Hair, skin and nails

Last updated: February 24, 2023

Hair, skin and nails

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Anatomical terminology
Joints of the ankle and foot
Anatomy of the tibiofibular joints
DNA structure
DNA replication
Hair, skin and nails
Wound healing
Estrogens and antiestrogens
Skin cancer
Chronic granulomatous disease
Plasmodium species (Malaria)
VDJ rearrangement
Bile secretion and enterohepatic circulation
Normal heart sounds
Ascending and descending spinal tracts
Somatosensory pathways
Anatomy of the diencephalon
Independent assortment of genes and linkage
Anatomy of the cerebral cortex
Anatomy of the ventricular system
Basal ganglia: Direct and indirect pathway of movement
Anatomy of the basal ganglia
Anatomy of the descending spinal cord pathways
Anatomy of the ascending spinal cord pathways
Movement disorders: Pathology review
Eye conditions: Refractive errors, lens disorders and glaucoma: Pathology review
Anatomy of the eye
Anatomy of the oculomotor (CN III), trochlear (CN IV) and abducens (CN VI) nerves
Anatomy and physiology of the ear
Auditory transduction and pathways
Anatomy of the inner ear
Ischemic stroke
Stroke: Clinical
Anatomy of the brainstem
Anatomy of the limbic system
Pediatric ophthalmological conditions: Clinical
Anatomy of the nose and paranasal sinuses
Schizophrenia spectrum disorders: Clinical
Spinocerebellar ataxia (NORD)
Anatomy clinical correlates: Cerebellum and brainstem
Anatomy of the pharynx and esophagus
Somatic symptom disorders: Clinical
Malingering, factitious disorders and somatoform disorders: Pathology review
Factitious disorder
Major depressive disorder
Suicide
Major depressive disorder with seasonal pattern
Insomnia
Developmental and learning disorders: Pathology review
Childhood and early-onset psychological disorders: Pathology review
Disorders of consciousness: Clinical
Brain herniation
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Subdural hematoma
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Hypothyroidism
ADHD: Information for patients and families (The Primary School)
Attention deficit hyperactivity disorder
Neurodevelopmental disorders: Clinical
Autism spectrum disorder
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Pediatric upper airway conditions: Clinical
Upper respiratory tract infection
Superficial structures of the neck: Anterior triangle
Superficial structures of the neck: Posterior triangle
Anxiety disorders: Clinical
Anxiety disorders, phobias and stress-related disorders: Pathology Review
Generalized anxiety disorder
Anatomy of the facial nerve (CN VII)
Bell palsy
Cranial nerves rap
Anatomy of the infratemporal fossa
Anatomy of the trigeminal nerve (CN V)
Temporomandibular joint dysfunction
Anatomy of the temporomandibular joint and muscles of mastication
Allergic rhinitis
Nasal polyps
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Rhinovirus
Nasal, oral and pharyngeal diseases: Pathology review
Pancoast tumor
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Laryngomalacia
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Trauma- and stressor-related disorders: Clinical
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Seizures: Clinical
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Syncope: Clinical
Anatomy clinical correlates: Oculomotor (CN III), trochlear (CN IV) and abducens (CN VI) nerves
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Cardiac conduction system
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Hyperthyroidism: Pathology review
Hyperthyroidism: Clinical
Toxic multinodular goiter
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Coagulation (secondary hemostasis)
Platelet plug formation (primary hemostasis)
Helping a patient with a rare disease
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Pancreas histology
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Jaundice: Clinical
Hepatitis A and Hepatitis E virus
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Adrenal insufficiency: Clinical
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Cushing syndrome
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Gastrointestinal system anatomy and physiology
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Malabsorption: Clinical
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Esophageal disorders: Clinical
Esophageal disorders: Pathology review
Gastroesophageal reflux disease (GERD)
Gastroesophageal reflux disease (GERD): Clinical
Eosinophilic esophagitis (NORD)
Diverticular disease: Pathology review
Anatomy of the gastrointestinal organs of the pelvis and perineum
Lesch-Nyhan syndrome
Sjogren syndrome
Non-steroidal anti-inflammatory drugs
Antihistamines for allergies
Eczematous rashes: Clinical
Atopic dermatitis
Urinary tract infections: Pathology review
Urinary tract infections: Clinical
Lower urinary tract infection
Papulosquamous and inflammatory skin disorders: Pathology review
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Erythema multiforme
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Severe chronic neutropenia (NORD)
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Anatomy of the female urogenital triangle
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Anatomy and physiology of the female reproductive system
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Shock: Pathology review
Shock
Hypovolemic shock: Clinical sciences
Portal hypertension
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Pulmonary embolism: Clinical sciences
Marfan syndrome
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Reading a chest X-ray
Chest X-ray interpretation: Clinical sciences
Approach to dyspnea: Clinical sciences
Bulimia nervosa
Anorexia nervosa
Lung volumes and capacities
Deep vein thrombosis: Clinical sciences
ECG basics
Multiple organ dysfunction syndrome (MODS): Clinical sciences
Sepsis: Clinical sciences
Stomach histology
Approach to non-healing wounds: Clinical sciences
Assessment of Thorax and Lungs
Bacterial and viral skin infections: Pathology review
Cellulitis
Necrotizing soft tissue infections: Clinical sciences
Necrotizing fasciitis
Clostridium perfringens
General anesthetics
Local anesthetics
Nitrogen and urea cycle
Surgical site infection: Clinical sciences
Disseminated intravascular coagulation
Congenital neurological disorders: Pathology review
Puberty and Tanner staging
Precocious puberty
Turner syndrome
Turner syndrome: Year of the Zebra
Disorders of sexual development and sex hormones: Pathology review
Congenital adrenal hyperplasia
5-alpha-reductase deficiency
Klinefelter syndrome
Disorders of sex chromosomes: Pathology review
Brachial plexus
Neonatal meningitis
Development of the fetal membranes
cGMP mediated smooth muscle vasodilators
Down syndrome (Trisomy 21)
Autosomal trisomies: Pathology review
Taking a good patient history
Chlamydia trachomatis infection: Clinical sciences
Sexually transmitted infections: Vaginitis and cervicitis: Pathology review
Neisseria gonorrhoeae infection: Clinical sciences
Testis, ductus deferens, and seminal vesicle histology
Anatomy and physiology of the male reproductive system
Hypoparathyroidism
Protein-calorie malnutrition: Clinical sciences
Zinc deficiency and protein-energy malnutrition: Pathology review
Water-soluble vitamin deficiency and toxicity: B1-B7: Pathology review
Water-soluble vitamin deficiency and toxicity: B9, B12 and vitamin C: Pathology review
Fat-soluble vitamin deficiency and toxicity: Pathology review
Disorders of carbohydrate metabolism: Pathology review
Galactosemia
Cholestatic liver disease
Infectious gastroenteritis: Clinical sciences
Cyclic vomiting syndrome (NORD)
Viral hepatitis
Hepatitis medications
Hepatitis C: Clinical sciences
Uremic encephalopathy: Clinical sciences
Alagille syndrome (NORD)
Alagille syndrome (NORD): Year of the Zebra
Adrenal insufficiency: Clinical sciences
Achondroplasia
Anatomy of the lymphatics of the neck
Anatomy of the inguinal region
Lymphatic system anatomy and physiology
Introduction to the lymphatic system
Kawasaki disease
Bordetella pertussis (Whooping cough)
Cystic fibrosis: Pathology review
Miscellaneous genetic disorders: Pathology review
Fragile X syndrome
Measles virus
Epstein-Barr virus (Infectious mononucleosis)
Disruptive, impulse control, and conduct disorders
Approach to syncope: Clinical sciences
Glycogen storage disease type I
Glycogen storage disease type II (NORD)
Disorders of fatty acid metabolism: Pathology review
Spinal muscular atrophy
Approach to urinary incontinence (GYN): Clinical sciences
Approach to hypothyroidism: Clinical sciences
Hypothyroidism medications
Approach to hyperthyroidism and thyrotoxicosis: Clinical sciences
Thyroid carcinoma: Clinical sciences
Anatomy clinical correlates: Anterior and posterior abdominal wall
Approach to abdominal wall and groin masses: Clinical sciences
Inguinal hernias: Clinical sciences
Approach to a postoperative fever: Clinical sciences
Chronic venous insufficiency
Venous insufficiency and ulcers: Clinical sciences

Transcript

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Hair, skin glands (including oil and sweat glands), and nails are all considered skin appendages, and they help with regulating body temperature and protection from the environment.

These appendages are found in a layer of skin called the dermis which is a layer sandwiched between two other layers called the epidermis and hypodermis.

The epidermis is the thin outermost layer of skin, the dermis is the thicker layer that lies below that, and the hypodermis is the lowest layer that’s made of fat and connective tissue and anchors the skin to the underlying muscle.

Hair is found on nearly every part of skin except the palms of the hands, soles of the feet, and the lips.

Every strand of hair is composed of the shaft, root, and bulb that sits in a pouch like structure called the hair follicle.

The hair follicle is epidermal tissue that dips down into the dermis, and is associated with other structures like apocrine glands, sebaceous glands, the arrector pili muscle, and nerve receptors.

Inside the bulb lies the hair matrix which serves as the active site of hair growth and gives hair its color.

It contains two different cell types - follicular keratinocytes and melanocytes, and these cells receive blood from a small cluster of capillaries called the papilla.

Similar to the epidermal keratinocytes in the skin, follicular keratinocytes in the hair replicate rapidly and die in a process called keratinization. During this process, keratinocytes produce keratin.

Keratin is a long filamentous protein that comes in many different forms depending on the type of keratinocytes producing it, but it is generally divided into soft and hard keratin; where soft keratin is produced by skin and hard keratin is produced by hair and nails.

Hard keratin is much denser than the soft keratin produced by epidermal keratinocytes in the epidermis, which gives hair and nails their durability.

During keratinization, the hard keratin fills up the entire cell, causing the organelles to flatten out.

Eventually, these follicular keratinocytes die - turning into compact little brick-like cells as they slowly get pushed further and further up into the hair follicle.

As this process continues different parts of the hair strand are made including the hair root and hair shaft that projects from the surface of skin.

Meanwhile, follicular keratinocytes at the bulb of the hair replicate only a set number of times, and once they have reached the maximum number, the hair follicle stops growing and falls out, which leads to baldness.

Now, melanocytes produce melanin, which is a protein pigment, or coloring substance, that gives each strand of hair its color.

Melanin is actually a broad term that constitutes several types of melanin found in people of differing skin color.

These subtypes of melanin range in color from black to reddish yellow and their relative quantity define a person’s skin color and hair color.

Melanocytes move melanin into small sacs called melanosomes, and these get taken up by newly formed follicular keratinocytes--giving hair its color. Over time these melanocytes stop producing melanin, which is why hair turns white as people age.

Looking at some of the structures in the follicle, we can see nerve receptors that wrap around the hair bulb, and these get stimulated when the hair shaft is moved like when a tiny bug walks over our forearm.

There’s also the arrector pili muscle that pulls on the hair making them stand up during cold weather or when you’re frightened - creating what are called goosebumps.

For many mammals - this was an evolutionary trick to make an animal look larger than it really is to scare away predators. Sort of like when a cat gets scared and all of it’s hair stand up tall!

Now, sebaceous glands, or oil glands, are located in the dermis layer of the skin and they’re found everywhere on the skin except on the palms, soles of the feet, and lips.

Sebaceous glands secrete an oily substance called sebum onto a nearby hair follicle or through pores that extend directly to the skin surface.

As it turns out, arrector pili muscles surround the sebaceous glands, so when these tiny muscles contract, sebum gets squeezed out.

Key Takeaways

The hair, skin, and nails are all made up of protein. The main protein in the hair is called keratin. Keratin is also present in the skin and nails. The hair, skin, and nails function includes protection against microbes, temperature regulation, and environmental interaction. They also provide clinicians with information regarding clients' health status.

Sources

  1. "Medical Physiology" Elsevier (2016)
  2. "Physiology" Elsevier (2017)
  3. "Human Anatomy & Physiology" Pearson (2018)
  4. "Principles of Anatomy and Physiology" Wiley (2014)
  5. "Keratin: Structure, mechanical properties, occurrence in biological organisms, and efforts at bioinspiration" Progress in Materials Science (2016)
  6. "The skin: an indispensable barrier" Experimental Dermatology (2008)