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The Integumentary System
The Integumentary System
 Integument is skin
 Skin and its appendages make up the
  integumentary system
 A fatty layer (hypodermis) lies deep to it
 Two distinct regions
     Epidermis
     Dermis
Functions of skin
   Protection
     Cushions   and insulates and is waterproof
     Protects from chemicals, heat, cold, bacteria
     Screens UV

   Synthesizes vitamin D with UV
   Regulates body heat
   Prevents unnecessary water loss
   Sensory reception (nerve endings)
Epidermis
   Keratinized stratified squamous epithelium
   Four types of cells
     Keratinocytes – deepest, produce keratin (tough fibrous protein)
     Melanocytes - make dark skin pigment melanin
     Merkel cells – associated with sensory nerve endings
     Langerhans cells – macrophage-like dendritic cells
   Layers (from deep to superficial)
       Stratum basale or germinativum – single row of cells attached to
        dermis; youngest cells
       Stratum spinosum – spinyness is artifactual; tonofilaments
        (bundles of protein) resist tension
       Stratum granulosum – layers of flattened keratinocytes producing
        keratin (hair and nails made of it also)
       Stratum lucidum (only on palms and soles)
       Stratum corneum – horny layer (cells dead, many layers thick)

                    (see figure on next slide)
Epithelium: layers (on left) and cell types (on right)
Remember…
 Four   basic types of tissue

  Epithelium – epidermis just discussed
  Connective tissue - dermis
  Muscle tissue
  Nervous tissue
Dermis
   Strong, flexible connective tissue: your “hide”
   Cells: fibroblasts, macrophages, mast cells,
    WBCs
   Fiber types: collagen, elastic, reticular
   Rich supply of nerves and vessels
   Critical role in temperature regulation (the
    vessels)
   Two layers (see next slides)
     Papillary   – areolar connective tissue; includes dermal
      papillae
     Reticular – “reticulum” (network) of collagen and
      reticular fibers
*Dermis layers   *Dermal papillae



                        *


*
Epidermis and dermis of (a) thick skin and (b) thin skin
             (which one makes the difference?)
Fingerprints, palmprints, footprints
   Dermal papillae lie atop dermal ridges
   Elevate the overlying epidermis into epidermal ridges
   Are “sweat films” because of sweat pores
   Genetically determined


Flexion creases                                    The dermis is the receptive
                                                   site for the pigment of tattoos
   Deep dermis, from continual folding


Fibers
   Collagen: strength and resilience
   Elastic fibers: stretch-recoil
        Striae: stretch marks
   Tension lines (or lines of cleavage)
        The direction the bundles
         of fibers are directed
Hypodermis
 “Hypodermis” (Gk) = below the skin
 “Subcutaneous” (Latin) = below the skin
 Also called “superficial fascia”
    “fascia” (Latin) =band; in anatomy: sheet of connective
       tissue
 Fatty tissue which stores fat and anchors
  skin (areolar tissue and adipose cells)
 Different patterns of accumulation

  (male/female)
Skin color
   Three skin pigments
     Melanin:the most important
     Carotene: from carrots and yellow vegies
     Hemoglobin: the pink of light skin
   Melanin in granules passes from
    melanocytes (same number in all races)
    to keratinocytes in stratum basale
     Digested  by lysosomes
     Variations in color
     Protection from UV light vs vitamin D?
Skin appendages
 Derived from epidermis but extend into
  dermis
 Include
     Hair and hair follicles
     Sebaceous (oil) glands
     Sweat (sudoiferous) glands
     Nails
Part 1 the integumentary system(kirin)
Nails
 Of hard keratin
 Corresponds to hooves and claws
 Grows from nail matrix
Hair and hair follicles: complex
     Derived from epidermis and dermis
     Everywhere but palms, soles, nipples, parts of genitalia


                             *“arrector pili” is smooth muscle
    *               Hair bulb:
                    epithelial cells
                    surrounding
                    papilla




 Hair papilla
 is connective
 tissue________________
   Functions of hair
     Warmth   – less in man than other mammals
     Sense light touch of the skin
     Protection - scalp
   Parts
     Root imbedded in skin
     Shaft projecting above skin surface
 Make up of hair – hard keratin
 Three concentric layers
     Medulla  (core)
     Cortex (surrounds medulla)
     Cuticle (single layers, overlapping)
   Types of hair
     Vellus:fine, short hairs
     Intermediate hairs
     Terminal: longer, courser hair
   Hair growth: averages 2 mm/week
     Active: growing
     Resting phase then shed
   Hair loss
     Thinning – age related
     Male pattern baldness
   Hair color
     Amount  of melanin for black or brown; distinct form of
      melanin for red
     White: decreased melanin and air bubbles in the
      medulla
     Genetically determined though influenced by
      hormones and environment
Sebaceous (oil) glands
   Entire body except palms and soles
   Produce sebum by holocrine secretion
   Oils and lubricates
Sweat glands
   Entire skin surface
    except nipples and
    part of external
    genitalia
   Prevent overheating
   500 cc to 12 l/day!
    (is mostly water)
   Humans most
    efficient (only
    mammals have)
   Produced in
    response to stress
    as well as heat
Types of sweat glands
   Eccrine or merocrine
     Most numerous
     True sweat: 99% water, some salts, traces of waste
     Open through pores
   Apocrine
     Axillary,
              anal and genital areas only
     Ducts open into hair follices
     The organic molecules in it decompose with time - odor
   Modified apocrine glands
     Ceruminous– secrete earwax
     Mammary – secrete milk
Disorders of the integumentary system
   Burns
     Threat   to life
       Catastrophic loss of body fluids
       Dehydration and fatal circulatory shock

       Infection

     Types
       First degree – epidermis: redness (e.g. sunburn)
       Second degree – epidermis and upper dermis: blister

       Third degree - full thickness

 Infections
 Skin cancer
Burns
        First-degree
        (epidermis only; redness)




        Second-degree
        (epidermis and dermis,
        with blistering)




        Third-degree
        (full thickness, destroying
        epidermis, dermis, often part
        of hypodermis)
Estimate by “rule of 9’s”
Critical burns

   Over 10% of the
    body has third-
    degree burns
   25 % of the body
    has second-
    degree burns
   Third-degree
    burns on face,
    hands, or feet
Tumors of the skin
 Benign, e.g. warts
 Cancer – associated with UV exposure
  (also skin aging)
     Aktinickeratosis - premalignant
     Basal cell - cells of stratum basale
     Squamous cell - keratinocytes
     Melanoma – melanocytes: most dangerous;
      recognition:
        A - Asymmetry
        B - Border irregularity

        C - Colors

        D - Diameter larger than 6 mm
Skin Cancer




                           Sqaumous cell carcinoma




Basal cell carcinoma           Melanoma

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Part 1 the integumentary system(kirin)

  • 2. The Integumentary System  Integument is skin  Skin and its appendages make up the integumentary system  A fatty layer (hypodermis) lies deep to it  Two distinct regions  Epidermis  Dermis
  • 3. Functions of skin  Protection  Cushions and insulates and is waterproof  Protects from chemicals, heat, cold, bacteria  Screens UV  Synthesizes vitamin D with UV  Regulates body heat  Prevents unnecessary water loss  Sensory reception (nerve endings)
  • 4. Epidermis  Keratinized stratified squamous epithelium  Four types of cells  Keratinocytes – deepest, produce keratin (tough fibrous protein)  Melanocytes - make dark skin pigment melanin  Merkel cells – associated with sensory nerve endings  Langerhans cells – macrophage-like dendritic cells  Layers (from deep to superficial)  Stratum basale or germinativum – single row of cells attached to dermis; youngest cells  Stratum spinosum – spinyness is artifactual; tonofilaments (bundles of protein) resist tension  Stratum granulosum – layers of flattened keratinocytes producing keratin (hair and nails made of it also)  Stratum lucidum (only on palms and soles)  Stratum corneum – horny layer (cells dead, many layers thick) (see figure on next slide)
  • 5. Epithelium: layers (on left) and cell types (on right)
  • 6. Remember…  Four basic types of tissue Epithelium – epidermis just discussed Connective tissue - dermis Muscle tissue Nervous tissue
  • 7. Dermis  Strong, flexible connective tissue: your “hide”  Cells: fibroblasts, macrophages, mast cells, WBCs  Fiber types: collagen, elastic, reticular  Rich supply of nerves and vessels  Critical role in temperature regulation (the vessels)  Two layers (see next slides)  Papillary – areolar connective tissue; includes dermal papillae  Reticular – “reticulum” (network) of collagen and reticular fibers
  • 8. *Dermis layers *Dermal papillae * *
  • 9. Epidermis and dermis of (a) thick skin and (b) thin skin (which one makes the difference?)
  • 10. Fingerprints, palmprints, footprints  Dermal papillae lie atop dermal ridges  Elevate the overlying epidermis into epidermal ridges  Are “sweat films” because of sweat pores  Genetically determined Flexion creases The dermis is the receptive site for the pigment of tattoos  Deep dermis, from continual folding Fibers  Collagen: strength and resilience  Elastic fibers: stretch-recoil  Striae: stretch marks  Tension lines (or lines of cleavage)  The direction the bundles of fibers are directed
  • 11. Hypodermis  “Hypodermis” (Gk) = below the skin  “Subcutaneous” (Latin) = below the skin  Also called “superficial fascia” “fascia” (Latin) =band; in anatomy: sheet of connective tissue  Fatty tissue which stores fat and anchors skin (areolar tissue and adipose cells)  Different patterns of accumulation (male/female)
  • 12. Skin color  Three skin pigments  Melanin:the most important  Carotene: from carrots and yellow vegies  Hemoglobin: the pink of light skin  Melanin in granules passes from melanocytes (same number in all races) to keratinocytes in stratum basale  Digested by lysosomes  Variations in color  Protection from UV light vs vitamin D?
  • 13. Skin appendages  Derived from epidermis but extend into dermis  Include  Hair and hair follicles  Sebaceous (oil) glands  Sweat (sudoiferous) glands  Nails
  • 15. Nails  Of hard keratin  Corresponds to hooves and claws  Grows from nail matrix
  • 16. Hair and hair follicles: complex Derived from epidermis and dermis Everywhere but palms, soles, nipples, parts of genitalia *“arrector pili” is smooth muscle * Hair bulb: epithelial cells surrounding papilla Hair papilla is connective tissue________________
  • 17. Functions of hair  Warmth – less in man than other mammals  Sense light touch of the skin  Protection - scalp  Parts  Root imbedded in skin  Shaft projecting above skin surface  Make up of hair – hard keratin  Three concentric layers  Medulla (core)  Cortex (surrounds medulla)  Cuticle (single layers, overlapping)
  • 18. Types of hair  Vellus:fine, short hairs  Intermediate hairs  Terminal: longer, courser hair  Hair growth: averages 2 mm/week  Active: growing  Resting phase then shed  Hair loss  Thinning – age related  Male pattern baldness  Hair color  Amount of melanin for black or brown; distinct form of melanin for red  White: decreased melanin and air bubbles in the medulla  Genetically determined though influenced by hormones and environment
  • 19. Sebaceous (oil) glands  Entire body except palms and soles  Produce sebum by holocrine secretion  Oils and lubricates
  • 20. Sweat glands  Entire skin surface except nipples and part of external genitalia  Prevent overheating  500 cc to 12 l/day! (is mostly water)  Humans most efficient (only mammals have)  Produced in response to stress as well as heat
  • 21. Types of sweat glands  Eccrine or merocrine  Most numerous  True sweat: 99% water, some salts, traces of waste  Open through pores  Apocrine  Axillary, anal and genital areas only  Ducts open into hair follices  The organic molecules in it decompose with time - odor  Modified apocrine glands  Ceruminous– secrete earwax  Mammary – secrete milk
  • 22. Disorders of the integumentary system  Burns  Threat to life  Catastrophic loss of body fluids  Dehydration and fatal circulatory shock  Infection  Types  First degree – epidermis: redness (e.g. sunburn)  Second degree – epidermis and upper dermis: blister  Third degree - full thickness  Infections  Skin cancer
  • 23. Burns First-degree (epidermis only; redness) Second-degree (epidermis and dermis, with blistering) Third-degree (full thickness, destroying epidermis, dermis, often part of hypodermis)
  • 24. Estimate by “rule of 9’s” Critical burns  Over 10% of the body has third- degree burns  25 % of the body has second- degree burns  Third-degree burns on face, hands, or feet
  • 25. Tumors of the skin  Benign, e.g. warts  Cancer – associated with UV exposure (also skin aging)  Aktinickeratosis - premalignant  Basal cell - cells of stratum basale  Squamous cell - keratinocytes  Melanoma – melanocytes: most dangerous; recognition:  A - Asymmetry  B - Border irregularity  C - Colors  D - Diameter larger than 6 mm
  • 26. Skin Cancer Sqaumous cell carcinoma Basal cell carcinoma Melanoma