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APPENDAGES OF THE
SKIN
Mutalife Fridah Mweemba
 include the;
◦ hair
◦ nails
 made of dead scaly keratinized cells
derived from epidermis
Hairs
 are elongated keratinized structures
that form within epidermal invaginations,
the hair follicles
 color, size, shape, and texture of hairs
vary according to age, genetic
background, and region of the body
Cont..
 All skin has at least minimal hair
except in areas , including;
◦ the thick skin of the palms, soles,
◦ the flexor surfaces of the digits,
◦ the thin skin of the umbilicus, nipples,
glans penis and clitoris, labia minora
◦ the inner aspects of the labia majora and
prepuce.
Cont..
 Hairs grow discontinuously, with;
◦ periods of growth followed by periods of
rest,
 The presence, distribution and relative
abundance of hair in certain regions
such as the face (in males), pubis
and axilla, are secondary sexual
characteristics
Function of hairs
 assist minimally in thermoregulation
 on the scalp they provide some
protection against injury and the harmful
effects of solar radiation.
 They have a sensory function.
Types of hairs
 3 types
◦ lanugo, vellus and terminal hairs
 Lanugo - unpigmented hair covers the foetus.
 Near birth, terminal hairs, which are long,
coarse, and pigmented, replace the lanugo of
the scalp, eyelids, and eyebrows.
 Vellus hairs, short, fine, and usually
unpigmented, replace the lanugo on the rest
of the body.
 At puberty, terminal hair, especially in the
pubic and axillary regions, replaces much of
the vellus hair
Hair Structure
 A hair is divided into the shaft and root.
 shaft protrudes above the surface of the
skin,
 root is located below the surface.
 hair bulb is expanded base of the root
 Most of the root and the shaft are
composed of columns of dead
keratinized epithelial cells arranged in
three concentric layers:
◦ the medulla, the cortex, and the cuticle.
Cont..
 The medulla is the central axis of the hair
◦ consists of two or three layers of cells
containing soft keratin.
 The cortex forms the bulk of the hair
◦ consists of cells containing hard keratin.
 The cuticle is a single layer of cells that
forms the hair surface.
◦ cuticle cells contain hard keratin
Cont..
 The hair follicle consists of a dermal root
sheath and an epithelial root sheath.
 The dermal root sheath is the portion of
the dermis that surrounds the epithelial
root sheath.
 The epithelial root sheath is divided into
an external and an internal part
Hair cycle and growth
 Recurrent cyclic activity of hair follicles involves;
◦ growth, rest, and shedding of hair in phases.
 In humans, occur in irregular cycles of variable
duration
 The hair grows longer as cells are added at the
base of the hair root.
 Eventually hair growth stops; the hair follicle
shortens and holds the hair in place.
 A resting period follows after which a new cycle
begins,
 a new hair replaces the old hair, which falls out
of the hair follicle.
 Thus loss of hair normally means that the hair is
being replaced
Cont…
 Anagen generally long period of
mitotic activity and growth
 Catagen a brief period of arrested
growth and regression of the hair bulb
 Telogen a final long period of
inactivity during which the hair may
be shed.
Cont…
 The length of each stage depends on the
hair
 Eyelashes grow for ≈ 30 days and rest for
105 days,
 whereas scalp hairs grow for a period of 3
years and rest for 1–2 years.
 At any given time an estimated 90% of the
scalp hairs are in the growing stage, and
 loss of ≈ 100 scalp hairs per day is
normal.
Cont..
 The most common kind of permanent hair
loss is “pattern baldness.”
 Hair follicles are lost, and the remaining
hair follicles revert to producing vellus
hair,
 is very short, transparent, and for practical
purposes invisible.
 Contrary to popular myth, shaving does
not appear to affect the growth rate
 hair ceases growth after death.
Hair Color
 Melanin is produced by melanocytes
within the hair bulb matrix
 passed to keratinocytes in the hair cortex
and medulla.
 varying amounts and types of melanin
cause different shades of hair color.
 Blonde hair has little black-brown
melanin,
 Red hair is caused by varying amounts of
a red type of melanin.
Cont..
 with age, the amount of melanin in hair
can decrease,
 causing the color of the hair to fade or
become white (i.e., no melanin).
 gray hair is usually a mixture of unfaded,
faded, and white hairs.
 hair color is controlled by several genes
Nails
 The nail is stratum corneum on the dorsal
surface of each distal phalanx.
 It contains a hard keratin which makes the
nail hard.
 The nail cells are produced in the nail matrix
and pushed distally over the nail bed.
 Nails grow at an average rate of 0.5–1.2mm
per day
 fingernails grow more rapidly than toenails.
 growth is continuously throughout life
Structure of nails
 A nail consists of the proximal nail root and
distal nail body.
 The nail root is covered by skin
 the nail body is the visible portion of the nail.
 The nail root and the nail body attach to the
nail bed,
 The proximal portion of which is the nail
matrix
 The lateral and proximal edges of the nail are
covered by skin called the nail fold
 the edges are held in place by the nail
groove
Function of nails
 Nails protect the ends of the digits,
 aid in manipulation and grasping of
small objects
 are used for scratching.
Growth of nail
 determined by the turnover rate of the matrix
cells, which varies with;
◦ digit, age, environmental temperature and season,
◦ time of day, nutritional status, trauma and various
diseases.
 its speed is related to the length of the digit,
 being fastest in the middle finger and slowest in
the little finger of the hand.
 fingernails grow three to four times faster than
toenails,
 quicker in summer than in winter, and faster in
the young than in the old.
 A fingernail grows out in about 6 months,
whereas a toenail is replaced, on average, in 18
Effects of Aging on the skin
 the skin is easily damaged because the
epidermis thins and the amount of collagen
in the dermis decreases.
 Skin infections are more likely, and repair
of the skin occurs more slowly.
 A decrease in the number of elastic fibers
in the dermis and loss of fat from the
hypodermis cause the skin to sag and
wrinkle.
 The skin becomes drier with age as
sebaceous gland activity decreases.
 A decrease in the activity of sweat glands
and blood supply to the dermis result in a
poor ability to regulate body temperature.
Cont…
 Death from heat prostration can occur in
elderly individuals
 The number of functioning melanocytes
generally decreases,
 in some localized areas, especially on the
hands and the face, melanocytes increase
in number to produce age spots.
 White or gray hairs also occur because of a
decrease in or lack of melanin production.
 Skin that is exposed to sunlight appears to
age more rapidly than non exposed skin.
Skin disorders
 Herpes viruses - Chicken pox and
shingles
 Impetigo
 Ringworm and tinea pedis (athlete’s
foot)
 Eczema and dermatitis
 Psoriasis
 Cellulitis
 Pressure sores
 Burns

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7.a APPENDAGES OF THE SKIN.pptx

  • 2.  include the; ◦ hair ◦ nails  made of dead scaly keratinized cells derived from epidermis
  • 3. Hairs  are elongated keratinized structures that form within epidermal invaginations, the hair follicles  color, size, shape, and texture of hairs vary according to age, genetic background, and region of the body
  • 4. Cont..  All skin has at least minimal hair except in areas , including; ◦ the thick skin of the palms, soles, ◦ the flexor surfaces of the digits, ◦ the thin skin of the umbilicus, nipples, glans penis and clitoris, labia minora ◦ the inner aspects of the labia majora and prepuce.
  • 5. Cont..  Hairs grow discontinuously, with; ◦ periods of growth followed by periods of rest,  The presence, distribution and relative abundance of hair in certain regions such as the face (in males), pubis and axilla, are secondary sexual characteristics
  • 6. Function of hairs  assist minimally in thermoregulation  on the scalp they provide some protection against injury and the harmful effects of solar radiation.  They have a sensory function.
  • 7. Types of hairs  3 types ◦ lanugo, vellus and terminal hairs  Lanugo - unpigmented hair covers the foetus.  Near birth, terminal hairs, which are long, coarse, and pigmented, replace the lanugo of the scalp, eyelids, and eyebrows.  Vellus hairs, short, fine, and usually unpigmented, replace the lanugo on the rest of the body.  At puberty, terminal hair, especially in the pubic and axillary regions, replaces much of the vellus hair
  • 8. Hair Structure  A hair is divided into the shaft and root.  shaft protrudes above the surface of the skin,  root is located below the surface.  hair bulb is expanded base of the root  Most of the root and the shaft are composed of columns of dead keratinized epithelial cells arranged in three concentric layers: ◦ the medulla, the cortex, and the cuticle.
  • 9.
  • 10. Cont..  The medulla is the central axis of the hair ◦ consists of two or three layers of cells containing soft keratin.  The cortex forms the bulk of the hair ◦ consists of cells containing hard keratin.  The cuticle is a single layer of cells that forms the hair surface. ◦ cuticle cells contain hard keratin
  • 11. Cont..  The hair follicle consists of a dermal root sheath and an epithelial root sheath.  The dermal root sheath is the portion of the dermis that surrounds the epithelial root sheath.  The epithelial root sheath is divided into an external and an internal part
  • 12.
  • 13. Hair cycle and growth  Recurrent cyclic activity of hair follicles involves; ◦ growth, rest, and shedding of hair in phases.  In humans, occur in irregular cycles of variable duration  The hair grows longer as cells are added at the base of the hair root.  Eventually hair growth stops; the hair follicle shortens and holds the hair in place.  A resting period follows after which a new cycle begins,  a new hair replaces the old hair, which falls out of the hair follicle.  Thus loss of hair normally means that the hair is being replaced
  • 14.
  • 15. Cont…  Anagen generally long period of mitotic activity and growth  Catagen a brief period of arrested growth and regression of the hair bulb  Telogen a final long period of inactivity during which the hair may be shed.
  • 16. Cont…  The length of each stage depends on the hair  Eyelashes grow for ≈ 30 days and rest for 105 days,  whereas scalp hairs grow for a period of 3 years and rest for 1–2 years.  At any given time an estimated 90% of the scalp hairs are in the growing stage, and  loss of ≈ 100 scalp hairs per day is normal.
  • 17. Cont..  The most common kind of permanent hair loss is “pattern baldness.”  Hair follicles are lost, and the remaining hair follicles revert to producing vellus hair,  is very short, transparent, and for practical purposes invisible.  Contrary to popular myth, shaving does not appear to affect the growth rate  hair ceases growth after death.
  • 18. Hair Color  Melanin is produced by melanocytes within the hair bulb matrix  passed to keratinocytes in the hair cortex and medulla.  varying amounts and types of melanin cause different shades of hair color.  Blonde hair has little black-brown melanin,  Red hair is caused by varying amounts of a red type of melanin.
  • 19. Cont..  with age, the amount of melanin in hair can decrease,  causing the color of the hair to fade or become white (i.e., no melanin).  gray hair is usually a mixture of unfaded, faded, and white hairs.  hair color is controlled by several genes
  • 20. Nails  The nail is stratum corneum on the dorsal surface of each distal phalanx.  It contains a hard keratin which makes the nail hard.  The nail cells are produced in the nail matrix and pushed distally over the nail bed.  Nails grow at an average rate of 0.5–1.2mm per day  fingernails grow more rapidly than toenails.  growth is continuously throughout life
  • 21. Structure of nails  A nail consists of the proximal nail root and distal nail body.  The nail root is covered by skin  the nail body is the visible portion of the nail.  The nail root and the nail body attach to the nail bed,  The proximal portion of which is the nail matrix  The lateral and proximal edges of the nail are covered by skin called the nail fold  the edges are held in place by the nail groove
  • 22.
  • 23. Function of nails  Nails protect the ends of the digits,  aid in manipulation and grasping of small objects  are used for scratching.
  • 24. Growth of nail  determined by the turnover rate of the matrix cells, which varies with; ◦ digit, age, environmental temperature and season, ◦ time of day, nutritional status, trauma and various diseases.  its speed is related to the length of the digit,  being fastest in the middle finger and slowest in the little finger of the hand.  fingernails grow three to four times faster than toenails,  quicker in summer than in winter, and faster in the young than in the old.  A fingernail grows out in about 6 months, whereas a toenail is replaced, on average, in 18
  • 25. Effects of Aging on the skin  the skin is easily damaged because the epidermis thins and the amount of collagen in the dermis decreases.  Skin infections are more likely, and repair of the skin occurs more slowly.  A decrease in the number of elastic fibers in the dermis and loss of fat from the hypodermis cause the skin to sag and wrinkle.  The skin becomes drier with age as sebaceous gland activity decreases.  A decrease in the activity of sweat glands and blood supply to the dermis result in a poor ability to regulate body temperature.
  • 26. Cont…  Death from heat prostration can occur in elderly individuals  The number of functioning melanocytes generally decreases,  in some localized areas, especially on the hands and the face, melanocytes increase in number to produce age spots.  White or gray hairs also occur because of a decrease in or lack of melanin production.  Skin that is exposed to sunlight appears to age more rapidly than non exposed skin.
  • 27. Skin disorders  Herpes viruses - Chicken pox and shingles  Impetigo  Ringworm and tinea pedis (athlete’s foot)  Eczema and dermatitis  Psoriasis  Cellulitis  Pressure sores  Burns