Warm-Up (10/16)

1. Warm-Up (10/16) Define the following: • Inflammation of hair follicles and sebaceous glands • Small fluid-filled blisters caused by a herpes simplex virus that itch and sting • An itchy, red, peeling condition caused from a fungus infection • Itching, redness, and swelling of the skin caused by exposure to chemicals that provoke allergic responses

2. Warm-Up (10/16) Define the following: • Inflammation of hair follicles and sebaceous glands BOILS • Small fluid-filled blisters caused by a herpes simplex virus that itch and sting • An itchy, red, peeling condition caused from a fungus infection • Itching, redness, and swelling of the skin caused by exposure to chemicals that provoke allergic responses

3. Warm-Up (10/16) Define the following: • Inflammation of hair follicles and sebaceous glands BOILS • Small fluid-filled blisters caused by a herpes simplex virus that itch and sting COLD SORES • An itchy, red, peeling condition caused from a fungus infection • Itching, redness, and swelling of the skin caused by exposure to chemicals that provoke allergic responses

4. Warm-Up (10/16) Define the following: • An itchy, red, peeling condition caused from a fungus infection ATHLETE’S FOOT • Itching, redness, and swelling of the skin caused by exposure to chemicals that provoke allergic responses

5. Warm-Up (10/16) Define the following: • An itchy, red, peeling condition caused from a fungus infection ATHLETE’S FOOT • Itching, redness, and swelling of the skin caused by exposure to chemicals that provoke allergic responses CONTACT DERMATITIS

6. Today’s To-do • Warm-up • Reminders/Announcements • Characteristics of the Skin WS • Go over previous HWs

7. Reminders/Announcements • Coloring sheet due Thursday (10/18) • Classwork from today due Thursday (10/18) • Skin Quiz (10/18) • Greek Quiz (10/19)

8. Quiz Review • Major 3 layers of skin • Be able to identify: sebaceous glands, sweat glands, hair follicle, hair shaft • Know hair/ nail info • Function • Composition (melanin, keratin, bulb matrix) • What layer they come from (specific)

9. How Hair is Formed • A hair is formed by division of the well-nourished stratum basale epithelial cells in the growth zone, or hair bulb matrix, at the inferior end of the follicle. • As the daughter cells are pushed farther away from the growing region, they become keratinized and die. • Thus, the bulk of the hair shaft is dead material and almost entirely protein.

10. Hair Structure • Each hair consists of a central core called the medulla. • The medulla is surrounded by a bulky cortex layer. • The cortex is, in turn, enclosed by an outermost cuticle. • The cuticle is formed by a single layer of cells that overlap one another like shingles on a roof, which helps to keep the hairs apart and from matting. • Most keratinized region; it provides strength and helps keep the inner hair layers tightly compacted.

11. Hair Pigment • Hair pigment is made by melanocytes in the hair bulb. • Varying amounts of different types of melanin (yellow, rust, brown, and black) combine to produce ALL varieties of hair color from pale blond to pitch black.

12. Hair Types • Hair comes in a variety of sizes and shapes. • Oval hair shaft = smooth, silky, wavy hair • Flat and ribbonlike shaft = curly or kinky hair • Perfectly round shaft = straight, coarse hair

13. Some Facts About Hair • Hairs are found all over the body except: • Palms of the hands • Soles of the feet • Nipples • Lips • Humans are born with as many hair follicles as they will ever have. • Hairs are among the fastest growing tissues in the body. • Hormones account for “hairy” regions – the scalp, pubic, and armpit areas.

14. Hair Follicles • Hair follicles are compound structures: • Inner epidermal sheath is composed of epithelial tissue and forms the hair. • Outer dermal sheath is actually dermal CT. • This dermal layer supplies blood vessels to the epider- mal portion and reinforces it. • Its nipplelike papilla provides the blood supply to the matrix in the hair bulb.

15. Arrector Pili • ArrectorPili – Small bands of smooth muscle cells that connect each side of the hair follicle to the dermal tissue. • When these muscles contract (as when we are cold or frightened), the hair is pulled upright, dimpling the skin with “goose bumps.” • This action helps to keep animals warm by adding a layer of insulating air to the fur. • In a scared cat, the fur actually stands on end and makes it looks larger to scare off predators. • This phenomenon is not useful to humans.

16. Nail Structure • Nail – Scalelike modification of the epidermis that corresponds to the hoof or claw of other animals. • Each nail has: • Free edge • Body (visible attached portion) • Root (embedded in the skin)

17. Nail Structure (Continued) • Nail Folds – Skin folds that overlap the borders of the nail. • Cuticle – The thick proximal nail fold. • Nail Bed – The stratum basale of the epidermis that extends beneath the nail. • Nail Matrix – The thickened proximal area of the nail bed which is responsible for nail growth.

18. Nails • As the nail cells are produced by the matrix, they become heavily keratinized and die. • Thus, nails (like hair) are mostly nonliving material. • Nails are transparent and nearly colorless, but they look pink because of the rich blood supply in the underlying dermis. • The exception to this is the lunula that appears as a white crescent.

19. Infections and Allergies of the Skin • Athlete’s Foot – An itchy, red, peeling condition of the skin between the toes; caused from a fungus infection. • Boils – Inflammation of hair follicles and sebaceous glands; common on the dorsal neck. • Carbuncles – Composite boils typically caused by bacterial infection.

20. Infections and Allergies of the Skin • Cold Sores – Fever blisters; small fluid-filled blisters that itch and sting. • Caused by a herpes simplex infection. • The virus localizes in a cutaneous nerve, where it remains dormant until activated by emotional upset, fever, or UV radiation. • Usually occur around the lips and in the oral mucosa of the mouth.

21. Infections and Allergies of the Skin • Contact Dermatitis – Itching, redness, and swelling of the skin, progressing to blistering. • Caused by exposure of the skin to chemicals (e.g., those in poison ivy) that provoke allergic responses in sensitive individuals. • Impetigo – Pink, water-filled, raised lesions that develop a yellow crust and eventually rupture. • Caused by a highly contagious staphylococcus infection; common in elementary school-aged children • Common around the mouth and nose

22. Infections and Allergies of the Skin • Psoriasis – A chronic condition, characterized by reddened epidermal lesions covered with dry, silvery scales. • When severe, may be disfiguring. • Cause is unknown (may be hereditary in some cases) • Attacks often triggered by trauma, infection, hormonal changes, and stress.

23. Burns • The skin is only about as thick as a paper towel! • When it is severely damaged, nearly every body system suffers. • Burn – Tissue damage and cell death caused by intense heat, electricity, UV radiation, or certain chemicals. • There are few threats to skin more serious than burns.

24. Burns • Two life-threatening problems result from burns: • Body loses fluids • Dehydration and electrolyte imbalance follow. • Fluids must be replaced immediately. • Infection • Leading cause of death in burn victims. • Burned skin is sterile for about 24 hours. After that, pathogens easily invade areas where the skin has been destroyed and multiply rapidly. • To make matters worse, the patient’s immune system becomes depressed within 1-2 days after the burn injury.

25. Classification of Burns • First-Degree Burns – Only the epidermis is damaged. • Area becomes red and swollen. • Except for temporary discomfort, first-degree burns are not usually serious. • Usually heal in 2-3 days without any special attention. • Example: Sunburn

26. Classification of Burns • Second-Degree Burns – Involve injury to the epidermis and the upper region of the dermis. • Skin is red and painful and blisters appear. • Because sufficient numbers of epithelial cells are still present, re-growth (regeneration) of the epithelium can occur. • Ordinarily, no permanent scars result if care is taken to prevent infection.

27. Classification of Burns • Third-Degree Burns – Destroy the entire thickness of the skin. • Burned area appears blanched (gray-white) or blackened. • Nerve endings are destroyed, therefore the burned area is not painful. • Regeneration is not possible, and skin grafting must be done to cover the underlying exposed tissues.

28. Skin Cancer • Skin cancer is the single most common type of cancer in humans. • Cause of most skin cancers is not known, but the most important risk factor is overexposure to UV radiation in sunlight.

29. Basal Cell Carcinoma • Least malignant and most common type of skin cancer. • Cells of the stratum basale, altered so that they cannot form keratin, no longer honor the boundary between epidermis and dermis. • They proliferate, invading the dermis and subcutaneous tissue. • Occur most often on sun- exposed areas. • Relatively slow growing and is usually noticed before metastasis occurs. • Full cure = 99%

30. Squamous Cell Carcinoma • Arises from the cells of the stratum spinosum. • Grows rapidly and metastasizes to adjacent lymph nodes if not removed. • Believed to be sun-induced. • If caught early, and removed surgically or by radiation therapy, the chance of com- plete cure is good.

31. Malignant Melanoma • Malignant Melanoma - Cancer of the melanocytes. • Accounts for 5% of skin cancers, but its incidence is on the rise. • Can begin where ever there is pigment, most cancers appear spontaneously. • Metastasizes rapidly to surrounding lymph and blood vessels. • Chance for survival = 50%

32. ABCD Rule for Recognizing Melanoma • (A)Asymmetry: • The two sides of the pigmented spot or mole do not match. • (B)Border Irregularity: • The borders of the lesion are not smooth, but exhibit indentations. • (C)Color: • The pigmented spot contains areas of different colors (blacks, browns, tans, and sometimes blues and reds). • (D)Diameter: • The spot is larger than 6 mm in diameter (the size of a pencil eraser).

33. Developmental Aspects: Skin • Adolescence: • Skin and hair become more oily as sebaceous glands are activated. And acne may appear. • 20s and 30s: • Acne usually subsides in early adulthood. • Skin reaches its optimal appearance. • 40+: • Visible changes in the skin begin to appear. • Pimples, scales, and various kinds of dermatitis become more common.

34. Developmental Aspects: Skin • Old Age: • Amount of subcutaneous tissue decreases leading to the intolerance of the cold. • Skin becomes drier (decreased oil production and collagen fibers) and may become itchy and bothersome. • Thinning of the skin makes it more susceptible to bruising and other types of injuries. • Decreasing elasticity of the skin and loss of cuta- neous fat allows bags to form under our eyes and our jowls begin to sag.

35. Avoid Sun Exposure • The loss of elasticity that results from aging is speeded up by sunlight. • You will have prettier, healthier skin. • Will also decrease your chances of skin cancer.

36. Hair and Aging • Hair loses its luster as we age. • By age 50, the number of hair follicles has dropped by 1/3 and continues to decline resulting in hair thinning and baldness. • Male Pattern Baldness – Many men become obviously bald as they age. • Hair follicles have begun to degenerate and produce hairs that are colorless and very tiny. • A bald man is not hairless - he does have hairs in the bald area.

37. Hair and Aging • Graying Hair • Usually genetically controlled by a “delayed-action” gene. • Once the gene takes effect, the amount of melanin deposited in the hair decreases or becomes entirely absent, which results in gray-to-white hair.