Dermis

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Dermis
The distribution of the bloodvessels in the skin of the sole of the foot. (Corium - TA alternate term for dermis - is labeled at upper right.)
A diagrammatic sectional view of the skin (magnified). (Dermis labeled at center right.)
Gray's subject #234 1065
MeSH Dermis
Dorlands/Elsevier d_11/12289496

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The dermis is a layer of skin beneath the epidermis that consists of connective tissue, and cushions the body from stress and strain.The dermis is the lower layer of skin; contains main blood vessels. The dermis is tightly connected to the epidermis by a basement membrane, and harbors many nerve endings that provide the sense of touch and heat. It contains the hair follicles, sweat glands, sebaceous glands, apocrine glands, and blood vessels. The blood vessels in the dermis provide nourishment and waste removal to its own cells, as well as the Stratum basale of the epidermis.

Structure

The dermis is structurally divided into two areas: a superficial area adjacent to the epidermis, called the papillary region, and a deep thicker area known as the reticular region.

Papillary region

The papillary region is composed of loose areolar connective tissue. It is named for its fingerlike projections called papillae, which extend toward the epidermis. The papillae provide the dermis with a "bumpy" surface that interdigitates with the epidermis, strengthening the connection between the two layers of skin.

In the palms, fingers, soles, and toes, the influence of the papillae projecting into the epidermis forms contours in the skin's surface. These are called friction ridges, because they help the hand or foot to grasp by increasing friction. Friction ridges occur in patterns (see fingerprint) that are genetically determined and are therefore unique to the individual, making it possible to use fingerprints or footprints as a means of identification.

Reticular region

The reticular region lies deep to the papillary region and is usually much thicker. It is composed of dense irregular connective tissue, and receives its name from the dense concentration of collagenous, elastic, and reticular fibers that weave throughout it. These protein fibers give the dermis its properties of strength, extensibility, and elasticity.

Located within the reticular region are also the hair roots, sebaceous glands, sweat glands, receptors, nails, and blood vessels.


Tattoo ink is injected into the dermis. Stretch marks are also located in the dermis.

Additional images

External links


bg:Дерма ca:Dermis cs:Škára de:Dermiseo:Dermoms:Lapisan dermis nl:Dermissk:Zamša fi:Verinahka sv:Läderhuden th:หนังแท้



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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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