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Anatomy and Physiology of Skin
Dr Ashwini Kalantri
Skin

 Largest organ of the body
 Completely covers the body
 Continuous with membranes lining body orifices
 Average thickness: 1-2 mm. (0.5mm eyelids, 6mm
  palms and soles)
 pH: 4-5.6
 Renewal of skin takes place in 28-50 days by
  shedding of the outer layer.
Structure of Skin

Layers
 1. Epidermis
 2. Dermis
Epidermis

 Most superficial layer of the skin composed of
  stratified epithelium

 No blood vessels

 Nutrition provided by the capillaries of dermis

 Approx. thickness 0.4-1.5mm, thickest on palms and
  soles.
Layers of Epidermis

   Stratum Corneum    {
      Stratum Lucidum   {


                   {
Stratum Granulosum



 Stratum Mucosum



Stratum Germinativm     {
Cells in the Epidermis

 Keratinocytes: Major building block of the
  epidermis

 Melanocytes: Large cells interspaced among
  keratinocytes, produce melanin.

 Langerhans Cells: Antigen presenting cells

 Merkel cells: Represent special nerve endings
  within epidermis

 Hair, Sebaceous glands and ducts of sweat glands.
Colour of the Skin

 Pigmentation of skin: Melanocytes contain the
  pigment melanin which darkens the skin on
  exposure to sunlight

 Hemoglobin content in blood: The level of
  oxygenation of blood and amount of blood
  circulating in the dermis play an important role in
  skin colouration.
Dermis

 Connective tissue layer made up of dense and stout
  collagen fibers, fibroblasts and histocytes. Collagen
  fibers have elastic property and are capable of
  storing water.

 Layers:
  1. Superficial Papillary Layer
  2. Reticular Layer
Superficial Papillary Layer

 Projects in to the epidermis

 Contains blood vessels, lymphatics and nerve fibers.

 Has some pigment containing cells called
  chromatophore.

 Dermal papillae are finger like projections arising
  from this layer
Reticular Layer

 Made up of reticular and elastic fibers

 These fibers are found around hair bulbs, sweat
  glands and sebaceous glands.

 Also contains mast cells, nerve
  endings, lymphatics, epidermal appendages and
  fibroblasts.

 The hair follicles with hairs, sweat
  glands, sebaceous glands and nails.
Glands of the Skin
 1. Sebaceous Glands
 2. Sweat Glands
Sebaceous Glands

 Structure: Ovoid or spherical in shape, developed
  from hair follicles and covered by connective tissue
  capsule

 Secretion: Secrete a oily substance called Sebum.

 Composition: Contains free fatty
  acids, sterols, paraffin, waxes, squalene and
  triglycerides.

 Functions: FFA has antibacterial and antifungal
  properties. Lipids keep skin smooth and
  oily, protecting from unnecessary desquamation
  and injury.
Sweat Glands - Eccrine

 Distributed throughout the body with exterior
  opening through sweat pore with watery and clear
  discharge.

 Temperature regulation

 Secretion increases with increase in temperature
  and emotions under nervous control

 Nerve supply by sympathetic cholinergic fibers.
Sweat Glands - Apocrine

 Distributed only in a limited area –
  Axilla, pubis, areola and umbilicus.

 Opens in to the hair follicle having thick and milky
  secretion.

 Starts functioning with puberty and has no role in
  temperature regulation

 Secretions increase under emotional conditions
  under hormonal control.

 Supply by sympathetic adrenergic fibers.
Functions of Skin
Protective

 Protection from bacteria and toxic substances by
  secreting lysozyme.

 Protection from mechanical blow

 Protection from UV rays with the help of melanin
  pigment.
Sensory

 Skin is considered the largest sensory organ

 Many nerve endings forming a specialized
  cutaneous receptors.
Storage

 Stores fat, water, chloride and sugar.

 Can also store blood with vasodilation of the
  cutaneous blood vessels
Synthetic

 Vitamin D3 is synthesized in the skin with the
  action of UV rays on cholesterol.
Temperature Regulation

 Excess heat is lost from the body by
  radiation, conduction, convection and evaporation.

 Active role in heat loss by secreting sweat.

 The lipid content of sebum prevents heat loss in
  cold temperature.
Water and Electrolyte
           balance
 Excretion: Waste materials like urea, salts and fatty
  substances are also excreted.

 Absorption: skin can absorb fat soluble substances
  and some ointments.

 Secretion: Sweat and sebum are secreted by the
  sweat and sebaceous glands. Helps in temperature
  and water balance. Sebum helps in keeping the skin
  smooth and provides protection.
Skin
Skin

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Skin

  • 1. Anatomy and Physiology of Skin Dr Ashwini Kalantri
  • 2. Skin  Largest organ of the body  Completely covers the body  Continuous with membranes lining body orifices  Average thickness: 1-2 mm. (0.5mm eyelids, 6mm palms and soles)  pH: 4-5.6  Renewal of skin takes place in 28-50 days by shedding of the outer layer.
  • 3. Structure of Skin Layers 1. Epidermis 2. Dermis
  • 4. Epidermis  Most superficial layer of the skin composed of stratified epithelium  No blood vessels  Nutrition provided by the capillaries of dermis  Approx. thickness 0.4-1.5mm, thickest on palms and soles.
  • 5. Layers of Epidermis Stratum Corneum { Stratum Lucidum { { Stratum Granulosum Stratum Mucosum Stratum Germinativm {
  • 6. Cells in the Epidermis  Keratinocytes: Major building block of the epidermis  Melanocytes: Large cells interspaced among keratinocytes, produce melanin.  Langerhans Cells: Antigen presenting cells  Merkel cells: Represent special nerve endings within epidermis  Hair, Sebaceous glands and ducts of sweat glands.
  • 7. Colour of the Skin  Pigmentation of skin: Melanocytes contain the pigment melanin which darkens the skin on exposure to sunlight  Hemoglobin content in blood: The level of oxygenation of blood and amount of blood circulating in the dermis play an important role in skin colouration.
  • 8. Dermis  Connective tissue layer made up of dense and stout collagen fibers, fibroblasts and histocytes. Collagen fibers have elastic property and are capable of storing water.  Layers: 1. Superficial Papillary Layer 2. Reticular Layer
  • 9. Superficial Papillary Layer  Projects in to the epidermis  Contains blood vessels, lymphatics and nerve fibers.  Has some pigment containing cells called chromatophore.  Dermal papillae are finger like projections arising from this layer
  • 10. Reticular Layer  Made up of reticular and elastic fibers  These fibers are found around hair bulbs, sweat glands and sebaceous glands.  Also contains mast cells, nerve endings, lymphatics, epidermal appendages and fibroblasts.  The hair follicles with hairs, sweat glands, sebaceous glands and nails.
  • 11. Glands of the Skin 1. Sebaceous Glands 2. Sweat Glands
  • 12. Sebaceous Glands  Structure: Ovoid or spherical in shape, developed from hair follicles and covered by connective tissue capsule  Secretion: Secrete a oily substance called Sebum.  Composition: Contains free fatty acids, sterols, paraffin, waxes, squalene and triglycerides.  Functions: FFA has antibacterial and antifungal properties. Lipids keep skin smooth and oily, protecting from unnecessary desquamation and injury.
  • 13. Sweat Glands - Eccrine  Distributed throughout the body with exterior opening through sweat pore with watery and clear discharge.  Temperature regulation  Secretion increases with increase in temperature and emotions under nervous control  Nerve supply by sympathetic cholinergic fibers.
  • 14. Sweat Glands - Apocrine  Distributed only in a limited area – Axilla, pubis, areola and umbilicus.  Opens in to the hair follicle having thick and milky secretion.  Starts functioning with puberty and has no role in temperature regulation  Secretions increase under emotional conditions under hormonal control.  Supply by sympathetic adrenergic fibers.
  • 16. Protective  Protection from bacteria and toxic substances by secreting lysozyme.  Protection from mechanical blow  Protection from UV rays with the help of melanin pigment.
  • 17. Sensory  Skin is considered the largest sensory organ  Many nerve endings forming a specialized cutaneous receptors.
  • 18. Storage  Stores fat, water, chloride and sugar.  Can also store blood with vasodilation of the cutaneous blood vessels
  • 19. Synthetic  Vitamin D3 is synthesized in the skin with the action of UV rays on cholesterol.
  • 20. Temperature Regulation  Excess heat is lost from the body by radiation, conduction, convection and evaporation.  Active role in heat loss by secreting sweat.  The lipid content of sebum prevents heat loss in cold temperature.
  • 21. Water and Electrolyte balance  Excretion: Waste materials like urea, salts and fatty substances are also excreted.  Absorption: skin can absorb fat soluble substances and some ointments.  Secretion: Sweat and sebum are secreted by the sweat and sebaceous glands. Helps in temperature and water balance. Sebum helps in keeping the skin smooth and provides protection.

Editor's Notes

  1. Branched alveolar glands in the dermis