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Practical Part: Associate Professor of Anatomy and Histology

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Skin

Practical part

Dr. Heba Kalbouneh


Associate Professor of Anatomy and Histology
##PLEASE NOTE:
The doctor mentioned at the beginning that the lab slides
required for the exam are those mentioned at the end of lec
2 Histology.

Writer: Ghazal Al-Attiyat


Skin of eyelids a
and the back!!!

Dr. Heba Kalbouneh


Dr. Heba Kalbouneh
Types of skin

Thin skin Thick skin

*4 layers *5 layers
*less Prominent *Prominent stratum
stratum corneum corneum
* Less developed * Well developed
stratum granulosum stratum granulosum
*Dominant and *Palms of the hands
lines most of the and soles of the feet
body surface * Thinner dermis
* Thicker dermis * No hair and
* hair and sebaceous sebaceous glands
glands
The skin is composed of two layers: the outer epidermis
and the deeper dermis, both of which rest on the
hypodermis

Dr. Heba Kalbouneh


Dr. Heba Kalbouneh
Stratum corneum
Stratum granulosum Melanin granules
Stratum spinosum Dermal papilla
Stratum basale Epidermal ridge
Stratum corneum
Stratum granulosum
Stratum spinosum
Stratum basale
Duct of eccrine sweat gland

Dr. Heba Kalbouneh


Dr. Heba Kalbouneh
Stratum basale
Stratum spinosum

Stratum Spinosum→ the cells are connected by


spines
Epidermal (rete) ridges
Dermal papillae

Dr. Heba Kalbouneh


**It is Thick skin
→has stratum lucidum (light stained stratum) #When the prominent interdigitations are
→ prominent stratum corneum prominent, this causes friction ridges on the
→ No hair follicles outer skin
→ prominent granulosum layer
→ prominent papillae
** Thick skin
Prominent stratum granulosum
No apocrine sweat glands, sebaceous glands or hair follicles
thick stratum corneum

Dr. Heba Kalbouneh


** Thin skin
Thin stratum corneum
Not prominent stratum granulosum
Can find sebaceous gland→ so there is a hair
follicle not seen in this section
The papillae are not prominent
The normal histologic appearance of the skin is shown here. At the top is the
epidermis. A thin layer of keratin overlies the epidermis. This layer of keratinization is
thicker on the palms and soles and in areas where skin is rubbed or irritated. Beneath
the epidermis is the dermis containing connective tissue with collagen and elastic

Dr. Heba Kalbouneh


fibers. At the center can be seen a hair follicle with surrounding sebaceous glands.
Associated with the hair follicle is a small bundle of smooth muscle known as the
arrector pili that can cause the hair to "stand on end" and dimple the skin to form
"goose bumps".

 Skin section: keratin, epidermis


The hair shaft isn’t seen because we lose it
during section preparation

Sebaceous glands → small cells, light stained


because the sebum isn’t stained with H&E
A small nucleus in the center of the cell
Dr. Heba Kalbouneh

Sebaceous gland Hair root

Inner root sheath


Arrector pili
Outer root sheath

Glassy membrane
Dermis
Dermal sheath

Sweat gland
Hair matrix
(ducts)

Dermal papilla
Sweat gland
(secretory cells) Hair bulb

* ducts → dark stained, stratified cuboidal #It’s not required to differentiate between
epithelium apocrine and eccrine sweat glands
* secretory → light stained, single layer of **except if we’re given 2 histological section
cuboidal epithelium next to each other
A: Dermal papilla
B: Hair matrix
Melanocytes:
 Attached to basal lamina by hemidesmoses
 Not attached to neighboring keratinocytes
 Lightly stained cytoplasm
> Found in stratum basale
1 melanocyte for every 10 basal keratinocytes

Dr. Heba Kalbouneh


Melanocyte
Under the light microscope:
The outline of the cell is rounded
→ because its processes don’t appear in histological
preparation
→ It undergoes shrinkage during histological
preparation
→ it is not attached to neighboring keratinocytes

Dr. Heba Kalbouneh


Freckles are clusters of concentrated melaninized cells

Freckles do not have an


increased number of the
melanin-producing cells,
or melanocytes, but
instead have melanocytes
that overproduce
melanosomes changing
the coloration of
keratinocytes
Dr. Heba Kalbouneh

→ larger and more active melanocytes


Is there anything abnormal in the epidermis? If so, what might it indicate.

Look for cells with pale cytoplasm in the epidermis. These cells are melanocytes and the

Dr. Heba Kalbouneh


large number of melanocytes in upper layers of epidermis is abnormal. In normal skin,
melanocytes are found only in the basal layer of the epidermis. The condition suggests the
early stages in the development of melanoma.

 We do immunohistochemistry against melanocytes in order to getthe


dingnosis
Langerhans cells:
 Originate from bone marrow (monocytes)
 Mainly in the stratum spinosum
 Langerhans cells recognize, phagocytose, and process foreign antigens

Dr. Heba Kalbouneh


Langerhans cells

→ rounded cells, lightly stained cytoplasm,


with processes

Dr. Heba Kalbouneh


Melanocytes and Langerhans Cells
Melanocytes localize to the stratum basale and extend processes
between the keratinocytes of the stratum basale and spinosum.
Melanocytes produce the pigment melanin that protects against
ultraviolet radiation. Melanin is produced in membrane-bound
organelles called melanosomes that derive from the Golgi.

Dr. Heba Kalbouneh


Melanosomes are transported to the ends of the melanocyte
Melanocyte
processes where neighboring keratinocytes phagocytose the
Langerhansmelanosomes.
cell Langerhans cells are antigen-presenting cells in
Keratinocyte
the immune system.

Melanocytes :according to the location


Sweat glands
**apocrine sweat glands secrete in both modes of secretion: merocrine and aprocrine
21

Dr. Heba Kalbouneh


Sweat Glands
Eccrine sweat gland Apocrine sweat gland
 Merocrine secretion  Empty into hair follicle
 Empty directly onto skin surface  Location: armpits, groin, nipples
 Viscous, cloudy secretion  good
 Location: most all over body (esp. nutrient source for bacteria (odor !!)
abundant on palms & soles: ~
500/cm2)  Secretion may contain Pheromones
 Secretion begins at puberty and is
 Clear, watery secretion (99% stimulated during emotional distress
H2O; rest NaCl + some waste Scent glands
products

Dr. Heba Kalbouneh


→ simple coiled tubular glands: when a section is taken we find rounded:
• Dark stained: duct
• Lightly stained: secretary portion
Apocrine sweat glands Eccrine (merocrine) sweat glands

Dr. Heba Kalbouneh


24
Sweat glands appears rounded profiles within the epidermis:
Apocrine larger in size with wide lumens in comparing with eccrine sweat glands.
Dr. Heba Kalbouneh
Apocrine sweat gland
Eccrine sweat gland

*Once I see the hair follicle , I realize it’s a skin This section is taken from axilla, genital
a skin section area (where we have apocrine sweat
** The hair follicle is surrounded by glands)
adipocytes, then the hair follicle extends down
in the dermis ** Can’t be taken from the scalp
because it doesn’t have apocrine sweat
glands
Apocrine or eccrine sweat glands????

Dr. Heba Kalbouneh


Apocrine:
Because the apical surfaces of • Eccrine sweat glands are seen in thin and
the cells have apocrine mode thick skin, not only thick skin
of secretion (separation of
apical part of cells)
Apocrine or eccrine sweat glands????

A: Duct
B: secretory portion

• Apocrine sweat glands:


→ wide lumens
→ not clear apical part of cells (separation of
apical part)
Meissner's corpuscles localize in the dermis between epidermal ridges.
Meissner's corpuscles are touch receptors and enriched in fingers and toes

Dr. Heba Kalbouneh


Meissner’s corpuscle
→ according to its shape and location

Dr. Heba Kalbouneh


Meissner’s corpuscle

Dr. Heba Kalbouneh


Pacinian Corpuscle
Pacinian corpuscles are large (~ 1 mm), onion-like structures in the
dermis and hypodermis.

Dr. Heba Kalbouneh


Pacinian corpuscles contain a myelinated nerve ending in the central
core of the structure.
Pacinian corpuscles are sensitive to mechanical and vibratory pressure,
rapidly changing pressure
Dr. Heba Kalbouneh
Sweat glands
Pacinian corpusle
Nerve
Adipocytes

Ring shaped cells: white adipocytes

• This section is taken from: deep part of the


reticular layer of dermis

• eccrine sweat glands


Meissner corpuscle
Epidermal ridge
Dermal papilla

Dr. Heba Kalbouneh


Dr. Heba Kalbouneh
Pacinian corpuscles

**In the center of Pacinian corpuscles! There is sensory nerve ending


surrounded by connective tissue capsule forming the corpuscle
Dr. Heba Kalbouneh
Pacinian corpuscles
The junction between dermis and epidermis

Sebaceous gland

Dr. Heba Kalbouneh


Hair follicle Hair shaft/root /Hair fiber
Arrector pili Dermal papilla
Pacinian corpuscle Hair matrix
Sweat gland
Dr. Heba Kalbouneh
Sebaceous gland
Hair follicle
Arrector pili

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