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Chapter 05
                                                     Lecture and Animation
                                                            Outline
                                                         enhanced with
                                                          APR Images




Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.   1
Integumentary System
Chapter 5-Integumentary System
• What does                            Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.



  integument mean?
  covering
                                                                                                   Hairs




                                                                                                                      Epidermis


• Components         Sebaceous
                     gland                                                                                                            Skin



  – skin             Arrector pili
                     (smooth muscle)
                                                                                                                      Dermis




  – hair
                     Hair follicle
                     Nerve
                     Vein



  – nails
                     Artery                                                                                           Subcutaneous tissue
                     Sweat gland                                                                                      (hypodermis)
                     Adipose tissue




  – glands


                                                                                                                             3
Skin


Epidermis   Dermis          Hypodermis
Functions
1. Protection:
   water loss, microbes, UV light
2. Sensation:
   hot, cold, pain, pressure
3. Temperature regulation:
   helps maintain homeostasis



                                    5
4. Excretion:
   removes waste

5. Vitamin D production:
   UV light stimulates production




                                    6
Skin Facts
• Weighs 9 lbs.

• Used to determine body fat

• 2 main regions: epidermis and dermis




                                         7
Skin of Finger




Epidermis        Dermis
                          Thin Skin



                          Thick Skin
Epidermis
Epidermis
• 1st major skin region (outside)
• Composed of stratified squamous epithelium
• Keratinization:
  - process in which new cells (with keratin) push
    old cells to surface
  - 40-56 days for new cells to reach surface




                                               11
Strata of Epidermis
• Stratum corneum:
  - outermost layer of epidermis
  - 20-30 layers of dead squamous cells filled with keratin
  - accounts for 75% of epidermal thickness
  - dandruff is this layer flaking off scalp

• Callus:
  forms when stratum corneum has frequent friction




                                                              12
Skin
                  Low Magnification            Stratum corneum
   Epidermis



                                              Stratum granulosum




    Dermis

                                              Stratum spinosum


                    Duct of merocrine sweat
                             gland
Dermal papillae
                                                Stratum basale
Skin                Stratum
                          corneum

High Magnification

                           Stratum
             Epidermis
                         granulosum




                          Stratum
                         spinosum




                          Stratum
              Dermis
                           basale
• Stratum basale:
  - deepest layer of epidermis

  - single layer of cells

  - firmly attached to dermis




                                 15
Dermis
Dermis
•   2nd major skin region
• Dense connective tissue
• Contains collagen and elastic fibers
• Contains fibroblasts, nerve endings, smooth muscle, glands,
  blood vessels, and hair follicles
• Cleavage lines:
  - area where skin is most resistant to stretching
  - due to orientation of collagen fibers
  - important in scarring




                                                            17
Dermis and Dermal Papillae




 Dermis             Dermal papillae
Layers of Dermis
• Papillary layer:
  - thin connective tissue layer that contains blood
   vessels
  - Dermal papillae:
       - projections that extend up into epidermis
       - remove waste and help regulate body temp.
       - ridged on hands and feet (fingerprints)
       - pattern is genetically determined




                                                       20
• Reticular layer:
  - deepest layer of dermis

  - accounts for 80% of dermis




                                 21
Hypodermis
Hypodermis
•   Below dermis
•   Foundation of skin
•   Attaches skin to underlying muscle and bone
•   Contains loose and adipose tissue
•   Contains ½ of body’s fat
•   Body fat for females 20-23%, males 13-25%




                                                  23
Skin Color and Variations
• Determined by:
  - pigments
  - genetics
  - blood circulation
  - thickness of stratum corneum
• Melanocytes of darker skinned people produce
  more and darker melanin than fairer skinned
  people
• All races have same number of melanocytes

                                                 24
Skin Pigments
•   Melanin:
    - produced by melanocytes
    - ranges from yellow to reddish-brown to black
    - responsible for hair and eye color
    - provides protection against UV light
    - amt. produced determined by genetics, UV light, hormones
    - freckles are accumulation of melanin
    - albinism is absence of melanin




                                                                 25
•   Carotene:
    - yellow-orange pigment found in plants
    - accumulates in stratum corneum

•   Hemoglobin:
    - gives pinkish-red color
    - found in red blood cells



                                          27
Tanning and Sunburns
• Exposure to UV light stimulates melanocytes to increase
  production of melanin
• Melanin builds up to help protect skin against UV radiation
  (tan)
• A sunburn is the skin reacting to UV exposure
• UV light causes elastic fibers to clump and become leathery
• UV light can alter DNA in cells causing them to mutate
  (cancer)



                                                       28
Skin Color and Disease
• Redness:
  fever, hypertension, inflammation, allergies
• Pallor:
  anemia or low blood pressure
• Jaundice:
  liver disorder (yellow)
• Bronzing:
  Addison’s disease (kidney disease)
• Bruising:
  broken blood vessels

                                                 29
Hair
Hair Components
• Hair/shaft:
  flexible strands of keratinized cells

• Root:
  below skin (scalp)




                                          31
Hair
       Hair shaft




  Keratinocytes
• Hair Bulb:
  - base of root
  - where hair is produced

• Hair Follicle:
  - group of cells that surround root and bulb
  - gives hair different shapes


                                             33
Histology of Hair Follicle
 Epidermis                      Hair




Hair follicle               Sebaceous gland
Cortex                            Connective
of hair            Hair Follicle    tissue
                                    sheath
               Medium Magnification

                                       Glassy
                                      membrane


  Differentiation
   zone of hair
                                       External
                                         root
                                        sheath




                                       Internal
                                         root
Hair matrix
                                        sheath
Hair Follicle High Magnification
                                                     Internal root
                                                        sheath
Dermis




                                                     Hair matrix
 Connective
tissue sheath




                  External root
                     sheath



Glassy membrane                                        Dermal
                                                       papilla
How is Hair Produced?
•   Hair is produced in hair bulb

•   Hair bulb rests on blood vessels to supply it with
    nutrients

•   Hair grows longer as cells are added to base of
    hair bulb


                                                  38
Hair Facts
•   Testosterone and good nutrition promote hair growth
•   Growth occurs in cycles: active and resting
•   Scalp hair grows for 3 years and rests for 1 year
•   Eyelashes grow for 30 days and rest for 105 days
•   We lose about 90 scalp hairs/day
•   Grey hair is the loss or fading of melanin
• Male pattern baldness is from the loss of the hair follicle




                                                                39
Hair Muscles
• Arrector Pili:
  - smooth muscle that surrounds each hair
    follicle

  - contracts and hair stands on end
    (goose bumps)



                                             40
Glands
• Sebaceous glands:
  - connected to hair follicle
  - sebum: oily substance that lubricates hair and
    skin to prevent drying

• Eccrine sweat glands:
  - all over body and open into sweat pores
  - water and salt secretions

                                               41
Sebaceous Gland
                                            Sebaceous gland
  Epidermis        Low Magnification




 Hair follicle                                Epidermis




Arrector pili m.      Sebaceous gland and    Sweat gland
                             duct
Basal cell of
Sebaceous gland
                                            sebaceous gland




Duct of sebaceous                           Secretory cells
      gland


                     Hair follicle


   Sebaceous Gland                   High Magnification
Eccrine Sweat Gland
Epidermis     Low Magnification
                                   Eccrine sweat gland
                                        and duct




 Dermis


                                   Eccrine sweat gland




Hypodermis


                                    Duct of eccrine sweat
                                            gland
Eccrine Sweat Gland
Eccrine sweat gland
                    High Magnification Epithelialgland of
                                         sweat
                                                  cells




Lumen of sweat gland                             Myoepithelial cells




                                   Basal lamina of eccrine sweat gland
Duct of Sweat Gland
High Magnification
                      Epidermis




                      Dermis




                      Duct of sweat gland
• Apocrine sweat glands:
  - open into hair follicle

  - only in armpits and genitalia

  - thick, rich secretions

  - become active during puberty and
  causebody odor

                                       47
Epithelium

Apocrine Sweat Gland
 Low Magnification


                                    Lumen




            Apocrine sweat gland
Apocrine Sweat Gland
                        High Magnification




Apocrine sweat gland      Lumen   Epithelial cells   Myoepthelial cells
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.




                                                                                                 Sweat pores
                                                                                                  Duct of eccrine
                                                                                                  sweat gland

Duct of                                                                                           Arrector pili
apocrine                                                                                          (smooth muscle)
sweat gland
Hair follicle                                                                                     Sebaceous gland

                                                                                                 Eccrine
                                                                                                 sweat gland
Hair bulb




Apocrine
sweat gland
                                                                                                                    50
Nails

• What are they?
  thin plate with layers of dead stratum
  corneum cells with hard keratin
Nails



Free edge               Nail body           Eponychium




            Nail root               Nail matrix
Nail Structure
• Nail body:
  visual part

• Nail root:
  covered by skin

• Cuticle:
  stratum corneum that extends into nail body
• Nail matrix:
  - continuation of nail root
  - gives rises to most of nail
• Nail bed:
  attaches to nail and is distal to nail matrix
• Lunula:
  - part of nail matrix
  - whitish, crescent shaped area
  - base of nail
Vitamin D Production
1.   UV light causes skin to produce a precursor
     molecule of vitamin D
2.    Precursor is carried by blood to liver where it is modified
3.    Next to kidneys where it is modified again to form active
      vitamin D
•     Vitamin D can also be ingested through fish oils, fortified
      milk, eggs, and butter.
•     Vitamin D stimulates intestine to absorb calcium and
      phosphate (bone growth and muscle function)
Temperature Regulation
• Body temp. should be 98.6oF
• Rate of chemical reactions (metabolism) is altered by
  changes in temp.
• To cool body:
  blood vessels in dermis dilate and heat is transferred
  from deep in tissues to skin and sweat is produced
• To heat body:
  blood vessels constrict to reduce blood flow to skin and heat is
  retained
Aging and the Integument
• Blood flow decreases and skin becomes thinner due to
  decreased amounts of collagen

• Decreased activity of sebaceous and sweat glands make
  temperature regulation more difficult

• Loss of elastic fibers cause skin to sag and wrinkle




                                                         59
Classification of Burns
• 1st degree:
   - damages only epidermis
   - redness, slight swelling, pain
   - heals within 2-3 days (usually no scar)
   - includes sunburns or exposure to cold
• 2nd degree:
   - damages epidermis and upper dermis
   - redness, swelling, pain, blisters
   - heals in 2 weeks with some scarring




                                               60
• 3rd degree:
   - destroys epidermis and dermis
   - burned areas are cherry red to black
   - nerve endings are destroyed
   - skin graft might be necessary




                                            61
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.




                                                                                                 Partial-            Full-
                                                                                                thickness         thickness




                                                                                        First-          Second-
                                                                                                         degree
                                                                                                                  Third-
                                                                                       degree
                                                                                                                  degree
Epidermis




Dermis




Subcutaneous
tissue
                                                                                                                              62
Skin Cancer
• Most common cancer
• Mainly caused by UV light exposure
• Fair-skinned people more prone
• Prevented by limiting sun exposure and using
  sunscreens
• UVA rays cause tan and is associated with malignant
  melanomas
• UVB rays cause sunburns
• Sunscreens should block UVA and UVB rays

                                                    63
Types of Skin Cancer
• Basal cell carcinoma:
  - cells in stratum basale affected
  - cancer removed by surgery
• Squamous cell carcinoma:
  - cells above stratum basale affected
  - can cause death
• Malignant melanoma:
  - arises from melanocytes in a mole
  - rare type
  - can cause death



                                          64
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.




(a)                 (b)                                                                (c)
                                          © Thomas B. Habif

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Chapt05 apr enhanced

  • 1. Chapter 05 Lecture and Animation Outline enhanced with APR Images Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 1
  • 3. Chapter 5-Integumentary System • What does Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. integument mean? covering Hairs Epidermis • Components Sebaceous gland Skin – skin Arrector pili (smooth muscle) Dermis – hair Hair follicle Nerve Vein – nails Artery Subcutaneous tissue Sweat gland (hypodermis) Adipose tissue – glands 3
  • 4. Skin Epidermis Dermis Hypodermis
  • 5. Functions 1. Protection: water loss, microbes, UV light 2. Sensation: hot, cold, pain, pressure 3. Temperature regulation: helps maintain homeostasis 5
  • 6. 4. Excretion: removes waste 5. Vitamin D production: UV light stimulates production 6
  • 7. Skin Facts • Weighs 9 lbs. • Used to determine body fat • 2 main regions: epidermis and dermis 7
  • 8. Skin of Finger Epidermis Dermis Thin Skin Thick Skin
  • 9.
  • 11. Epidermis • 1st major skin region (outside) • Composed of stratified squamous epithelium • Keratinization: - process in which new cells (with keratin) push old cells to surface - 40-56 days for new cells to reach surface 11
  • 12. Strata of Epidermis • Stratum corneum: - outermost layer of epidermis - 20-30 layers of dead squamous cells filled with keratin - accounts for 75% of epidermal thickness - dandruff is this layer flaking off scalp • Callus: forms when stratum corneum has frequent friction 12
  • 13. Skin Low Magnification Stratum corneum Epidermis Stratum granulosum Dermis Stratum spinosum Duct of merocrine sweat gland Dermal papillae Stratum basale
  • 14. Skin Stratum corneum High Magnification Stratum Epidermis granulosum Stratum spinosum Stratum Dermis basale
  • 15. • Stratum basale: - deepest layer of epidermis - single layer of cells - firmly attached to dermis 15
  • 17. Dermis • 2nd major skin region • Dense connective tissue • Contains collagen and elastic fibers • Contains fibroblasts, nerve endings, smooth muscle, glands, blood vessels, and hair follicles • Cleavage lines: - area where skin is most resistant to stretching - due to orientation of collagen fibers - important in scarring 17
  • 18.
  • 19. Dermis and Dermal Papillae Dermis Dermal papillae
  • 20. Layers of Dermis • Papillary layer: - thin connective tissue layer that contains blood vessels - Dermal papillae: - projections that extend up into epidermis - remove waste and help regulate body temp. - ridged on hands and feet (fingerprints) - pattern is genetically determined 20
  • 21. • Reticular layer: - deepest layer of dermis - accounts for 80% of dermis 21
  • 23. Hypodermis • Below dermis • Foundation of skin • Attaches skin to underlying muscle and bone • Contains loose and adipose tissue • Contains ½ of body’s fat • Body fat for females 20-23%, males 13-25% 23
  • 24. Skin Color and Variations • Determined by: - pigments - genetics - blood circulation - thickness of stratum corneum • Melanocytes of darker skinned people produce more and darker melanin than fairer skinned people • All races have same number of melanocytes 24
  • 25. Skin Pigments • Melanin: - produced by melanocytes - ranges from yellow to reddish-brown to black - responsible for hair and eye color - provides protection against UV light - amt. produced determined by genetics, UV light, hormones - freckles are accumulation of melanin - albinism is absence of melanin 25
  • 26.
  • 27. Carotene: - yellow-orange pigment found in plants - accumulates in stratum corneum • Hemoglobin: - gives pinkish-red color - found in red blood cells 27
  • 28. Tanning and Sunburns • Exposure to UV light stimulates melanocytes to increase production of melanin • Melanin builds up to help protect skin against UV radiation (tan) • A sunburn is the skin reacting to UV exposure • UV light causes elastic fibers to clump and become leathery • UV light can alter DNA in cells causing them to mutate (cancer) 28
  • 29. Skin Color and Disease • Redness: fever, hypertension, inflammation, allergies • Pallor: anemia or low blood pressure • Jaundice: liver disorder (yellow) • Bronzing: Addison’s disease (kidney disease) • Bruising: broken blood vessels 29
  • 30. Hair
  • 31. Hair Components • Hair/shaft: flexible strands of keratinized cells • Root: below skin (scalp) 31
  • 32. Hair Hair shaft Keratinocytes
  • 33. • Hair Bulb: - base of root - where hair is produced • Hair Follicle: - group of cells that surround root and bulb - gives hair different shapes 33
  • 34. Histology of Hair Follicle Epidermis Hair Hair follicle Sebaceous gland
  • 35. Cortex Connective of hair Hair Follicle tissue sheath Medium Magnification Glassy membrane Differentiation zone of hair External root sheath Internal root Hair matrix sheath
  • 36. Hair Follicle High Magnification Internal root sheath Dermis Hair matrix Connective tissue sheath External root sheath Glassy membrane Dermal papilla
  • 37.
  • 38. How is Hair Produced? • Hair is produced in hair bulb • Hair bulb rests on blood vessels to supply it with nutrients • Hair grows longer as cells are added to base of hair bulb 38
  • 39. Hair Facts • Testosterone and good nutrition promote hair growth • Growth occurs in cycles: active and resting • Scalp hair grows for 3 years and rests for 1 year • Eyelashes grow for 30 days and rest for 105 days • We lose about 90 scalp hairs/day • Grey hair is the loss or fading of melanin • Male pattern baldness is from the loss of the hair follicle 39
  • 40. Hair Muscles • Arrector Pili: - smooth muscle that surrounds each hair follicle - contracts and hair stands on end (goose bumps) 40
  • 41. Glands • Sebaceous glands: - connected to hair follicle - sebum: oily substance that lubricates hair and skin to prevent drying • Eccrine sweat glands: - all over body and open into sweat pores - water and salt secretions 41
  • 42. Sebaceous Gland Sebaceous gland Epidermis Low Magnification Hair follicle Epidermis Arrector pili m. Sebaceous gland and Sweat gland duct
  • 43. Basal cell of Sebaceous gland sebaceous gland Duct of sebaceous Secretory cells gland Hair follicle Sebaceous Gland High Magnification
  • 44. Eccrine Sweat Gland Epidermis Low Magnification Eccrine sweat gland and duct Dermis Eccrine sweat gland Hypodermis Duct of eccrine sweat gland
  • 45. Eccrine Sweat Gland Eccrine sweat gland High Magnification Epithelialgland of sweat cells Lumen of sweat gland Myoepithelial cells Basal lamina of eccrine sweat gland
  • 46. Duct of Sweat Gland High Magnification Epidermis Dermis Duct of sweat gland
  • 47. • Apocrine sweat glands: - open into hair follicle - only in armpits and genitalia - thick, rich secretions - become active during puberty and causebody odor 47
  • 48. Epithelium Apocrine Sweat Gland Low Magnification Lumen Apocrine sweat gland
  • 49. Apocrine Sweat Gland High Magnification Apocrine sweat gland Lumen Epithelial cells Myoepthelial cells
  • 50. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Sweat pores Duct of eccrine sweat gland Duct of Arrector pili apocrine (smooth muscle) sweat gland Hair follicle Sebaceous gland Eccrine sweat gland Hair bulb Apocrine sweat gland 50
  • 51. Nails • What are they? thin plate with layers of dead stratum corneum cells with hard keratin
  • 52. Nails Free edge Nail body Eponychium Nail root Nail matrix
  • 53. Nail Structure • Nail body: visual part • Nail root: covered by skin • Cuticle: stratum corneum that extends into nail body
  • 54. • Nail matrix: - continuation of nail root - gives rises to most of nail • Nail bed: attaches to nail and is distal to nail matrix • Lunula: - part of nail matrix - whitish, crescent shaped area - base of nail
  • 55.
  • 56. Vitamin D Production 1. UV light causes skin to produce a precursor molecule of vitamin D 2. Precursor is carried by blood to liver where it is modified 3. Next to kidneys where it is modified again to form active vitamin D • Vitamin D can also be ingested through fish oils, fortified milk, eggs, and butter. • Vitamin D stimulates intestine to absorb calcium and phosphate (bone growth and muscle function)
  • 57. Temperature Regulation • Body temp. should be 98.6oF • Rate of chemical reactions (metabolism) is altered by changes in temp. • To cool body: blood vessels in dermis dilate and heat is transferred from deep in tissues to skin and sweat is produced • To heat body: blood vessels constrict to reduce blood flow to skin and heat is retained
  • 58.
  • 59. Aging and the Integument • Blood flow decreases and skin becomes thinner due to decreased amounts of collagen • Decreased activity of sebaceous and sweat glands make temperature regulation more difficult • Loss of elastic fibers cause skin to sag and wrinkle 59
  • 60. Classification of Burns • 1st degree: - damages only epidermis - redness, slight swelling, pain - heals within 2-3 days (usually no scar) - includes sunburns or exposure to cold • 2nd degree: - damages epidermis and upper dermis - redness, swelling, pain, blisters - heals in 2 weeks with some scarring 60
  • 61. • 3rd degree: - destroys epidermis and dermis - burned areas are cherry red to black - nerve endings are destroyed - skin graft might be necessary 61
  • 62. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Partial- Full- thickness thickness First- Second- degree Third- degree degree Epidermis Dermis Subcutaneous tissue 62
  • 63. Skin Cancer • Most common cancer • Mainly caused by UV light exposure • Fair-skinned people more prone • Prevented by limiting sun exposure and using sunscreens • UVA rays cause tan and is associated with malignant melanomas • UVB rays cause sunburns • Sunscreens should block UVA and UVB rays 63
  • 64. Types of Skin Cancer • Basal cell carcinoma: - cells in stratum basale affected - cancer removed by surgery • Squamous cell carcinoma: - cells above stratum basale affected - can cause death • Malignant melanoma: - arises from melanocytes in a mole - rare type - can cause death 64
  • 65. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. (a) (b) (c) © Thomas B. Habif