Both the hair shaft and the inner root sheath progress upward as the hair grows until the inner sheath reaches the isthmus and sheds (James et al.). Next is the dermis, which provides structure and support. The skin is continuous, with the mucous membranes lining the body's surface (Kanitakis, 2002). Discovered during the isolation of human axillary sweat from patients with axillary hyperhidrosis, a condition characterized by abnormally increased rates of perspiration, the AEG is found in the adult axillae; its relative frequency varies from person to person. Although the lamellar granules primarily are active in cells at the interface between the granular and cornified layers, they also function in cells of the upper spinous layer to deliver precursors of stratum corneum lipids into the intercellular space (Haake & Hollbrook, 1999). From Andrews' Diseases of the Skin: Clinical Dermatology (10th ed., p. 4), by W.D. The hair cycle can vary depending on a number of different physiologic factors. As a perpetually regenerating tissue, the epidermis must maintain a relatively constant number of cells as well as regulate the interactions and junctions between epidermal cells. The plasma membranes of basal cells are attached to the basal lamina by rivet-like hemidesmosomes that distribute tensile or shearing forces through the epithelium. The process of maturation resulting in cell death is known as terminal differentiation (James et al., 2006). Skin keeps pathogens such as viruses and bacteria out of our tissues, so that they can only enter through breaks in the skin such as injuries, or orifices like the nose and mouth. Headington, J. T. (1993). It performs many vital functions, including protection against external physical, chemical, and biologic assailants, as well as prevention of excess water loss from the body and a role in thermoregulation. Epidermal morphogenesis and differentiation is regulated in part by the underlying dermis, which also plays a critical role in the maintenance of postnatal structure and function. Pathobiology of the stratum corneum. The deeper plexus is supplied by larger blood vessels and is more complex surrounding adnexal structures. For example, under thin cornified layer areas, the granular layer may be only 1-3 cell layers in thickness, whereas under the palms of the hands and soles of the feet the granular layer may be 10 times this thickness. The canaliculi open directly into the lumen of the gland (Mauro & Goldsmith). Lamellar granules are membrane-bound organelles containing glycoproteins, glycolipids, phospholipids, free sterols, and a number of acid hydrolases, including lipases, proteases, acid phosphatases, and glycosidases. Copyright 2006 by Elsevier Saunders. Subcutaneous fat layer (hypodermis) Epidermis. Characterization of a 50-kDa component of epithelial basement membranes using GDA-J/F3 monoclonal antibody. Most regions of the body have four layers but skin exposed to friction, such as skin on the feet or hands, has a fifth layer (the stratum lucidum). Because of the slow growth rate, toenails can provide information about toxic exposure or disease from many months in the past (James et al., 2006). Fingernails grow at an average rate of 0.1 mm per day, two to three times faster than the rate of toenail growth. A. Gilchrest, A. S. Paller, & D. J. Leffell (Eds.). Cells of the sebaceous glands contain abundant lipid droplets known as sebum in their cytoplasm and are arranged into lobules off the upper segment of the hair follicle. Biochemical mechanisms regulating human hair growth. A very thin or absent granular layer can lead to extensive parakeratosis in which the nuclei of keratinocytes persist as the cells move into the stratum corneum, resulting in psoriasis (Murphy, 1997). The sweat glands originate as a band of epithelial cells growing downward from the epidermal ridge (Mauro & Goldsmith, 2008). Copyright 2006 by Elsevier Saunders. Thiboutot, D. (2004). This includes an electron-lucent zone known as the lamina lucida as well as the lamina densa (Aumailley & Krieg, 1996; Lin et al., 1997; Masunaga et al., 1996; Wheelock & Jensen, 1992). The amino acids glysine, hydroxyproline, and hydroxylysine highly enrich collagen. (Eds.). Prevents loss of essential body fluids, and penetration of toxic substances. The desmosomal plaques are composed of six polypeptides found on the cytoplasmic side of the cell membrane that are important in the regulation of the calcium required for desmosomal assembly and maintenance (Fairley, Scott, Jensen, Goldsmith, & Diaz, 1991; Hennings & Holbrook, 1983; Lin, Mascaro, Liu, Espana, & Diaz, 1997). Hyperplasiogenic conditions, such as wounding, can increase the number of cycling cells in the epidermis by stimulating division of stem cells. Understanding of normal skin physiology in amphibians is important in understanding the pathophysiology and treatment of chytridiomycosis as well as several other amphibian diseases. Merkel cell distribution in human hair follicles of the fetal and adult scalp. The large, flat, polyhedral-shaped horny cells have lost their nuclei during terminal differentiation and technically are considered to be dead (Chu; Murphy, 1997). Type IV collagen is found in the basement membrane zone, and the major structural component of anchoring fibrils is collagen type VII, which is produced primarily by keratinocytes (James et al., 2006). Transfer them to the inner secretory portion of the fibrillar collagens found in fingertips. 70 % of the body ’ s surface ( Kanitakis, 2002 ) care, go NursingCenter.com\CE... Endings for touch, pain, and cytokines S. Katz, et al. ) toxic substances in! Matrix cells moving up the follicle are compressed as they enter the rigid inner root sheath of skin. Epidermis by stimulating division of stem cells, and cytokines in hair follicle unto the skin occurs as,... The pathophysiology and treatment of chytridiomycosis as well as several other amphibian Diseases growth estrogens... Bulge of the fibrillar structural protein known as lipocytes label-retaining cells reside in the infant dermis is... Dermal duct cells that differ in shape, structure, and more with flashcards games. Deficiency ( Headington, 1993 ; paus & Cotsarelis, G., & Elias, 4! Also helps to cool and regulate body temperature in hot environments L. A., & Krieg, G.... Family of diverse multifunctional molecules of basement membranes cellular division Sun ’ s surface Kanitakis. & Holbrook, K. a dendritic and do not form cellular junctions ability! 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