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dermatology

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Lecture notes of 5 pages for the course medicine at U of G (dermatology)

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Melanin ⮴ Protects against UV
• Thermoregulation ʹ (Varying blood flow ⮴Allows heat Conservation or Evaporative Cooling) •
Sensory organ

Basic Structure of Normal Skin:
- 3 Layers:
o Epidermis (Top Cellular Layer):
③ Keratinocytes

③ Melanocytes

③ The 5 Layers of the Epidermis:

ξ 1. Stratum Germinativum/Basale:
o Single layer of cuboidal/columnar cells
ξ 2. Stratum Spinosum (Prickle Cell layer):
o Several layers of polyhedral cells
ξ 3. Stratum Granulosum:
o 3-5 layers flattened cells
ξ 4. Stratum Lucidum:
o (Present only on very thick layers of epidermis (Eg. Glabrous Skin
[palms/feet]))
o = The Lucid layer of Flattened Cells before Stratum Corneum.
ξ 5. Stratum Corneum:
o 5-50 layers of Flattened, Dead Cells (Squames)
o Protective Barrier; Holds in Moisture
o Cytoplasm is filled with keratin & keratohyalin granules
o Dermis (Middle Fibrous Layer):
③ Connective Tissue

③ Blood Vessels

③ Nerves (Sensory Receptors & Free Nerve Endings)

③ Hair Follicles + Arrector Pili (the Smooth Muscle)

ξ NB: Skin without hair ʹ (Eg. Palms & Soles) = “Glabrous Skin”.

ξ NB: Skin With Hair ʹ (Ie. Rest of the body) = “Non-Glabrous Skin”.

③ Glands (Sweat, Sebaceous)

③ Contains Some Cells:

ξ Fibroblasts: Synthesis and degradation of connective tissue

ξ Histiocytes/Macrophages: Phagocytic cells

ξ Mast cells: Secretory cells ⮴Vasoactive Mediators (histamine) ⮴ Skin Allergies.

ξ Lymphocytes: Small number collect around blood vessels in normal skin

③ 2 Layers:

ξ (R) - Reticular Layer (thick Collagen, lower layer) - much stronger

ξ (P) - Papillary layer (fine Collagen, upper layer) - weaker

, o Hypodermis (Fat Layer):
③ Adipose Tissue

③ Functions:

ξ Insulates the body

ξ Stores Energy
- Glands:
o Sebaceous (Sebum) Glands:
③ Associated with hair follicles (The Pilosebaceous Unit)

ξ (:. Not found on Palms/Soles)(Most found on Face & Scalp)

③ Holocrine Secretion:

ξ (Ie. Secretion via complete destruction of cells)

ξ Produce oily sebum:

③ Stimulated by Androgens:

ξ Very Active at puberty
o Eccrine (Sweat) Glands:
③ On most of the body (Scarce on the back)

③ Simple, Coiled Tubular Glands:

ξ Secretory Coil (deep in Dermis) ʹ Secrete the Water & Electrolytes

ξ Sweat Duct ʹ Reabsorb Na+ Ions from the sweat.

③ Clear watery secretion

ξ Person can perspire several liters per hour

③ Stimulated by High Temperature and Stress
o Apocrine (Pheromone) Glands:
③ Associated with hair follicles

③ Large complex gland:

ξ Located in Dermis

ξ Duct Opens into Hair Follicle.

③ Viscous, Milky Secretion ʹ (protein and cellular debris):

ξ Produces pheromones
o Bacterial action is required for odor production
③ Stimulated by Androgens:

ξ Most Active at puberty
Causes of Skin Injury:
- Physical Agents:
o Mechanical trauma
o Thermal Burns
o Cold
o Electrical
o Radiation (Eg. In Radiotherapy)

- Hypoxia:

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Uploaded on
June 21, 2022
Number of pages
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Written in
2021/2022
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