tubuloacinar morphology

- during active lactation, basal part of acinar epithelial cells has well-developed ER, central spherical nucleus; lumen of gland filled with secretion

- both merocrine (milk proteins) and apocrine (lipids) secretion