SF-INTEGUMENTARY-SYSTEM-NOTES
SF-INTEGUMENTARY-SYSTEM-NOTES
EPIDERMIS
- Consists mainly of a stratified squamous keratinized
epithelium composed of cells called keratinocytes.
- Cells:
✓ Keratinocytes
✓ Langerhan cells – skin macrophage
✓ Melanocytes – the one that tends too be an issue
because it produced melanin
✓ Merkel cells – sensory cell
THICK SKIN
- Palms and soles
THIN SKIN
- Elsewhere on the body
• Stratum basale
• Stratum spinosum
• Stratum granulosum Note: The synthesis of large amount of keratin would give
• Stratum lucidum the cell this spiny extensions, so that’s why its called
• Stratum corneum spinosum. The epidermis of thick skin that is usually
subject to continuous friction and pressure especially
Note: Epithelial tissues are avascular so the stratified found in the soles of your foot, has a thicker stratum
squamous epidermis lacks microvasculature. The spinosum with more abundant tonofibrils and lesser
epidermis is its just very thick stratified squamous substance. Tonofibrils is the precursor for your keratin.
epithelium layer and it does not have blood vessel. If you The secretion of keratin is increasing so there are more
have thin skin, because there are areas of the body where tonofibrils on both sides of each desmosome so it causes
you have thin skin, we call this thin skin your epidermis is the cell to shrink and tonofibrils would go out of the cell.
only composed by five layers. So, if you notice, the cells
would receive nutrients and oxygen by diffusion from the Granular layer (stratum granulosum)
dermis. The capillaries are in the dermis. - Keratinocytes in this layer contain numerous
keratohyalin granules
- Lamellar granules
- Melanosomes
Note: These are important in our ability to feel textures. Note: The topmost layer of the dermis is the papillary
layer. It supports the epidermis.
DERMIS
- Layer of connective tissue that supports the epidermis • RETICULAR LAYER
and binds it to the subcutaneous tissue (hypodermis) - Much thicker
- Subpapillary plexus - Consists of dense irregular connective tissue
- Layers: - More fibers and fewer cells than the papillary layer
✓ Papillary Layer - A network of elastic fibers is also present
✓ Reticular Layer
Note: “Irregular”, the fibers go into various direction to
Note: Between the papillary layer and reticular layer, there allow or accommodate forces from any direction.
lies the musculovascular subpapillary plexus from which
the capillary branches, extend into the dermal papillae SUBCUTANEOUS TISSUE
and form a rich nutritive capillary network just below the - Hypodermis or superficial fascia
dermis. This is where you can find your capillaries. - Consists of loose connective tissue that binds the skin
loosely to the subjacent organs, making it possible for
the skin to slide over them.
- Contains adipocytes
- Extensive vascular supply
SENSORY RECEPTORS
Note: These interdigitations are considered peg and UNENCAPSULATED
socket in our skin. We call this dermal epidermal - Merkel cells
interdigitation, occur as well-formed ridges and grooves in - Free nerve endings
the thick skin of the palms and soles. This is the reason - Root hair plexuses
why we have footprints and fingerprints. These ridges, the
intervening so high, form distinctive patterns unique for ENCAPSULATED
each individual appearing as combination of loops, arches - Meissner corpuscles
and holes which we call dermatoglyphs or more - Lamellated (Pacinian) corpuscles
commonly known as footprints or fingerprints. Epidermal
- Krause end bulbs
ridges is the extension of the epidermis to the dermis
- Ruffini corpuscles
Note: Sensory receptors are receiver for various stimuli
from the environment. In encapsulated, there are four
recognizing human skin but only two can be seen in
histological preparation.
• PACINIAN CORPUSCLES
- Large oval structures with an outer capsule and 15-
50 thin, concentric lamellae of flattened Schwann
cells and collagen surrounding a highly branched,
unmyelinated axon.
- Found deep in the reticular dermis and hypodermis
- Wall of the rectum and urinary bladder
- Specialized for sensing coarse touch, pressure
• FREE NERVE ENDINGS (sustained touch), and vibrations.
- Most numerous neuronal receptors in the epidermis
- Terminate in the stratum granulosum
- Respond primarily to high and low temperatures,
pain, and itching, but also function as tactile
receptors.
• ROOT HAIR PLEXUSES Note: The Pacinian looks like a bulb. It is an oval structure
- A web of sensory fibers surrounding the bases of hair that forms like a concentric lamellae around an
follicles in the reticular dermis that detects unmyelinated axon. It is accessible when there is a very
movements of the hairs. sustained touch or pressure. This particular sensory
receptor specializes in sensing horse touch (pressure and - Base of the bulb is invaginated by a tuft of
vibration). vascularized loose connective tissue = dermal papilla
- These cells form the matrix of the elongating hair root
• KRAUSE END BULBS - The part of a hair extending beyond the skin surface
- Simpler encapsulated, ovoid structures, with = hair shaft
extremely thin, collagenous capsules penetrated by a
sensory fiber. Hair Follicle – responsible for the production and growth
- Found primarily in the skin of the penis and clitoris of hair
where they sense low frequency vibration.
- Genital corpuscles
• RUFFINI CORPUSCLES
- Collagenous, fusiform capsules anchored firmly to the Note: Unlike the renewal of the surface epidermis, your
surrounding connective tissue. growth is not continuous. It starts with a period of broad
known as Anagen and then we have the growth a period
- Respond to stretch and torque
of hull where the growth is hull or Catagen and then a long
rest period known as telogen. Eventually, it goes back
again (cycle).
NAIL
- Hard plates of keratin on the dorsal surface of each
distal phalanx.
HAIR
- Elongated keratinized structures that form within
epidermal invaginations, the hair follicles.
- Growing hair follicle has a terminal dilation = hair bulb
Note: The proximal part of the nail is the nail root from
which the epidermal stratum corneal extends as the
cuticle or eponychium. The nail plate is bound to a bed of
epidermis which is known as the nail bed. The nail plate
and that epidermal layer which bounds the nail plate is
known as the nail bed, which contains only the basal and SWEAT GLANDS
spinosadermal layers. The nail root would form from the • ECCRINE SWEAT GLANDS
nail matrix divide and move distally and become - Widely distributed in the skin and are most numerous
keratinized in a process somewhat similar to hairy on the foot soles
formation but without keratohyaline granules. - Secretory part is stratified cuboidal epithelium (highly
eosinophilic)
SEBACEOUS GLADS
- Embedded in the dermis over most of the body, SWEATING
except in the skin of the palms and soles. - A physiological response to increased body
- Branched acinar glands with several acini converging temperature during physical exercise or thermal
at a short duct that usually empties into the upper stress.
portion of a hair follicle. - Most effective means of temperature regulation of
- A hair follicle and its associated sebaceous glands humans.
make up a pilosebaceous unit.
- Holocrine secretion
- Sebocytes -cells
- Sebum – chemical released
Note: The stem cell niche of the follicles bulbs region also
forms the progenitor cells of the associated sebaceous
glands. In certain hairless regions such as the penis,
clitoris, eyelids, nipples, your sebaceous ducts open
directly into the epidermal surface. If its in the
pilosebaceous unit, it acts as a lubricant of the hair. Note: The sweat flows continuous in the spiraling channel
Sebum is a complex mixture of lipids that includes wax, through the five epidermal strata but excretory sweat pore
esters, squalene, cholesterol and triglycerides that are in the skin surface. There is a sweat pore which is
hydrolyzed by bacterial enzymes after secretion. sometimes connected in the hair shaft.
Secretion from sebaceous gland increases greatly at
puberty stimulated primarily by testosterone in men and • APOCRINE SWEAT GLANDS
by variant and adrenal androgens in women. Sebum - Largely confined to skin of the axillary and perineal
helps maintain the stratum corneum in hair shafts and region
exerts weak antibacterial and antifungal properties. - Production of pheromones (human smell)
- Merocrine secretion
WOUND HEALING
• Granulation tissue
- Collagen-rich, well vascularized tissue in the dermis,
which gradually replaces the blood clot
- Undergoes remodeling
WOUND HEALING