皮肤总论(英文版).ppt

Dermatology Venereology Section ⅠGeneral Consideration Introduction Structure of Skin Function of Skin Symptom, Sign and Diagnosis of Dermatoses Treatment of Dermatoses Introduction The skin is the largest organ of the body There are more than 2000 kind of skin disease in Dermatology Chapter ⅠStructure of skin 1. Epidermis(structure) 1.Epidermis cells keratinocyte melanocyte Langerhans cell Merkel cell （2）Melanocyte （2）Melanocyte （2）Melanocyte (3) Langerhans cell (3) Langerhans cell (4) Merkel cell 2.Dermis collagen fiber reticular fiber elastic fibers base material（ground substance）：proteoglycan Cells: Fibroblast mast cell Macrophage dermic arborescent cell Langgerhans cell Pigmentophage Lymphocyte leukocyte 2.Dermis collagen fibers 2.Dermis elastic fibers 2.Dermis 3. Hypodermis(subcutaneous tissue) 3. Hypodermis(subcutaneous tissue) 4. Appendages hair follicle sebaceous glands eccrine glands apocrine glands nail （1）Hair and Hair follicle Distribution of hair Long hair：scalp, beard, axillae and pubes Short hair ：eyebrows, eyelids, nose and auditory meates Smoothness： vermilion of the lip mammary papilla Palm,soles, side of the fingers and toes, nail beds,and certain areas adjacent to mucosal surface,such as the glans penis vellus hair(Wolly hair) ： face,neck and trunk Hair growth cycle（speed 0.27~0.4mm/d，loss70-100/d） Long hair girl （2）Sebaceous glands distribution Be found in greatest abundance on the face and scalp. They are distributed throughout all skin sites except the palms and soles. They are always associated with hair follicles except at the following sites: the eyelids (meibomian glands), the buccal mucosa vermilion border of the lip (Fordyces spots) the prepuce (Tysons glands) the female areolas (Montgomerys tubercles). （2）sebaceous glands It opens into the infundibular portion of the hair follicle. The coiled secretory gland is located at the junction of the dermis and subcutaneous fat. （3）Apocrine glands Apocrine units of the human body