Skin Anatomy
- Divided into epidermis and dermis
- Epidermis is ectodermal in origin - within it are sweat glands, sebaceous glands, hair and nails.
- The dermis is mesodermal in origin - within it is fat and collagen, blood vessels and lymphatics.
Layers of the epidermis - “Come, Let’s Get Sun Burned”
- Stratum corneum - consists of 15-20 layers of flattened dead cells with no nuclei.
- Stratum lucidum - consists of dead keratinocytes filled with eleidin (intermediate form of keratin), and a clear.
- Stratum granulosum - thin layer of keratinocytes
- Stratum spinosum
- Stratum basale - is the basal layer. Have large nuclei which occupy the majority of the cell.
Layers of the dermis
- Papillary dermis - intertwines with rete ridges of the epidermis and is composed of loose areolar connective tissue.
- Reticular dermis - lowermost part of the dermis. Composed of dense collagen rich connective tissue.

Sweat glands
- Distributed everywhere except on the lips, nipples, glands penis and labia minora
- Apocrine glands are large, modified sweat glands confined to the axillae, areolae, periumbilical, genital and perianal regions; their ducts open into hair follicles or directly on to the skin surface. Their odourless secretion acquires a smell through bacterial action
Hair and nails
- Are a type of hard keratin
- Each hair is formed from the hair matrix, a region of epidermal cells at the base of hair follicle which extends into the dermis.
- A erector pili muscle is attached to the hair follicle.

Nail anatomy
- Nail consists of a nail plate, the nail matrix, and the nail bed below it.
- Nail matrix is the active tissue that generate cells.
- The cells harden as they move outward from the nail root to the nail plate.
- As new nail plate cells are made, they push older plate cells forward
- The lunula (“small moon”) is the visible part of the matrix.
- The nail bed is beneath the nail plate
- The nail root is located just under the skin at the proximal nail fold.
- The nail plate is from the nail root to the free edge, and is made of dead, compacted cells which are keratin dense.

Fitzpatrick Skin Type
