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Dermatology

Dermatology (from Greek derma, "skin") is a branch of medicine dealing with the skin and its appendages (hair, nails, sweat glands etc). A medical doctor who specializes in dermatology is a dermatologist. The surgical practice of dermatology is dermasurgery.

 

Any mole that is irregular in color or shape should be examined by a dermatologist to determine if it is a malignant melanoma, the most serious and life-threatening form of skin cancer.

 

 
 

In zootomy and dermatology, skin is an organ of the integumentary system composed of a layer of tissues that protect underlying muscles and organs. As the interface with the surroundings, it plays the most important role in protecting against pathogens. Its other main functions are insulation and temperature regulation, sensation and vitamin D and B synthesis.

 

Skin has pigmentation, provided by melanocytes, which absorbs some of the potentially dangerous radiation in sunlight. It also contains DNA repair enzymes which reverse UV damage, and people who lack the genes for these enzymes suffer high rates of skin cancer. One form predominantly produced by UV light, malignant melanoma, is particularly invasive, causing it to spread quickly, and can often be deadly. Human skin pigmentation varies among populations in a striking manner. This has sometimes led to the classification of people(s) on the basis of skin color. See the article on human skin color.

 

Mammalian skin often contains hairs, which in sufficient density is called fur. The hair mainly serves to augment the insulation the skin provides, but can also serve as a secondary sexual characteristic or as camouflage. On some animals the skin is very hard and thick, and can be processed to create leather. Reptiles and fish have hard protective scales on their skin for protection, and birds have hard feathers, all made of tough β-keratins. Amphibian skin is not a strong barrier to passage of chemicals. A frog sitting in an anesthetic solution will quickly go to sleep.

 

Damaged skin will try to heal by forming scar tissue, often giving rise to discoloration and depigmentation of the skin.

 

The skin is often known as "the largest organ in the human body". This applies to exterior surface, as it covers the body, appearing to have the largest surface area of all the organs. Moreover, it applies to weight, as it weighs more than any single internal organ, accounting for about 15 percent of body weight. For the average adult human, the skin has a surface area of between 1.5-2.0 square metres, most of it is between 2-3 mm thick. The average square inch of skin holds 650 sweat glands, 20 blood vessels, 60,000 melanocytes, and more than a thousand nerve endings.

 

Skin is composed of the epidermis (outermost layer) and the dermis (below the epidermis layer). Below these layers lies the hypodermis (subcutaneous adipose layer), which is not usually classified as a layer of skin. The hypodermis is not part of the skin, and lies below the dermis. Its purpose is to attach the skin to underlying bone and muscle as well as supplying it with blood vessels and nerves. It consists of loose connective tissue and elastin. The main cell types are fibroblasts, macrophages and adipocytes (the hypodermis contains 50% of body fat). Fat serves as padding and insulation for the body. Functions of Skin:

  1. Protection: an anatomical barrier between the internal and external environment in bodily defense; Langerhans cells in the skin are part of the adaptive immune system

  2. Sensation: contains a variety of nerve endings that react to heat, cold, touch, pressure, vibration, and tissue injury.

  3. Heat regulation: The skin contains sebaceous glands.

  4. Storage and synthesis: acts as a storage centre for lipids and water, as well as a means of synthesis of vitamin D and B by action of UV. This synthesis is linked to pigmentation, with darker skin producing more vitamin B than D, and vice versa.

  5. Excretion: Excretion by sweating is at most a secondary function to temperature regulation.

  6. Absorption: Oxygen, nitrogen and carbon dioxide can diffuse into the epidermis in small amounts. In addition, medicine can be administered through the skin.

source: http://en.wikipedia.org

 
 

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Copyright [2006] [Dr.Himanshu Chauhan]. All rights reserved