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Chapter 44 Structure and Function of the Skin Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Healthy Skin • Epidermis • Basement membrane • Dermis • Subcutaneous tissue Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Epidermis Question Tell whether the following statement is true or false. Subcutaneous tissue is also known as the hypodermis. Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer True Rationale: Because it lies below the dermis, the subcutaneous tissue is also referred to as the hypodermis. Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Epidermal Cells • Keratinocytes • Melanocytes • Langerhans cells (macrophages) Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Epidermis Dermis • Provides support and nutrition • Blood vessels • Collagen bundles • Immune cells Nerve endings • Neurons Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Subcutaneous Tissue • Provides support, insulation, energy storage • Fat deposits • Connective tissues Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Epidermis Question In which layer of the skin are most of its structures contained? a. Cutaneous b. Epidermis c. Dermis d. Hypodermis Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer c. Dermis Rationale: The epidermis contains many layers of keratinized squamous epithelium and melanocytes (that produce pigment); the hypodermis contains lots of blood vessels and fatty tissue; the dermis contains most of the structures (hair, sweat glands, piloerector muscles, immune cells, blood vessels, and neurons). Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Skin Appendages Epidermis • Sweat glands – Apocrine – Eccrine • Sebaceous glands • Hair • Nails Sweat gland Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Question Tell whether the following statement is true or false. Sebaceous glands are a type of sweat gland. Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer False Rationale: Sebaceous glands are oil-producing glands that are adjacent to hair follicles. Sweat glands include apocrine (these glands also join a hair follicle, producing thicker sweat) and eccrine/merocrine glands. Eccrine sweat glands are the most numerous (you have around 4 million); they open directly to a sweat pore on the skin’s surface. Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Manifestations of Skin Disorders • Rashes • Lesions – Blisters – Calluses – Telangiectases • Pruritus (itch) Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins