IndietroSkin and Body Membranes: Structure, Function, and Clinical Aspects
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Skin and Body Membranes
Body Membranes
Body membranes are thin layers of tissue that cover surfaces, line body cavities, and form protective sheets around organs. They are classified according to the tissue types that compose them.
Functions of body membranes:
Cover body surfaces
Line body cavities
Form protective sheets around organs
Types of body membranes:
Epithelial membranes
Cutaneous membranes (skin)
Mucous membranes
Serous membranes
Connective tissue membranes
Synovial membranes
Epithelial Membranes
Epithelial membranes are simple organs, also called covering and lining membranes. They contain both an epithelial tissue layer and a connective tissue layer.
Cutaneous membrane (skin):
Dry membrane
Outermost protective boundary
Consists of two layers:
Epidermis: keratinized stratified squamous epithelium
Dermis: dense (fibrous) connective tissue
Mucous membranes (mucosae):
Moist membranes
Line all body cavities that open to the exterior (e.g., digestive, respiratory, urinary, reproductive tracts)
Adapted for absorption or secretion
Epithelium type depends on site; always rests on loose connective tissue (lamina propria)
Serous membranes (serosae):
Line closed ventral body cavities
Occur in pairs: parietal (lines cavity) and visceral (covers organ)
Layers separated by serous fluid
Consist of simple squamous epithelium and areolar connective tissue
Specific serous membranes:
Peritoneum: abdominal cavity
Pleura: lungs
Pericardium: heart
Connective Tissue Membranes
Connective tissue membranes, such as synovial membranes, are composed entirely of loose areolar connective tissue and contain no epithelial cells.
Line fibrous capsules surrounding joints
Line bursae and tendon sheaths
Secrete lubricating synovial fluid to reduce friction during movement
Integumentary System
Overview
The integumentary system consists of the skin (cutaneous membrane) and its appendages: sweat glands, oil glands, hair, and nails.
Functions:
Protects deeper body tissues from mechanical, chemical, thermal, UV, and microbial damage, as well as water loss
Regulates heat loss (thermoregulation)
Acts as a mini-excretory system (sweat aids in loss of urea, salts, and water)
Synthesizes vitamin D
Secretions create a protective acid mantle
Structure of the Skin
The skin is composed of two main layers: the epidermis and the dermis. Below the dermis is the subcutaneous tissue (hypodermis), which anchors the skin to underlying organs and serves as a shock absorber and insulator.
Epidermis: Stratified squamous epithelium, avascular, composed of five layers (strata)
Dermis: Dense connective tissue, vascular, contains nerves and appendages
Subcutaneous tissue (hypodermis): Not technically part of the skin, mostly adipose tissue
Layers of the Epidermis
Stratum basale (germinativum):
Deepest layer, closest to dermis
Cells undergo mitosis
Wavy border anchors epidermis to dermis
Stratum spinosum: Cells become increasingly flatter and more keratinized
Stratum granulosum: Further keratinization
Stratum lucidum: Only in thick, hairless skin (palms, soles)
Stratum corneum: Outermost layer, shingle-like dead cells filled with keratin (prevents water loss)
Cells of the Epidermis
Keratinocytes: Produce keratin, a tough, protective protein
Melanocytes: Produce melanin pigment, mostly in stratum basale; melanin protects against UV radiation
Epidermal dendritic cells: Alert and activate immune cells to threats
Merkel cells: Associated with sensory nerve endings; serve as touch receptors (Merkel discs)
Dermis
Composed of connective tissue
Two regions:
Papillary layer (upper):
Areolar connective tissue
Contains dermal papillae (projections that indent the epidermis)
Dermal papillae contain capillary loops, pain and touch receptors
On hands and feet, papillae form fingerprints
Reticular layer (deepest):
Dense irregular connective tissue
Contains blood vessels, sweat and oil glands, deep pressure receptors (lamellar corpuscles)
Other features: cutaneous sensory receptors, phagocytes, collagen and elastic fibers, blood vessels, nerve supply
Skin Color
Skin color is determined by three main pigments:
Melanin: Yellow, reddish brown, or black pigment produced by melanocytes
Carotene: Orange-yellow pigment (from some vegetables)
Hemoglobin: Red coloring from blood cells in dermal capillaries
Skin color can also be affected by physiological factors such as erythema (redness), pallor (blanching), jaundice (yellow cast), and bruises (hematomas).
Appendages of the Skin
Cutaneous Glands
Sebaceous (oil) glands:
Produce sebum (oil) to lubricate skin and hair, prevent brittleness, and kill bacteria
Most have ducts that empty into hair follicles; some open directly onto skin surface
Activated at puberty by androgens
Sweat (sudoriferous) glands:
Produce sweat for thermoregulation
Widely distributed in skin
Two types:
Eccrine glands: More numerous, open via duct to skin surface, produce watery sweat, function in temperature regulation
Apocrine glands: Ducts empty into hair follicles in armpit and genital areas, begin functioning at puberty, release sweat containing fatty acids and proteins
Hair and Hair Follicles
Produced by hair follicle; consists of hard keratinized epithelial cells
Root is enclosed in follicle; shaft projects from surface
Melanocytes provide pigment for hair color
Hair grows in the matrix of the hair bulb in stratum basale
Hair anatomy:
Central medulla
Cortex surrounds medulla
Cuticle on outside of cortex (most heavily keratinized region)
Associated structures:
Hair follicle: inner epithelial root sheath and outer fibrous sheath
Dermal region provides blood supply to hair bulb
Arrector pili muscle: smooth muscle that pulls hair upright when cold or frightened
Nails
Heavily keratinized, scalelike modifications of the epidermis
Stratum basale extends beneath the nail bed, responsible for growth
Parts of the nail:
Free edge
Body (visible attached portion)
Nail folds (skin folds overlapping nail edges)
Root (embedded in skin)
Growth occurs from nail matrix at nail bed
Homeostatic Imbalances of Skin
Infections and Allergies
Fungal infections: Athlete's foot (Tinea pedis)
Bacterial infections: Boils and carbuncles (inflammation of hair follicles)
Viral infections: Cold sores (herpes simplex virus)
Contact dermatitis: Allergic response to chemicals
Impetigo: Pink, fluid-filled lesions caused by bacteria
Psoriasis: Chronic, triggered by trauma, infection, hormonal changes, or stress
Burns
Tissue damage and cell death caused by heat, electricity, UV radiation, or chemicals
Associated dangers:
Protein denaturation and cell death
Dehydration and electrolyte imbalance
Circulatory shock
Summary Table: Types of Body Membranes
Type | Location | Structure | Function |
|---|---|---|---|
Cutaneous | Skin (external body surface) | Keratinized stratified squamous epithelium + dense connective tissue | Protection, prevents water loss |
Mucous | Lines body cavities open to exterior (digestive, respiratory, etc.) | Epithelium (varies) + lamina propria (loose connective tissue) | Absorption, secretion |
Serous | Lines closed ventral body cavities | Simple squamous epithelium + areolar connective tissue | Reduces friction (serous fluid) |
Synovial | Lines joint cavities, bursae, tendon sheaths | Loose areolar connective tissue (no epithelium) | Secretes synovial fluid for lubrication |
Additional info:
Keratinization is the process by which cells fill with keratin and move to the surface, providing a tough, protective layer.
Melanin production increases with exposure to sunlight, providing some protection against UV radiation.
Burns are classified by depth (first, second, third degree), but this was not detailed in the notes.