Integument System Chapter 5 Functional Organization of Integument Integument System Cutaneous Membrane Epidermis Accesory Structures Hair Follicles Dermis Papillary Layer Reticular Layer Exocrine Glands Nails The Skin as an Organ • Largest of the body • All 4 epithelial tissue types represented • Ranges in thickness – Thick (palms, fingertips, soles of feet) – Thin (rest of body) • 2 layers – Epidermis is stratified squamous • 4/5 layers and 4 cell types – Dermis is dense irregular CT • Multiple cell types and accessory structures; 2 layers • Hypodermis not true integument • Connective tissue and fat cells Epidermal Layers • Stratum basale – Single row, many nuclei – Attached to basal lamina • Stratum spinosum – Thick layers of ‘spiny’ keratinocytes • Stratum granulosum – Thin, 3-5 layers – Keratincoytes fill w/ keratin – Cells ‘toughen’ and die • Stratum lucidum – Thin, translucent layer – Only in thick skin – Few, dead, densely packed keratinocytes • Stratum corneum – 20-30 cells thick – 14 days for cells to reach and remain up to 14 Epidermal Cells • Merkel cells – Touch sensitive cells – Epidermal/dermal border • Langerhans cells – Phagocytic cells – Assist immune system response – Formed in bone marrow Epidermal Cells (cont.) • Keratinocytes – – – – Produce keratin Joined by desmosomes Formed deep Dead at surface • Accelerated on feet/hands • Calluses from constant friction • Melanocyte – Produce melanin – Formed deep – Keratinocytes take up • Skin color due to activity not number • Tans signal DNA damage, fades as keratinocytes destroy Skin Coloration • Melanin is black, yellow-brown, or brown – Made by skin and stimulated by sun – Freckles and moles are accumulations • Carotene is yellow to orange pigments – Accumulates in st. corneum and fatty tissue in skin – Most obvious where stratum corneum is thickest • Hemoglobin is crimson colored respiratory pigment – Reduced blood supply turns skin white – Poorly oxygenated blood appears blue = cyanosis • Response to extreme cold or from respiratory disorders Skin Color Disruptions • Leathery skin – clumping of elastin fibers from excessive sun (cancer too) • Redness – embarrassment, fever, inflammation or allergy • Pallor/blanching – emotional distress, anemia, low BP • Jaundice – liver disease, bile pigment deposition • Bronzing – hypofunctioning of adrenal cortex, Addison’s • Hematomas – black n blue bruises, escaped blood clots in tissue Dermis • Flexible and strong CT – Nerve fibers, blood vessels, and lymphatic vessels • Tearing causes striae or strech marks • Blisters when epi- and dermis separate by fluid-filled pocket • 2 layers – Papillary layer – Reticular layer Dermal Layers Papillary layer (20%) • Areolar CT • Ridged surface projections = dermal papillae/epidermal ridges – On feet and palms – Increase friction, enhance grip, and fingerprints (sweat gland) • Contain light pain and touch receptors (Meissner’s corpuscle) Reticular layer (80%) • Dense irregular CT • Accessory structures • Collagen fibers and adipose – Holds water = hydration • Cleavage lines – Orientation related to skin stresses – Parallel cuts remain closed = faster healing – Right angles pulled open with recoil • Flexure lines (elbow) ACCESSORIES OF THE SKIN Sudoriferous (Sweat) Glands • Almost everywhere • Innervation contracts causing secretion • Eccrine sweat glands – Palms, soles, forehead – Hypotonic blood filtrate released by exocytosis • Body cooling • Emotional – Gland in dermis, duct into surface pore • Apocrine* sweat glands – Axillary and anogenital regions – Secretions into hair follicle ducts – Similar to eccrine secretion • Starts at puberty = body odor when mixed w/ bacteria • Ceruminous – Cerumen (earwax) • Mammary glands Sebaceous (Oil) Gland • Almost everywhere, but palms and soles • Holocrine glands (describe secretion mode) • Secreted onto hair follicle or into a pore – Softens hair and prevents water loss = brittle – Lubricates skin – Antibacterial function • Disorders – Whitehead, blackhead, acne – ‘Cradle cap’ – Dandruff , seborrheic dermatitis http://z.about.com/d/dermatology/1/0/p/6/Comedone_papule.jpg Hair • Other mammals = warmth • Humans = protection, sensation, filters – Few areas lack (palms, soles, lips) • ‘Hair’ (shaft and root) are dead, keratinized cells – Ribbonlike = kinky, oval = wavy, round = straight – Matrix with 3 layers: medulla, cortex, cuticle • Follicle into dermis expands to bulb – Receptors surround – Papilla w/ capillaries = nutrients • Arrector pili muscle • Hair pigment from melanocytes Nails • Modified hard keratinized epidermis – Protect, grasp, and itch • Richly vascularized • Free edge, nail body (stratum corneum), nail bed (stratum spinosum), and root (lunula) • Nail folds (lateral and proximal) extend = eponychium (cuticle) • Hyponychium (quick) Burns • Loss of fluids renal shut down, denatured proteins – IV of fluids immediately – Extra caloric intake • Rule of nines – 11 areas at 9% body (genitals 1%) – Estimate • Sepsis – Protective role decreased after 24 hours – Immune system done 1 -2 days after • Classifying – 1st degree: epidermal damage; redness and swelling (sunburn) – 2nd degree: epidermis and upper dermis; blisters form (cooking) – 3rd degree: epidermis and dermis; gray-white/blackened, nerve destruction • Skin grafting Integument Functions • Protection – Barrier to microorganisms, abrasions, and water loss • Thermoregulation – Vasoconstriction or –dilation of blood vessels, – Goose bumps or sweat – Fat and hair • Sensation – Nerve endings to detect external stimuli throughout – Meissner’s corpuscles, Merkel discs, Pacinian corpuscles, hair follicle receptors, and free nerve endings • Metabolic roles – Vitamin D from cholesterol – Proteins to deter wrinkles • Excretion – Removes wastes from body (sweat)