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Cells of the Epidermis01:24

Cells of the Epidermis

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The epidermis is made of four or five layers of epithelial cells, depending on its location in the body. From deep to superficial, these layers are the stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, and stratum corneum.
The cells in all these layers except the stratum basale are called keratinocytes, a type of cell that manufactures and stores the protein keratin. The keratinocytes in the stratum corneum are dead and regularly slough away, being replaced by cells from...
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Accessory Structures of the Skin: Sebaceous Glands01:21

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A sebaceous gland is a type of oil gland found almost all over the skin ( except palms and soles) and helps lubricate and waterproof the skin and hair. Most sebaceous glands are associated with hair follicles. They generate and excrete sebum, a mixture of lipids, onto the skin surface, thereby naturally lubricating the dry and dead layer of keratinized cells of the stratum corneum, keeping it pliable.
These glands that produce the oils on the skin and hair are holocrine glands. The mature...
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Papillary Dermis01:11

Papillary Dermis

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Dermis
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen...
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Reticular Dermis01:15

Reticular Dermis

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The papillary and reticular dermis are the two layers of the dermis. They are made of connective tissue with fibers of collagen extending from one to the other, making the border between the two somewhat indistinct. The dermal papillae extending into the epidermis belong to the papillary layer, whereas the dense collagen fiber bundles below belong to the reticular layer.
Reticular Layer
Underlying the papillary layer is the much thicker reticular layer, composed of dense, irregular connective...
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Renewal of Skin Epidermal Stem Cells01:12

Renewal of Skin Epidermal Stem Cells

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The skin is divided into epidermis, dermis, and hypodermis, the skin's outermost, middle, and inner layers. The human epidermal layer regularly undergoes renewal, where old, dead cells are replaced by new cells. Epidermal stem cells or EpiSCs divide and differentiate to restore the lost cells. For the renewal process, some EpiSCs continuously self-renew. In contrast, few others differentiate into transit-amplifying cells, which later form prickle or spinous cells, followed by granular...
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Accessory Structures of the Skin: Hair and Hair Follicles01:16

Accessory Structures of the Skin: Hair and Hair Follicles

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Hair and hair follicles are integral components of the integumentary system. Hair is a filamentous structure composed mainly of a protein called keratin. It is found on the surface of the skin throughout the body, except for areas such as the palms of the hands and soles of the feet.
Hair is a keratinous filament growing out of the epidermis. It is primarily made of dead, keratinized cells. Hair strands originate at the epidermal penetration called the hair follicle. The hair shaft is the part...
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Updated: Oct 7, 2025

Author Spotlight: Development and Evaluation of a Compound Acne Rodent Model Using C. acnes and Oleic Acid
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Axillary Granular Parakeratosis.

Kayla J Riswold1, B Joel Tjarks1,2, Jana B Johnson1,3

  • 1University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

South Dakota Medicine : the Journal of the South Dakota State Medical Association
|January 7, 2022
PubMed
Summary
This summary is machine-generated.

A rare skin condition, axillary granular parakeratosis, presents as itchy, scaly patches. Microscopic findings confirmed this benign diagnosis, distinct from viral infections.

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Area of Science:

  • Dermatology
  • Histopathology

Background:

  • Axillary granular parakeratosis is a rare, benign skin condition.
  • It is characterized by a defect in epidermal differentiation.
  • This condition is often underreported in clinical practice.

Observation:

  • An 85-year-old female presented with pruritic, scaly, hyperpigmented papules and plaques in the left axilla.
  • Initial concern for varicella zoster infection led to antiviral treatment.
  • A shave biopsy was performed for definitive diagnosis.

Findings:

  • Microscopic examination revealed compact hyperparakeratosis with keratohyalin granules.
  • Eosinophils were observed within the stratum corneum.
  • Epidermal changes included acanthosis and irregular hyperplasia of rete ridges, confirming axillary granular parakeratosis.

Implications:

  • Accurate diagnosis of axillary granular parakeratosis is crucial to distinguish it from other dermatoses.
  • Awareness of this condition aids clinicians in reassuring patients about its benign nature.
  • Appropriate identification facilitates correct treatment recommendations and patient management.