Материал: Kaplan USMLE-1 (2013) - Anatomy

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Section I • Histology and Cell Biology

ChapterSummary

• The integument consistsand sebaceousofthe skin glands,(epi ermishairs,andanddermnailss).andIt isassociatthe largestd appendages (sweat

organ in the body. The epidermis is devoid of blood vessels and contains a stratified squamous epithelium derived primarily from ectoderm. It is composed of 5 layers in thick skin: stratum basale, which is a proliferative layer of columnar/cuboidal cells, showing mitotic activity; stratum

spinosum, which is a multilaminar layer of cuboidal/polygonal cells; stratum granulosum, which has more flattened polygonal cells containing basophilic granules; stratum lucidum, which is a thin, eosinophilic layer of squamous cells; and stratum corneum, which is a thick layer containing anucleate keratinized cells. All 5 layers contain various amounts of keratin.

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The epidermis contains 4 cell types:

Keratinocytes, which produce keratin

Melanocytes derived from neural crest cells that produce melanin

Langerhans cells, which are antigen-presenting cells

Merkel cells, associated with nerve fibers.

The dermis is a connective tissue layer mainly of mesodermal origin. Other layers are the dermis-epidermal junction and hypodermis. The latter contains adipocytes.

Sweat glands may be eccrine or apocrine. These are compared in Table 1-12-1.

•Sebaceous glands are branched holocrine acinar glands that discharge their secretions onto hair shafts within hair follicles. They are absent in the palms and soles.

•Hair is comprised of keratinized epidermal cells. Hair follicles and the associated sebaceous glands are known as pilosebaceous units.

•Nails are modified stratum corneum of the epidermis and contain hard keratin. Cells continually proliferate and keratinize from the stratum basale of the nail matrix.

152 MEDICAL

SECTION

Early Embryology

Gonad Development

1

INDIFFERENT GONAD

Although sex is determined at fertilization, the gonads initially go through an indifferent stage between weeks 4 and 7 when there are no specific ovarian or testicular characteristics.

The indifferent gonads develop in a longitudinal elevation or ridge ofintermedi­ ate mesoderm called the urogenital ridge.

Primordial Germ Cells

Primordial germ cells arise from the lining cells in the wall ofthe yolk sac.

At week 4, primordial germ cells migrate into the indifferent gonad.

Components ofthe Indifferent Gonad

•Primordial germ cells migrate into the gonad from the yolk sac and provide a critical inductive influence on gonad development.

•Primary sex cords are fingerlike extensions of the surface epithelium that grow into the gonad that are populated by the migrating primordial germ cells.

•Mesonephric (Wolffian) and the paramesonephric (Mullerian) ducts of the indifferent gonad contribute to the male and female genital tracts, respectively.

 

 

MEDICAL

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