Basic Skin Structure - PSAU

Basic Skin Structure - PSAU

Basic Skin Structure Dr. Salman Bin Dayel, M.D College of Medicine Salman Bin Abdulaziz University The Skin: The largest organ

The full-thickness 1.5- to 4.0-mm Surface area about 2 square meters) It weighs about over 5KG Functions Of The Skin:

SKIN STRUCTURES: 3 Main layers: Epidermis The superficial portion of the skin Dermis

The deeper layer of the skin Primarily composed of connective tissue Subcutaneous layer or hypodermis

EPIDERMIS Stratified squamous epithelium Avascular (contains no blood vessels) 4 types of cells 4 distinct layers of cells Regional variation in the

relative thickness The epidermis is thickest on the palms and soles, measuring approximately 1.5 mm It is very thin on the eyelid where it measures less than 0.1 mm

EPIDERMIS Complosed of 4 layers : Stratum basale (germinativum) Stratum spinosum Stratum granulosum Stratum corneum In Palms and soles 5th layer called

Stratum Lucidum EPIDERMIS: Contains 4 types of cells: 1-keratinocytes (85% of cells) 2-Melanocytes 3-Langerhans cells

4-Merkel cells Stratum basale (germinativum) Deepest single layer of epidermis It contains mitotically active (stem cells)10%,

columnar-shaped keratinocytes KCs attached to each other by desmosomes & to basement membrane via keratin filaments (K5 & K14) by hemidesmosomes Melanocyte present in this layer

Basal layer Stratum spinosum: Several cells layers Have cytoplasmic

processes (spines) Desmosomes connect bewteen keratinocytes Stratum granulosum:

1 to 3 layers of fusiform shaped basophilic cells Containes granules (Keratohyalin granules) contain profilaggrin and Loricrin proteins .

Stratum corneum: * Superifical keratinized layer Cells * Almost filled with keratin * Flattened, non nucleate * Coated with extra-cellular lipids that form water barrier of skin

* Provide Mechanical protection, barrier for water loss *Layer that varies most in thickness thick palm & sole (20-30 cell layers thin other area ( 3-4 cell layers)

EPIDERMAL CELLS: KERATINOCYTES: *80-85% of epidermis *Ectoderm in origin *For keratin

formation *They are arranged In many layers that continuously shed * regenerate every 4 weeks *Psoriasis 4days

MELANOCYTES: *Found in between cells of the basal layer & At the basal part of the hair follicles. *Origin neural crest *Branched cells with centeral nuclei *They produce the Melanin to keratinocytes color to the skin

*No. of melanocytes for the same site is same in white and black skin. *Provide protection from UV light LANGERHANS CELLS: *Found in upper layers of st.spinosum *Have branched shape

& central nuclei *Represent 3-8%of epid. Cells *Bone marrow in origin. *Phagocytic & antigen presenting cells (Immune response)

MERKELS CELLS: *Found in basal cell layer *Are modified epidermal cells *Sensory nerve fibers *form terminal disk

under Merkels cells *Function as touch receptors The Dermis The DERMIS: Connective tissue layer

composed of collagen & elastic fibers, fibroblasts, macrophages & mast cells. Contains hair follicles, glands, nerves & blood vessels Two major regions of dermis

papillary region reticular region PAPILLARY DERMIS: Upper part of dermis Top 20% of dermis Contain finer collagen compared to reticular dermis

Finger like projections are called dermal papillae anchors epidermis to dermis contains capillaries that feed epidermis contains Meissners corpuscles (touch) & free nerve endings for sensations of heat, cold, pain, tickle, and itch Meissners (Tactile) Corpuscle:

RETICULAR DERMIS: The thicker deep layer Dense irregular connective tissue Contains interlacing collagen and elastic fibers contain sweat glands , fat & hair follicles Provides strength, extensibility & elasticity to skin

Contain many nerve receptors: Ruffini corpuscles pressure touch. Pacinian corpuscles vibratory pressure & touch Basement membrane zone

(BMZ) It forms the interface between the epidermis and the dermis. It is continuous along the epidermis and skin

appendages. Its width ranges between 50-90 nm. It is divided into: 1- Plasma membrane and hemidesmosomes of basal keratinocytes.

2- Lamina lucida 3- Lamina densa 4- Sublamina densa fibrillar zone Basement Membrane Zone: Main functions: 1- Attach the epidermis to the dermis.

2- Separate components of the epidermis and dermis. 3- Provide resistance against external shearing forces. 4- Maintain tissue architecture during remodeling and repair. Subcutaneous fat tissue

the layer between the dermis and the fascia The fat tissue acts as a cushion against external physical pressure, retain moisture . The thickness of the subcutaneous tissue depends on the body site, age and other factors Fat cells separated by the connective fibroid fat septum are called fat lobules.

Vascular channels and nerves: Subcutaneous plexus Deep Dermal-subcutis interface Large blood vessels

Subpapillary plexus superficial Parallel to epidermis Thank You

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