What kind of connective tissue is the dermis of the skin




















Within the papillary layer are fibroblasts, a small number of fat cells adipocytes , and an abundance of capillary loops. In addition, the papillary layer contains phagocytes, defensive cells that help fight bacteria or other infections that have breached the skin. This layer also contains lymphatic capillaries, nerve fibers, and touch receptors called the Meissner corpuscles.

Underlying the papillary layer is the much thicker reticular layer. This layer is well vascularized and has a rich sensory and sympathetic nerve supply. The reticular layer appears reticulated net-like due to a tight meshwork of fibers. Elastin fibers provide some elasticity to the skin, enabling movement. Collagen fibers provide structure and tensile strength, with strands of collagen extending into both the papillary layer and the hypodermis.

In addition, collagen binds water to keep the skin hydrated. Collagen injections and Retin-A creams help restore skin turgor by either introducing collagen externally or stimulating blood flow and repair of the dermis, respectively. The hypodermis also called the subcutaneous layer or superficial fascia is a layer directly below the dermis and serves to connect the skin to the underlying fascia fibrous tissue of the bones and muscles.

It is not strictly a part of the skin, although the border between the hypodermis and dermis can be difficult to distinguish. The hypodermis consists of well-vascularized, loose, areolar connective tissue and adipose tissue, which functions as a mode of fat storage and provides insulation and cushioning for the integument.

The hypodermis is home to most of the fat that concerns people when they are trying to keep their weight under control. Adipose tissue present in the hypodermis consists of fat-storing cells called adipocytes. This stored fat can serve as an energy reserve, insulate the body to prevent heat loss, and act as a cushion to protect underlying structures from trauma. Where the fat is deposited and accumulates within the hypodermis depends on hormones testosterone, estrogen, insulin, glucagon, leptin, and others , as well as genetic factors.

Fat distribution changes as our bodies mature and age. Men tend to accumulate fat in different areas neck, arms, lower back, and abdomen than do women breasts, hips, thighs, and buttocks.

The body mass index BMI is often used as a measure of fat, although this measure is, in fact, derived from a mathematical formula that compares body weight mass to height. Therefore, its accuracy as a health indicator can be called into question in individuals who are extremely physically fit. In many animals, there is a pattern of storing excess calories as fat to be used in times when food is not readily available.

In much of the developed world, insufficient exercise coupled with the ready availability and consumption of high-calorie foods have resulted in unwanted accumulations of adipose tissue in many people. Although periodic accumulation of excess fat may have provided an evolutionary advantage to our ancestors, who experienced unpredictable bouts of famine, it is now becoming chronic and considered a major health threat.

Not only is this a problem for the individuals affected, but it also has a severe impact on our healthcare system. Changes in lifestyle, specifically in diet and exercise, are the best ways to control body fat accumulation, especially when it reaches levels that increase the risk of heart disease and diabetes.

Skip to main content. Chapter 5: The Integumentary System. July A clinical and histopathological study of cases of dermatofibroma benign fibrous histiocytoma. Ann Dermatol. Kumar, Vinay, Abul K. Abbas, Jon C. Aster, and James A. Robbins and Cotran. Pathologic Basis of Disease. Your Privacy Rights. To change or withdraw your consent choices for VerywellHealth. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page.

These choices will be signaled globally to our partners and will not affect browsing data. We and our partners process data to: Actively scan device characteristics for identification. I Accept Show Purposes. Structures found in the dermis include: Connective tissues, specifically collagen and elastin Blood capillaries the smallest of blood vessels and other small vessels Lymph vessels Sweat glands Sebaceous glands oil glands —best known for its tendency of becoming clogged and causing the dreaded white heads of acne, it actually plays an important role in protecting the body Nerve endings Hair follicles —the body contains close to 2 million hair follicles.

What Causes Wrinkles? Was this page helpful? Thanks for your feedback! Sign Up. What are your concerns? Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Related Articles. What Is the Function of the Epidermis? Sebaceous Glands and Your Skin. Why Does B. Smell So Bad? What Causes a Pimple? As new keratinocytes are produced atop the stratum basale, the keratinocytes of the stratum spinosum are pushed into the stratum granulosum. The stratum granulosum has a grainy appearance due to further changes to the keratinocytes as they are pushed from the stratum spinosum.

The cells three to five layers deep become flatter, their cell membranes thicken, and they generate large amounts of the proteins keratin, which is fibrous, and keratohyalin , which accumulates as lamellar granules within the cells see Figure. These two proteins make up the bulk of the keratinocyte mass in the stratum granulosum and give the layer its grainy appearance. The nuclei and other cell organelles disintegrate as the cells die, leaving behind the keratin, keratohyalin, and cell membranes that will form the stratum lucidum, the stratum corneum, and the accessory structures of hair and nails.

The stratum lucidum is a smooth, seemingly translucent layer of the epidermis located just above the stratum granulosum and below the stratum corneum. This thin layer of cells is found only in the thick skin of the palms, soles, and digits. The keratinocytes that compose the stratum lucidum are dead and flattened see Figure. These cells are densely packed with eleiden , a clear protein rich in lipids, derived from keratohyalin, which gives these cells their transparent i.

The stratum corneum is the most superficial layer of the epidermis and is the layer exposed to the outside environment see Figure. The increased keratinization also called cornification of the cells in this layer gives it its name. There are usually 15 to 30 layers of cells in the stratum corneum.

This dry, dead layer helps prevent the penetration of microbes and the dehydration of underlying tissues, and provides a mechanical protection against abrasion for the more delicate, underlying layers. Cells in this layer are shed periodically and are replaced by cells pushed up from the stratum granulosum or stratum lucidum in the case of the palms and soles of feet. The entire layer is replaced during a period of about 4 weeks.

It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that compose an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts Figure. Papillary Layer The papillary layer is made of loose, areolar connective tissue, which means the collagen and elastin fibers of this layer form a loose mesh. This superficial layer of the dermis projects into the stratum basale of the epidermis to form finger-like dermal papillae see Figure.

Within the papillary layer are fibroblasts, a small number of fat cells adipocytes , and an abundance of small blood vessels. In addition, the papillary layer contains phagocytes, defensive cells that help fight bacteria or other infections that have breached the skin. This layer also contains lymphatic capillaries, nerve fibers, and touch receptors called the Meissner corpuscles.

Underlying the papillary layer is the much thicker reticular layer , composed of dense, irregular connective tissue. This layer is well vascularized and has a rich sensory and sympathetic nerve supply. The reticular layer appears reticulated net-like due to a tight meshwork of fibers. Elastin fibers provide some elasticity to the skin, enabling movement. Collagen fibers provide structure and tensile strength, with strands of collagen extending into both the papillary layer and the hypodermis.

In addition, collagen binds water to keep the skin hydrated. Collagen injections and Retin-A creams help restore skin turgor by either introducing collagen externally or stimulating blood flow and repair of the dermis, respectively. The hypodermis also called the subcutaneous layer or superficial fascia is a layer directly below the dermis and serves to connect the skin to the underlying fascia fibrous tissue of the bones and muscles.

It is not strictly a part of the skin, although the border between the hypodermis and dermis can be difficult to distinguish. The hypodermis consists of well-vascularized, loose, areolar connective tissue and adipose tissue, which functions as a mode of fat storage and provides insulation and cushioning for the integument.

Lipid Storage The hypodermis is home to most of the fat that concerns people when they are trying to keep their weight under control. Adipose tissue present in the hypodermis consists of fat-storing cells called adipocytes. This stored fat can serve as an energy reserve, insulate the body to prevent heat loss, and act as a cushion to protect underlying structures from trauma.

Where the fat is deposited and accumulates within the hypodermis depends on hormones testosterone, estrogen, insulin, glucagon, leptin, and others , as well as genetic factors. Fat distribution changes as our bodies mature and age. Men tend to accumulate fat in different areas neck, arms, lower back, and abdomen than do women breasts, hips, thighs, and buttocks.

The body mass index BMI is often used as a measure of fat, although this measure is, in fact, derived from a mathematical formula that compares body weight mass to height. Therefore, its accuracy as a health indicator can be called into question in individuals who are extremely physically fit. In many animals, there is a pattern of storing excess calories as fat to be used in times when food is not readily available. In much of the developed world, insufficient exercise coupled with the ready availability and consumption of high-calorie foods have resulted in unwanted accumulations of adipose tissue in many people.

Although periodic accumulation of excess fat may have provided an evolutionary advantage to our ancestors, who experienced unpredictable bouts of famine, it is now becoming chronic and considered a major health threat. Not only is this a problem for the individuals affected, but it also has a severe impact on our healthcare system.

Changes in lifestyle, specifically in diet and exercise, are the best ways to control body fat accumulation, especially when it reaches levels that increase the risk of heart disease and diabetes. The color of skin is influenced by a number of pigments, including melanin, carotene, and hemoglobin. Recall that melanin is produced by cells called melanocytes, which are found scattered throughout the stratum basale of the epidermis.

The melanin is transferred into the keratinocytes via a cellular vesicle called a melanosome Figure. Melanin occurs in two primary forms. Eumelanin exists as black and brown, whereas pheomelanin provides a red color. Dark-skinned individuals produce more melanin than those with pale skin. Exposure to the UV rays of the sun or a tanning salon causes melanin to be manufactured and built up in keratinocytes, as sun exposure stimulates keratinocytes to secrete chemicals that stimulate melanocytes.

The accumulation of melanin in keratinocytes results in the darkening of the skin, or a tan. This increased melanin accumulation protects the DNA of epidermal cells from UV ray damage and the breakdown of folic acid, a nutrient necessary for our health and well-being. In contrast, too much melanin can interfere with the production of vitamin D, an important nutrient involved in calcium absorption.

Thus, the amount of melanin present in our skin is dependent on a balance between available sunlight and folic acid destruction, and protection from UV radiation and vitamin D production. It requires about 10 days after initial sun exposure for melanin synthesis to peak, which is why pale-skinned individuals tend to suffer sunburns of the epidermis initially.

Dark-skinned individuals can also get sunburns, but are more protected than are pale-skinned individuals. Melanosomes are temporary structures that are eventually destroyed by fusion with lysosomes; this fact, along with melanin-filled keratinocytes in the stratum corneum sloughing off, makes tanning impermanent. Too much sun exposure can eventually lead to wrinkling due to the destruction of the cellular structure of the skin, and in severe cases, can cause sufficient DNA damage to result in skin cancer.

When there is an irregular accumulation of melanocytes in the skin, freckles appear. Moles are larger masses of melanocytes, and although most are benign, they should be monitored for changes that might indicate the presence of cancer Figure. Disorders of the… Integumentary System The first thing a clinician sees is the skin, and so the examination of the skin should be part of any thorough physical examination.

Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated.



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