Skin Zhong Jie Li (李仲杰), Ph. D School of Medicine,Zhejiang University 20131017.

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Skin Skin Zhong Jie Li 李李李李 () , Ph. D School of Medicine,Zhejiang University

Transcript of Skin Zhong Jie Li (李仲杰), Ph. D School of Medicine,Zhejiang University 20131017.

Page 1: Skin Zhong Jie Li (李仲杰), Ph. D School of Medicine,Zhejiang University 20131017.

SkinSkin

• Zhong Jie Li (李仲杰) , Ph. D

• School of Medicine,Zhejiang University

• 20131017

Page 2: Skin Zhong Jie Li (李仲杰), Ph. D School of Medicine,Zhejiang University 20131017.

skin

epidermis

(dermis)

hypodermis

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General outlineGeneral outline

skin is the largest organ of the human body, it constitutes about 16% of body weight

is composed of epidermis , dermis and its appendages

its total surface area is about 1.2-2.2 m2

the function of the skin:

barrier and protection

sensory reception

excretion

body temperature regulation

absorbing some materials

remarkable regenertive capacity

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•Thick skin•Thin skin

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1. Structure of skin

---epidermis

---dermis

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1) Epidermis

---consist of keratinised cell and

non-keratinised cell

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①keratinised cell:

---from basal to surface, we can classify the cells into five layers

Keratinised stratified squamous epithelium

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stratum corneum ( C)

stratum lucidum ( L)

stratum granulosum ( G)

stratum spinosum

( S)stratum basale ( B)

Epidermis

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a. stratum basale ---structure: LM: -a layer of cuboidal or low

columnar cell with a large, pale nuclei

-basophilic cytoplasmEM: -free ribosome -keratin filament - desmosome---function: mitotic activity and

proliferation, for constant renewal of

epidermal cells.

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b. stratum spinosum---structure: LM: 4-10 layers polygonal cell

with large round nucleus -spinous processes -slight basophilic cytoplasm

EM: -tonofibrils -lamellated granules: /100-300nm membrane- coated /contain phospholipid and steroid -intercellular bridges- Desmosome

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c. stratum granulosum---structure: LM: 3-5 layers flattened cell -nuclei begin to

degenerate-stained slightly -keratohyalin granules: basophilicEM: -keratohyalin granules: with

tonofilament insert into them -lamellated granules:

fused with cell membrane* keratohyalin + tonofilament =

keratin

Page 12: Skin Zhong Jie Li (李仲杰), Ph. D School of Medicine,Zhejiang University 20131017.

d. stratum lucidum---structure:LM: -3-4 layers of cell appear

homogeneous and transparent

-no nucleus and organella

-eosinophilic-keratohyalin -tonofilament embedded

in homogeneous matrix

lucidum

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e. stratum corneum---structure: LM: 15~20 layers

horny cell ---died cell- no

nucleus and organella

---eosinophilic ---keratin* desquamation:

surface keratin will shed from outer surface due to abrasion

corneum

lucidum

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② non-keratinised cell: a. melanocyte: ---structure: LM: -large cell with long branches -located among stratum basale cells EM: -risosome -RER -Golgi complexes tyrosine -melanosome(tyrosinase) →↓ melanin ↓ melanin granules

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---function:

• responsible for skin color

• absorb ultraviolet light

• protect deep tissue

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b. Langerhans cell---structure: LM: -dark nucleus, light cytoplasms -among the spinous cell -dendritic-typed processes EM: -lysosome -Birbeck granule: /membrane-coated /characteristic racket-shape /15-30 nm long, 4 nm in D---function: • antigen presenting cell in skin• involve in immune reaction

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c. Merkel’s cell

located in basal layer

with short processes

contain many dense-core granules

chemical synapse: between Merkel’s cell and afferent N

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---function: not very clear, may be

• sensory epithelial cell

• neuroendocrine cell

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2) 2) Dermis:Dermis:

located beneath the epidermis

Reticular layer:

Papillary layer:•a thin layer of LCT which increase the total contact surface between the dermis and epidermis, contain capillary network and nerve ending (tactile corpuscle)

•under the papillary layer; consists of irregular DCT; contain large blood vessels, appendages of skin, nerves (lamellated corpuscle). The elastic network is responsible for the elasticity of the skin.

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---papillary layer: dermal papillae-increase the junction between epi. and underlying CT

papillary layer

reticular layer

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Meissner’s corpuscle

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---reticular layer:

DCT, contains rough F ,CF, EF, RF

• large BV, LV• lamellar corpuscle• skin appendages:

including sweat gland, sebaceous gland and hair

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2. hypodermis: LCT and fat tissue

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Skin appendagesSkin appendages

hair

sebaceous gland

sweat gland

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Skin appendages

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HairHair

• Hair is a thorny thread-like structure.

• Hair shaft is the part that extends above the surface and hair root is part that is embedded in the skin

• Hair resides in a hair follicle.

• Hairs differ in length, thickness and color according to their position on the body

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papilla

hair root

hair bulb

hair follicle

Sturcture of Hair root

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•Hair root

•Hair follicle

•Hair follicle

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•Hair follicle•Hair root

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Sebaceous GlandsSebaceous Glands

• Associated with the hair follicles• Produce oily substance, which is act as a

lubricant to make the skin soft and protects both skin and the hair from drying out.

• Oil released to outside via the hair follicle. If passage becomes blocked, cause acne.

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Sebaceous glands

Secretory portion:

in the central :

Large Polygonal shaped cells with many droplets fat in cytoplasm;

the basal layer : small cuboidal shaped cells ,dark staining .

Production: sebum

Arrector pili muscle

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Arrector pili

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•Arrector pili – smooth muscle of hair this muscle contracts– “goose pimple”

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Sweat GlandsSweat Glands

• Sweat glands are distributed over most of the body.

• Simple tubular glands that transverse from the dermis to the surface of the epidermis.

• Merocrine sweat glands are found on most of the body and produce a thin watery solution and function in heat regulation.

• Apocrine sweat glands are found in axilla, mammary areolae, and circumanal region produce much thicker secretion that is odor producing. Often become activated at puberty

Page 35: Skin Zhong Jie Li (李仲杰), Ph. D School of Medicine,Zhejiang University 20131017.

A sweat gland is divided into two parts:

•Secretory portion: is composed of pyramidal secretory cells

•Duct: lined by two layers of cuboidal epithelial cells

Secretory portion

duct

Page 36: Skin Zhong Jie Li (李仲杰), Ph. D School of Medicine,Zhejiang University 20131017.