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STRUCTURE OF SKIN
Dr Aseem Sharma
Dermatology Resident
INTRODUCTION
• Surface Area 1.62/ 1.45 sq metres (M/F)
• 16 – 20% Body Weight (approx 5 kg)
• Largest Organ
TYPES OF SKIN
• 02 Types :
GLABROUS (Non-Hairy)
‘Dermatolglyphics’
NON-GLABROUS (Hair-bearing)
LAYERS OF THE SKIN
EPIDERMIS
CUTICLE/EPITHELIUM
DERMIS
HYPODERMIS/PANNICULUS ADIPOSUS
- SUBCUTIS
Structure of Skin by Aseem
APPENDAGES OF THE SKIN
• Hair
• Nails
• Glands
1. Eccrine
2. Apocrine
3. Sebaceous
EMBRYOLOGY
SPECIFICATION : Commitment 0-2 months FL
MORPHOGENESIS: Specialization 2-5 months FL
DIFFERENTIATION: Maturation 5-9 months FL
EMBRYOLOGICAL ORIGINS
ECTODERMAL : Epidermis, Pilosebaceous Unit,
Eccrine Gland, Nail
NEURO-ECTODERMAL : Melanocytes, Nerves,
Sensory Receptors
MESODERMAL : Dermis, Hypodermis, Muscle,
Adipocytes, Blood Vessels, Mast
Cells, Langerhan’s cells, Macrophages
EMBRYOLOGY
• EPIDERMIS (ECTODERMAL)
3rd Week FL - Single layer
6th Week FL - Periderm + Germinative Layer
10th Week FL - Hemi-Desmosomal/Desmosomal Protein
11th Week FL - Intermediate Layer
12-16th Week - Microvilli
20th Week - KERATOHYALINE granules in Intermedicate
Layer, Germinative Layer
proliferation, Epidermal
Cornification
24th Week - Vernix Caseosa shed; Keratinization done
EMBRYOLOGY
• DERMIS (MESENCHYME)
4TH Week FL - Collagen Fibres
6th Week FL - Touch Pads (Extremities)
8 – 14th Week FL - Melanoblasts, Phagocytes
14 – 22nd Week FL - Fibroblasts, Merkel, Mast Cells
22nd Week FL – Elastin Fibres
EMBRYOLOGY
• HYPODERMIS (MESENCHYME)
14 Weeks FL - Lipoblasts  Lipocytes
EPIDERMIS
• Stratified Squamous Epithelium
• Variable Thickness 0.4 – 1.5 mm
• Cellular Components :
95% Keratinocytes
5% Merkel, Melanocytes, Langerhans
Structure of Skin by Aseem
8/5/2013 14
STRATUM BASALE
• Stratum Germinativum
• Small, Continuous, Cuboidal, 1-cell thick, Nucleated
• Dense cytoplasm, Dark staining Nuclei; Cell division q
18-19 days
• Transient amplifying cells
Post-Mitotic cells
Epidermal stem cells
STRATUM SPINOSUM
• Prickle-Cell layer
• Desmosomes  Spines
• 8-10 cell layers, Nucleated
• Large, Flattened, Polyhedral cells
8/5/2013 16
STRATUM GRANULOSUM
• Intracellular Basophilic Keratohyaline granules
• 2-5 cell layer, Nucleated
• Odland Bodies/ Lamellar Granules – facilitate
desquamation
8/5/2013 17
STRATUM LUCIDUM
• Glabrous Skin only
• ‘Electron-Luscent’
• Nucleated, Transitional Cells
STRATUM CORNEUM
• Outermost Skin Layer
• 20-25 Cell layer
• Corneocytes - Enucleated, minus
Cytoplasmic Organelles, Terminally
Differentiated; ‘Soft Keratin’
DERMIS
• 10-40 X thicker than Epidermis
• Variable thickness 1-5 mm
• Fibrous, Filamentous, Amorphous Connective Tissue with
Nerves, Vessels and embedded in Ground Substance
• Restructuring/ Remodelling
• Pliablility, Elasticity, Tensile Strength
Structure of Skin by Aseem
PAPILLARY DERMIS
• 1/10th of Dermis; Interdigitates with Epidermal
Rete Ridges.
• Small Diameter COLLAGEN Fibres
• OXYTALAN ELASTIC Fibres
• Higher Metabolic Rate; Loose Connective tissue
RETICULAR DERMIS
• 9/10th of Dermis; Merges with Underlying
Subcutaneous Fat
• Large Diameter COLLAGEN Fibres
• ELAUNIN ELASTIC Fibres
• Densely-packed Connective Tissue
COMPONENTS OF DERMIS
ACELLULAR (MAJOR COMP)
GROUND MATRIX
CONNECTIVE TISSUE MATRIX
(Collagen/Elastin)
CELLULAR
FIBROBLASTS
MACROPHAGES/MONOCYTES/DENDROCYTES
MAST CELLS
GROUND SUBSTANCE
• Amorphous, supporting Matrix
• Proteoglycans & Glycosaminoglycans
• 0.2 % of the dry weight of Dermis; can bind up
water upto 1000 times its volume
• Binds Growth Factors
GROUND SUBSTANCE
PGs
Chondroitin Sulfates
Dermatan Sulfates
Heparan Sulfates
GAGs
Hyaluronan
COLLAGEN
• Soft, Flexible BUT Strong, Inelastic
• 75% of dry weight of DERMIS
Type I 80-90% Dermis
Type II 8-10% Dermis
Type III Papillary Dermis
Type IV Basement Membrane
Type V < 5% Dermis
Type VI Inter-Fibrillar Spaces
Type VII Anchor Fibrils in DEJ
ULTRASTRUCTURE COLLAGEN
• Triple Helical Conformation
• (Glycine-X-Y) X - Proline
Y - Hydroxyproline
Glycosylated  Interchain Bonding  Secreted
 Cleaved  Cross-Linked
8/5/2013 28
ELASTIC FIBRES
• 4% of dry weight of Dermis
• Impart the property to regain original shape
after deforming forces are removed
• Maintain normal Skin Configuration
• Elastogenesis by Microfibril deposition
HYPODERMIS
• PANNICULUS ADIPOSUS/ SUBCUTIS
• Insulating layer of Adipocytes
THANK YOU

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Structure of Skin by Aseem

  • 1. STRUCTURE OF SKIN Dr Aseem Sharma Dermatology Resident
  • 2. INTRODUCTION • Surface Area 1.62/ 1.45 sq metres (M/F) • 16 – 20% Body Weight (approx 5 kg) • Largest Organ
  • 3. TYPES OF SKIN • 02 Types : GLABROUS (Non-Hairy) ‘Dermatolglyphics’ NON-GLABROUS (Hair-bearing)
  • 4. LAYERS OF THE SKIN EPIDERMIS CUTICLE/EPITHELIUM DERMIS HYPODERMIS/PANNICULUS ADIPOSUS - SUBCUTIS
  • 6. APPENDAGES OF THE SKIN • Hair • Nails • Glands 1. Eccrine 2. Apocrine 3. Sebaceous
  • 7. EMBRYOLOGY SPECIFICATION : Commitment 0-2 months FL MORPHOGENESIS: Specialization 2-5 months FL DIFFERENTIATION: Maturation 5-9 months FL
  • 8. EMBRYOLOGICAL ORIGINS ECTODERMAL : Epidermis, Pilosebaceous Unit, Eccrine Gland, Nail NEURO-ECTODERMAL : Melanocytes, Nerves, Sensory Receptors MESODERMAL : Dermis, Hypodermis, Muscle, Adipocytes, Blood Vessels, Mast Cells, Langerhan’s cells, Macrophages
  • 9. EMBRYOLOGY • EPIDERMIS (ECTODERMAL) 3rd Week FL - Single layer 6th Week FL - Periderm + Germinative Layer 10th Week FL - Hemi-Desmosomal/Desmosomal Protein 11th Week FL - Intermediate Layer 12-16th Week - Microvilli 20th Week - KERATOHYALINE granules in Intermedicate Layer, Germinative Layer proliferation, Epidermal Cornification 24th Week - Vernix Caseosa shed; Keratinization done
  • 10. EMBRYOLOGY • DERMIS (MESENCHYME) 4TH Week FL - Collagen Fibres 6th Week FL - Touch Pads (Extremities) 8 – 14th Week FL - Melanoblasts, Phagocytes 14 – 22nd Week FL - Fibroblasts, Merkel, Mast Cells 22nd Week FL – Elastin Fibres
  • 11. EMBRYOLOGY • HYPODERMIS (MESENCHYME) 14 Weeks FL - Lipoblasts  Lipocytes
  • 12. EPIDERMIS • Stratified Squamous Epithelium • Variable Thickness 0.4 – 1.5 mm • Cellular Components : 95% Keratinocytes 5% Merkel, Melanocytes, Langerhans
  • 14. 8/5/2013 14 STRATUM BASALE • Stratum Germinativum • Small, Continuous, Cuboidal, 1-cell thick, Nucleated • Dense cytoplasm, Dark staining Nuclei; Cell division q 18-19 days • Transient amplifying cells Post-Mitotic cells Epidermal stem cells
  • 15. STRATUM SPINOSUM • Prickle-Cell layer • Desmosomes  Spines • 8-10 cell layers, Nucleated • Large, Flattened, Polyhedral cells
  • 16. 8/5/2013 16 STRATUM GRANULOSUM • Intracellular Basophilic Keratohyaline granules • 2-5 cell layer, Nucleated • Odland Bodies/ Lamellar Granules – facilitate desquamation
  • 17. 8/5/2013 17 STRATUM LUCIDUM • Glabrous Skin only • ‘Electron-Luscent’ • Nucleated, Transitional Cells
  • 18. STRATUM CORNEUM • Outermost Skin Layer • 20-25 Cell layer • Corneocytes - Enucleated, minus Cytoplasmic Organelles, Terminally Differentiated; ‘Soft Keratin’
  • 19. DERMIS • 10-40 X thicker than Epidermis • Variable thickness 1-5 mm • Fibrous, Filamentous, Amorphous Connective Tissue with Nerves, Vessels and embedded in Ground Substance • Restructuring/ Remodelling • Pliablility, Elasticity, Tensile Strength
  • 21. PAPILLARY DERMIS • 1/10th of Dermis; Interdigitates with Epidermal Rete Ridges. • Small Diameter COLLAGEN Fibres • OXYTALAN ELASTIC Fibres • Higher Metabolic Rate; Loose Connective tissue
  • 22. RETICULAR DERMIS • 9/10th of Dermis; Merges with Underlying Subcutaneous Fat • Large Diameter COLLAGEN Fibres • ELAUNIN ELASTIC Fibres • Densely-packed Connective Tissue
  • 23. COMPONENTS OF DERMIS ACELLULAR (MAJOR COMP) GROUND MATRIX CONNECTIVE TISSUE MATRIX (Collagen/Elastin) CELLULAR FIBROBLASTS MACROPHAGES/MONOCYTES/DENDROCYTES MAST CELLS
  • 24. GROUND SUBSTANCE • Amorphous, supporting Matrix • Proteoglycans & Glycosaminoglycans • 0.2 % of the dry weight of Dermis; can bind up water upto 1000 times its volume • Binds Growth Factors
  • 25. GROUND SUBSTANCE PGs Chondroitin Sulfates Dermatan Sulfates Heparan Sulfates GAGs Hyaluronan
  • 26. COLLAGEN • Soft, Flexible BUT Strong, Inelastic • 75% of dry weight of DERMIS Type I 80-90% Dermis Type II 8-10% Dermis Type III Papillary Dermis Type IV Basement Membrane Type V < 5% Dermis Type VI Inter-Fibrillar Spaces Type VII Anchor Fibrils in DEJ
  • 27. ULTRASTRUCTURE COLLAGEN • Triple Helical Conformation • (Glycine-X-Y) X - Proline Y - Hydroxyproline Glycosylated  Interchain Bonding  Secreted  Cleaved  Cross-Linked
  • 28. 8/5/2013 28 ELASTIC FIBRES • 4% of dry weight of Dermis • Impart the property to regain original shape after deforming forces are removed • Maintain normal Skin Configuration • Elastogenesis by Microfibril deposition
  • 29. HYPODERMIS • PANNICULUS ADIPOSUS/ SUBCUTIS • Insulating layer of Adipocytes