Skin Structure
and Function
Skin
is the body's largest organ, and one of the most complex.
It's the first line of defense against infection and
dehydration, but it's more than just a physical barrier.
Skin also helps control temperature,
through adjustments
of blood flow and evaporation of sweat.
It's an important sensory
organ, too.
Skin thickness varies with age and body location, but averages only 1
to 2 millimeters thick. Thick or thin, it has three layers: the
external epidermis,
the dermis
below, and the subcutis.
1. The epidermis
varies in thickness between 0.1 and 1mm. It consists
primarily of epithelial cells—mainly keratinocytes which are
increasingly differentiated as they migrate from the basement membrane
(separating dermis and epidermis) to replace lost cells, a process
taking 2-3 weeks.
Melanocytes are also found in the basal layer of
the
epidermis. The epidermis has no blood vessels and must receive
nutrients via diffusion from the dermis.
The keratin in the outer
epidermal cells forms an effective barrier against desiccation and
bacterial and toxin entry.
It is also a neurosensory and social-interactive
surface. Epidermis also contains a unique fatty substance that makes
skin waterproof.
2. The dermis
is a dynamic layer of thick connective tissue, also in
constant turnover. The elasticity and durability of the dermis provide
the body protection against trauma.
The thinner outer papillary dermis contains
capillaries,
elastic and reticular fibers and some collagen, the most common protein
in the body, gives flexibility and structural support to the
skin.
The
connective tissue in the reticular dermis is thicker; it contains
larger blood vessels, elastic fibers and collagen.
The primary dermal cell is the fibroblast, which
produces collagen, elastin and the extracellular matrix of
mucopolysaccharides, chondroitin sulfate and glycoproteins.
Mast cells are also present as are most nerve
endings.
(e.g. the pressure- and temperature-sensitive Ruffini corpuscles, and
the pressure-sensitive pacinian corpuscles), lymphatics and skin
appendages. Dermis plays a role in preventing wound contraction and
scarring.
3. The subcutis is
essentially a layer of fatty
tissue containing vascular
and neural structures.
It serves for insulation and energy storage.
Important skin appendages are:
- sebaceous
glands which secrete seburn to
lubricate the skin and make it more impermeable to moisture;
- sweat
glands producing sweat to cool the body by evaporation;
- apocrine
glands
which produce odor, and hair follicles.
All these appendages are lined with epithelial
cells which can be recruited for repair when the epithelium is damaged.
Skin is thickest on the palms and soles of the feet, thinnest on the
eyelids and behind the ear.
Male skin is characteristically thicker than
female's
and children's thin skin thickens progressively until the 4th and 5th
decades of life when it begins to atrophy with loss of elastic fibers,
skin appendages and matrix.
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