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skin
1. 1 | P a g e T H E I N T E G U M E N T A R Y S Y S T E M
The integument as an organ:
The integument as an organ, and is an alternative name for skin.
The integumentary system includes the skin and the skin derivatives hair,
nails, and glands.
The Integument
Is the largest system of the body
16% of body weight,
1.5 to 2m2
in area,
The integument is made up of two parts:
1. Cutaneous membrane
a. Epidermis– Superficial epithelium
b. Dermis – underlying CT with blood supply
2. Accessory structures
THE INTEGUMENTARY SYSTEM
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a. Hair
b. Nails
c. Exocrine Glands
INTRODUCTION
The skin is an extensive organ which forms the outer covering of the body.
It is continuous with mucous membrane lining the body orifices.
The skin has 2 layers.
1. A superficial layer- the epidermis- made up of stratified squamous
epithelium
2. A deeper layer-the dermis made up of connective tissue.
3. Hypodermis - subcutaneous tissue- loose connective tissue proper and
adipose tissue
The junction between these two layers is markedly wavy because of tee
presence of finger like extensions from the dermis-the dermal papillae.
SKIN STRUCTURE: EPIDERMIS
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The Epidermis
Is a vascular stratified squamous epithelium
Nutrients and oxygen diffuse from capillaries in the dermis
CELLS OF THE EPIDERMIS
Keratinocytes
Contain large amounts of keratin
Are the most abundant cells in the epidermis
Thin Skin
Covers most of the body
Has four layers of keratinocytes
Thick Skin
Covers the palms of the hands and soles of the feet
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Has five layers of keratinocytes
STRUCTURES OF THE EPIDERMIS
The five strata of keratinocytes in thick skin
From basal lamina to free surface
Stratum basale
Stratum spinosum
Stratum granulosum
Stratum lucidum
Stratum corneum
Stratum Basale
Is attached to basement membrane by hemidesmosomes
Forms a strong bond between epidermis and dermis
Forms epidermal ridges (e.g., fingerprints)
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Dermal papillae (tiny mounds)
Increase the area of basement membrane
Strengthen attachment between epidermis and dermis
Has many basal cells or germinative cells
Stratum Spinosum — the “spiny layer”
Produced by division of stratum basale
Eight to ten layers of keratinocytes bound by desmosomes
Cells shrink until cytoskeletons stick out (spiny)
Continue to divide, increasing thickness of epithelium
Contain dendritic (Langerhans) cells, active in immune response
Stratum Granulosum — the “grainy layer”
Stops dividing, starts producing
Keratin
A tough, fibrous protein
Makes up hair and nails
Keratohyalin
Dense granules
Cross-link keratin fibers
Stratum Lucidum — the “clear layer”
Found only in thick skin
Covers stratum granulosum
Stratum Corneum — the “horn layer”
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Exposed surface of skin
15 to 30 layers of keratinized cells
Water resistant
Shed and replaced every 2 weeks
THE DERMIS
Located between epidermis and subcutaneous layer
Anchors epidermal accessory structures (hair follicles, sweat glands)
Two components
Outer papillary layer
Deep reticular layer
The Papillary Layer
Consists of areolar tissue
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Contains smaller capillaries, lymphatics, and sensory neurons
Has dermal papillae projecting between epidermal ridges
The Reticular Layer
Consists of dense irregular connective tissue
Contains larger blood vessels, lymphatic vessels, and nerve fibers
Contains collagen and elastic fibers
Contains connective tissue proper
DERMATITIS
An inflammation of the papillary layer
Caused by
infection, radiation, mechanical irritation, or chemicals (e.g., poison ivy)
Characterized by
itch or pain
Characteristics
Strong, due to collagen fibers
Elastic, due to elastic fibers
Flexible
8. 8 | P a g e T H E I N T E G U M E N T A R Y S Y S T E M
THE HYPODERMIS (SUBCUTANEOUS LAYER)
Lies below the integument
Stabilizes the skin
Allows separate movement
Made of elastic areolar and adipose tissues
Connected to the reticular layer of integument by
connective tissue fibers
Deposits of Subcutaneous Fat
Distribution patterns determined by hormones
Reduced by cosmetic liposuction (lipoplasty)
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FUNCTIONS OF THE INTEGUMENTARY SYSTEM
Protection
First line of defense against
Bacteria
Viruses
Protects underlying structures from
Ultraviolet (UV) radiation
Dehydration
Vitamin D production
Needed for calcium absorption
Sensation
Sensory receptors
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Body temperature regulation
If too hot
Dermal blood vessels dilate
Vessels carry more blood to surface so heat can escape
If too cold
Dermal blood vessels constrict
Prevents heat from escaping
Excretion
Small amounts of waste products are lost through perspiration
APPENDAGES OF THE SKIN
THEY ARE:
1. HAIRS
2. NAIL
3. SWEAT GLANDS
4. SEBACEOUS GLAND
STRUCTURE OF HAIR
The Hair Follicle
Hair follicles are the organs that form the hairs.
Hair follicles are the organs that form the hairs.
Located deep in dermis.
Produces nonliving hairs.
Wrapped in a dense connective tissue sheath.
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Base is surrounded by sensory nerves (root hair plexus).
Control bacteria
Accessory Structures of Hair
Arrector pili
Involuntary smooth muscle
Causes hairs to stand up
Produces “goose bumps”
Sebaceous glands
Lubricate the hair
Regions of the Hair
Hair root
Lower part of the hair
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Attached to the integument
Hair shaft
Upper part of the hair
Not attached to the integument
Hair Shaft Structure
Medulla
Core, dead cells contain soft keratin and air to provide flexible
Cortex
Middle layer, dead cells contain hard keratin to provide
stiffness
Cuticle
Outermost, overlapping dead keratinized cells form shiny
surface
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HAIR FUNCTION
Head:
UV protection
Cushion from trauma
Insulation
Nostrils, Ear canals, Eyelashes:
Prevent entry of foreign material
Body Hair:
sensory detection
Root hair plexus:
Sensory nerves at base of hair follicle that detect slight movement of
hair
Arrector pili muscle:
Attached to every hair follicle
Contract to stand hair perpendicular to skin surface
STRUCTURE & FUNCTION OF NAIL
Nails
Protect fingers and toes
Made of dead cells packed with keratin
Metabolic disorders can change nail structure
Nail Production
Occurs in a deep epidermal fold near the bone called the nail root
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STRUCTURE OF A NAIL
Nail body
The visible portion of the nail
Covers the nail bed
Lunula
The pale crescent at the base of the nail
Sides of nails
Lie in lateral nail grooves
Surrounded by lateral nail folds
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SEBACEOUS GLAND
They are seen in relation to the hair follicles.
Each gland consists of a number of alveoli that are connected to a duct.
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This duct opens in to the hair folicle.
As mentioned earlier, the sebaceous gland is situated between the hair folicle and
the arrector pilli muscle.
When the muscle contracts,it sequeezess the gland,which facilitates the discharge
of its secretions in to hair folicle.
Functions of sebum
1. Its oily nature helps to keep the skin and hair soft
2. It prevents drying of skin
3. It makes the skin resistant to moisture.
Modified sebaceous glands
The tarsal glands or eyelids are modified sebaceous glands. They are called
maibomian glands
SWEAT GLANDS
Sweat glands produce sweat or perspiration.
There are 2 type of sweat glands in the body:
1. Typical
2. Atypical
Typical sweat gland
A typical sweat gland consists of a single long tube.
The lower end of the tube is highly coiled forming the body of the gland.it
usually lies in the reticular layer of the dermis.
Atypical sweat gland
Atypical sweat glands are found in the following regions:
THE SECRETION OF SEBACEOUS
GLAND IS CALLED “ SEBUM”
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1. Axilla
2. Nipple and areola
3. Perianal region
4. The glans penis
5. Some parts of female external genitallia.
These glands are larger in size. They show branching. Their ducts open in
to hair folicles.their secretions are viscous.
The secretions of atypical glands are odorless but due to bacterial
decomposition they give off body odors.
Modified sweat gland
1. Ceruminous glands of external auditory meatus
2. Ciliary glands of eyelids
3. Mammary gland.
BLOOD SUPPLY OF SKIN
Skin is highly vascular organ.
It derives its arterial blood from a number of plexuses.one plexus of arteries is
present over the deep fascia, another plexus, just below the dermis, is called
reticular plexus, the papillary plexus lies just below the dermal papilla.
Capillary loops arising from this plexus pass in to each dermal papilla.
The epidermis has no blood supply.
It derives its nutrition entirely by diffusion from the capillary loops of the
dermal papillae.
There are numerous arteriovenous anastomoses in the skin, which have an
important role in temperature regulation.
CUTANEOUS RECEPTORS OR EXTEROCEPTIVE RECEPTORS
These receptors present in the skin are concerned with touch , pain, temperature
and pressure.
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1. Free nerve endings
2. Tactile corpusles of meissner
3. Lamellated corpuscles of pacini
4. Tactile menisci or merkel cell endings