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390 Skin and its appendages

1

 

1

SKIN (INTEGUMENT). Integumentum com-

16

Papillary layer. Stratum papillare. The delicate

 

 

 

mune. Common integument (skin). The outer

 

upper layer of the dermis with numerous con-

 

 

 

 

covering of the body consisting of three layers,

 

nective tissue papillae connecting it to the

2

 

 

 

the epidermis, dermis (corium) and subcutis. In

 

epidermis. A

 

 

 

 

 

 

the adult it covers an area of about 1.8 square

17

Papillae. Conical extensions of connective tissue

3

 

 

 

meters.

 

 

 

 

 

 

 

projecting into the epidermis. They may form

 

2

Cutis. Collective term for epidermis and der-

 

rows (dermal ridges) or branches and vary

4

 

 

 

mis.

 

 

 

 

 

 

 

18

markedly in form and organization. A E

 

 

3

Sulci of skin. Sulci cutis. Variably sized depres-

Reticular layer. Stratum reticulare. Part of der-

 

 

 

 

sions or furrows on the surface of the skin, e. g.,

 

mis adjoining the papillary layer. It consists of

5

 

 

 

the nasolabial sulcus,

the deep sulci of

the

 

more compact, densely interwoven connective

 

 

 

joints, the fine depressions on the smooth areas

 

tissue. A

 

 

 

 

 

 

 

 

 

 

 

 

 

of the skin, and the dermal ridges on the palms

19

Subcutaneous tissue. Tela subcutanea. Layer of

6

 

 

 

and soles. A

 

 

 

 

 

 

subcutaneous fatty tissue compartmentalized

 

 

 

4 Dermal ridges. Cristae cutis. Ridges produced

 

by fibrous tracts and firmly connected with the

7

 

 

 

by the underlying papillae of the corium on the

 

corium with mobile connections to the fascia. A

 

 

 

thick skin of the palms of the hands and soles of

20

Panniculus adiposus. The thicker layer of fat in

 

 

 

 

8

 

 

 

the feet. A

 

 

 

 

 

 

 

the subcutaneous tissue. A

 

 

5

Retinacula cutis. Bands of connective tissue

21

Terminal nerve corpuscles. Corpuscula nervosa

 

 

 

 

which attach the skin to the underlying tissue.

 

terminalia. Collective term for encapsulated

9

 

 

 

A

 

 

 

 

 

 

 

 

nerve endings.

 

 

 

 

6

Tactile elevations. Toruli tactiles. Skin regions

22

End bulbs of Krause (bulboid corpuscles).

10

 

 

 

with more abundant fat deposits, e. g., near the

 

Corpuscula bulboidea. Oval convolutions of

 

 

 

phalanges, thenar and hypothenar eminences.

 

nerve fibers found especially in the lamina pro-

 

 

 

 

B

 

 

 

 

 

 

 

 

pria of the mucosa. They are considered to be

11

 

7

Coccygeal foveola. [Foveola coccygea]. Pit

 

cold receptors. E

 

 

 

 

 

 

above the coccyx caused by the caudal reti-

23

Lamellated [[Vater-Pacini, pacinian]] cor-

12

 

 

 

naculum. C

 

 

 

 

 

 

puscles. Corpuscula lamellosa. Oval bodies, 2−

 

8

Caudal

retinaculum.

Retinaculum

caudale.

 

3 mm long, with concentric layers of connective

 

 

 

 

 

 

 

Connective tissue remains of the embryonic

 

tissue surrounding an inner core (axon and

13

 

 

 

notochord lying between the coccygeal foveola

 

Schwann cells). They are pressure receptors

 

 

 

 

and the coccyx. C

 

 

 

 

 

 

found in the subcutaneous fat muscles and

14

 

9

Epidermis.

Stratified,

keratinized

squamous

 

viscera. A

 

 

 

24

Tactile

[[Meissner’s]] corpuscles. Corpuscula

 

 

 

 

epithelium covering the body. Its thickness var-

15

 

 

 

ies from 30 µm to 4 mm or more. A

 

 

 

tactus. These encapsulated sensory organs in the

 

10

Stratum corneum. Most superficial, cornified

 

connective papilla of the dermis measure about

 

 

 

 

(keratinized) layer of the epidermis which un-

 

0.1 mm in length and consist of transversely

 

 

 

 

 

oriented tactile cells within a ramified nerve

16

 

 

 

dergoes continual desquamation. A

 

 

 

 

 

 

 

 

 

network. A

 

 

 

11

Stratum

lucidum.

Located

between

the

 

 

 

 

 

25

Genital corpuscles. [[Corpuscula genitalia]]. El-

17

 

 

 

stratum granulosum and stratum corneum. It is

 

 

 

 

liptical, encapsulated nerve endings similar to

 

 

 

a homogeneous, strongly refractile layer rich in

 

 

 

 

 

 

the end bulbs of Krause and found abundantly in

 

 

 

 

eleidin fibers. A

 

 

 

 

 

 

18

 

 

 

 

 

 

 

 

 

the clitoris, glans and nipple. E

 

 

12

Stratum granulosum. It consists of 1−5

cell

 

 

 

26

Tactile

menisci

[[Merkel’s discs or cor-

 

 

 

 

layers

with degenerative nuclear changes. It

 

 

 

 

 

puscles]]. Menisci tractus. Flat group of light

19

 

 

 

contains

stongly

refractory

keratohyaline

 

 

 

 

 

cells with intracellular neurofibrils. They occupy

 

 

 

granules. A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the epithelium. D

 

 

 

 

 

13 Stratum spinosum. Prickle cell layer. It consists

 

 

 

20

 

 

27

Articular corpuscles. [[Corpuscula

articu-

 

 

 

of polygonal cells

with spinous

processes

 

 

 

 

laria]]. Modified

pacinian corpuscles

within

 

 

 

 

which project from their surfaces and contact

 

 

 

 

 

 

joint capsules.

 

 

21

 

 

 

each other by means of a desmosome. They ap-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

pear to bridge over relatively large intercellular

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

spaces (shrinkage artifact). A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22

 

 

 

 

 

 

 

 

 

 

 

14

Stratum basale [cylindricum]. Deepest, cylin-

 

 

 

 

 

 

 

 

 

drical cell layer of the epidermis. Cell prolifera-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23

 

 

 

tion occurs here and in the stratum spinosum,

 

 

 

 

 

 

 

 

 

thus ensuring the continual renewal of the

 

 

 

 

 

24

 

 

 

epidermis. A

 

 

 

 

 

 

 

 

 

 

 

15

Dermis (corium). The layer of skin consisting of

 

 

 

 

 

 

 

 

 

an intimate network of collagenous and elastic

 

 

 

 

 

25

 

 

 

fibers rich in nerves and blood vessels and

 

 

 

 

 

 

 

 

 

devoid of fat. A

 

 

 

 

 

 

 

 

 

 

Skin and its appendages 391

 

3

3

 

 

4

 

 

 

10

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9

 

 

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13

 

 

 

14

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24

17

 

 

 

 

16

 

17

 

 

15

18

23

23

5

19;20

 

6

7

8

B Tactile elevation C Coccygeal dimple

26

26

D Tactile discs (tactile menisci)

17

22

5

25

A

Skin and subcutaneous layer

E

Corpuscular nerve endings

1

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3

4

5

6

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8

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10

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392 Skin and its appendages

1

1

Pili. Collective term for any type of hair.

28

Lunula. Crescentic, whitish area at the base of

2

Lanugo. Fine woolly hair which is distributed

 

the nail. Its anterior margin corresponds to the

 

 

over the entire body, especially in the newborn.

 

anterior border of the nail-forming tissue. C

2

 

 

 

29

Margo occultus. Proximal, posterior margin of a

 

It usually lacks a medulla.

 

3

Scalp hairs. Capilli.

 

nail located deep within the nail sinus. D

 

 

 

 

 

34 Hairs of eyebrow. Supercilia.

5Eyelashes. Cilia.

46 Hairs of beard. Barba.

7Hairs of external acoustic meatus. Tragi.

58 Hairs of the nasal vestibule. Vibrissae.

9 Axillary hairs. Hirci.

610 Pubic hairs. Pubes.

11 Hair follicle. Folliculus pili. Connective tissue

7epithelium covering of the hair root. A

12

Hair papilla. Papilla pili. Connective tissue

8

 

papilla which projects into the bulb-like, dis-

 

tended lowermost part of the hair root. A

 

 

13

Hair shaft. Scapus pili. Part of the hair that pro-

9

 

jects out from the skin. A

14 Hair root. Radix pili. A

1015 Bulb of hair. Bulbus pili. Bulb-like enlargement at the lower end of the hair root. A

1116 Mm. arrectores pilorum. Bundles of smooth muscle passing from the middle of the hair follicle to the papillary layer of the dermis. They are

12absent on hair of eyelashes, eyebrows, nose, ear and beard. A.: erect hairs (goose-bumps), prob-

13ably also compression and emptying of sebaceous glands. Innervation: sympathetic fibers from the sympathetic ganglion. A

1417 Hair streams. Flumina pilorum. Orientational patterns of hair. B

1518 Whorled pattern of hair growth. Vortices pilorum. B

1619 Cruciate pattern of hair growth. Cruces pilorum. It is found at sites where the hair patterns meet from two directions and continue

17two new directions perpendicular to each other. B

1820 Nails. Unguis. Fingernails and toenails. C D

21 Nail matrix (bed). Matrix unguis. Tissue

19(epidermis) upon which the nail rests (root and lunula). Nail substance is formed in the region of the lunula. D E

2022 Crests of nail matrix. Cristae matricis unguis. Longitudinal ridges in nail bed. E

2123 Nail groove (fold). Sulcus matricis unguis. Cutaneous slit into which the lateral nasal margins are embedded. C

2224 Nail sinus. Sinus unguis. Deep furrow into which the root of the nail is inserted. D

2325 Wall of nail. Vallum unguis. Cutaneous fold overlapping the sides and proximal end of the

24nail. C D

26 Body of nail. Corpus unguis. C D E

2527 Root of nail. [[Radix unguis]]. Part of nail situated in the nail sinus. D

 

 

Skin and its appendages

393

 

 

 

 

 

 

 

 

13

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

18

 

3

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

6

14

19

 

 

 

 

 

 

16

 

 

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

 

 

 

 

 

A

Hair follicle

 

B

Hair growth patterns

 

 

 

 

 

11

 

 

 

 

 

23

 

 

 

 

15

 

 

 

 

 

 

 

 

 

 

 

 

26

 

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

 

 

 

 

 

 

 

 

Fingernail

 

 

 

 

 

 

 

 

 

 

C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25

27

 

 

26

 

 

 

 

 

 

 

 

20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

 

 

24

 

 

D

Nail matrix, longitudinal section

 

 

 

26

21

E

Nail matrix, cross section

22

10

11

12

13

14

15

16

17

18

19

20

2921

22

23

24

25

394 Skin and its appendages

1

1

Lateral margin. Margo lateralis. Lateral margin

21

Mammary gland. Glandula mammaria. Glan-

 

of nail lying beneath the nail wall. B

 

dular tissue of female breast. D

 

2

Free margin. Margo liber. Anterior, free margin

22

Lateral (axillary) process; axillary tail. Proces-

2

 

of nail. It corresponds to the abrasive or cutting

 

sus lateralis (axillaris). Glandular process ex-

 

 

edge of the nail. B

 

tending toward the axilla.

 

 

 

33 Perionyx. Projecting edge of the eponychium 23 Lobes of mammary gland. Lobi glandulae

covering the proximal strip of the lunula. A

mammariae. 15−20 conical lobes. D

44 Eponychium. Cuticle. The small band of 24 Lobules of mammary gland. Lobuli glandulae epithelium that extends from the posterior nail mammariae. Subdivisions of each lobe produced

 

 

wall onto the base of a nail. A

 

by connective tissue septa. D

5

 

 

5

Hyponychium. Epithelium of nail bed located

25

Lactiferous ducts. Ductus lactiferi. Excretory

 

 

beneath the nail. Its posterior portion in the re-

 

ducts, 15−20, one from each lobe. They have a di-

6

 

gion of the lunula and nail root form the matrix. A

 

ameter of 1.7−2.3 mm and open on the nipple. D

 

26

Lactiferous sinus. Sinus lactiferi. Spindle-shaped

 

6

Stratum

corneum unguis. Already cornified

 

7

 

part of nail. A

 

 

dilatation of the lactiferous duct with a diameter

7

Stratum germinativum unguis. Layer of nail

 

of 5−8 mm shortly before opening at the apex of

 

 

the nipple. D

 

 

bed epithelium still undergoing cell prolifera-

 

8

 

 

 

27

Areola mammae. Round, pigmented area

 

tion. A

 

 

 

8

[[Retinacula unguis]]. Anchoring tracts of con-

 

around the nipple with a ring of small, rounded

 

 

9

 

papillae produced by the areolar glands. D

 

nective tissue extending from the nail bed to the

 

 

28 Areolar glands (of Montgomery). Glanduale

 

 

periosteum of the nail segement. A

 

 

 

areolares. 10−15 apocrine glands in the region of

10

9

Cutaneous glands. Glandulae cutis. Glands aris-

 

 

the areola. D

 

 

ing from the epidermis and standing in close re-

29

Male mammary gland. Mamma masculina.

 

 

lationship to the skin.

 

11

 

 

 

Rudimentary mammary gland of the male.

10 Sweat glands. [[Gll. glomiformes]]. Collective

 

 

30 Accessory mammary glands. [Mammae acces-

 

 

term for the small eccrine sweat glands and the

12

 

 

soriae]. The acessory mammary glands lying

 

large apocrine sweat or odoriferous glands.

 

 

 

along the embryonic milk ridge. C

 

11

Eccrine

(merocrine)

sweat (sudoriferous)

 

 

31 Suspensory ligaments of breast. Ligg. suspen-

13

 

glands. Gll. sudorifer merocrina (eccrina). Ec-

 

 

soria mammaria. Tracts of connective tissue

 

 

crine sweat glands, as opposed to the apocrine

 

from the skin of the breast to the pectoral fascia

 

 

sweat glands of the anal, genital and axillary re-

 

14

 

 

with which they are united by a thin layer of

 

gions. E

 

 

 

 

 

 

 

loose displaceable tissue. D

 

12

Terminal

secretory

part. Portio terminalis.

 

 

 

 

15Coiled, secretory body of a sweat gland lying in the subcutaneous tissue or in the deep portion of the dermis. E F

1613 Sweat gland duct. Ductus sudorifer. Excretory duct passing to the surface. It is shaped like a

17corkscrew within the highly cornified squamous epithelium of palms and soles and opens on the

dermal ridges. E F

18

14Pore of sweat gland. Porus sudorifer. Opening of the excretory duct of a sweat gland on the skin.

19 E

 

15

Circumanal glands. Gll. circumanales. Large

20

 

apocrine sweat glands grouped around the anus.

 

16

Ceruminous glands. Gll. ceruminosae. Apocrine

 

21

 

glands that secrete a proteinaceous material

 

 

called cerumen (ear wax).

22

17

Sebaceous glands. Gll. sebaceae. Holocrine

 

 

glands opening into the hair follicles. F

 

18

Breast. Mamma. It consists of glandular tissue,

23

 

connective tissue tracts and fat. D

 

 

 

19 Nipple. Papilla mammae. It contains openings of

24the lactiferous ducts and smooth muscle tissue. D

2520 Body of mammary gland. Corpus mammae. Glandular body surrounded by adipose tissue.

Skin and its appendages 395

6

3

4

4

 

 

 

 

 

 

 

8

5

7

 

 

 

 

Nail matrix, longitudinal section

 

 

 

 

 

 

 

A

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

1

 

 

 

 

29

31

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28

 

 

 

 

24

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25

 

 

 

 

 

B

Nail from above

 

 

 

 

 

19

 

 

 

 

 

14

 

 

 

 

 

 

 

 

21

 

 

 

 

 

 

 

 

 

 

26

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30

 

 

 

 

 

23

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Milk line

 

 

Mammary gland

 

 

 

 

 

 

 

 

D

 

 

 

 

 

 

 

 

C

 

13

17

13

 

12

12

E

Sudoriferous gland

F

Skin glands

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

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