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What Contributes To Skin Color

Pigmentation

The color of skin is influenced by a number of pigments, including melanin, carotene, and hemoglobin. Recall that melanin is produced by cells chosen melanocytes, which are found scattered throughout the stratum basale of the epidermis. The melanin is transferred into the keratinocytes via a cellular organelle called a melanosome  (Figure 5.7).

This figure consists of two diagrams side by side. The right diagram shows development of light colored skin; the left shows development of dark-colored skin. In both, a brown melanocyte sits at the border between the dermis and epidermis. The melanocyte has a large nucleus and six finger-like extensions. These reach between cells of the stratum basalis. Sections of the extensions detach and travel through the skins. These are melanosomes. In the left diagram, both the melanocyte and melanosomes contain melanin particles, shown as dark dots. Melanosomes travel upwards to outer skin layers, releasing melanin. As a result, keratinocytes in the left diagram contain several melanin particles that darken skin color. In light colored skin, the melanocyte contains no melanin. It still releases melanosomes into upper layers of the skin; however, these melanosomes contain no melanin. Therefore, the skin does not darken and remains light.

Figure five.seven. Skin Pigmentation
The relative coloration of the skin depends of the amount of melanin produced by melanocytes in the stratum basale and taken up past keratinocytes.

Melanin occurs in two main forms. Eumelanin exists as black and brown, whereas pheomelanin provides a red color. Nighttime-skinned individuals produce more melanin than those with pale skin. Exposure to the UV rays of the sun or a tanning salon causes melanin to be manufactured and congenital up in keratinocytes, equally sun exposure stimulates keratinocytes to secrete chemicals that stimulate melanocytes. The accumulation of melanin in keratinocytes results in the darkening of the skin, or a tan. This increased melanin accumulation protects the Dna of epidermal cells from UV ray damage and the breakup of folic acrid, a nutrient necessary for our health and well-existence. In contrast, as well much melanin can interfere with the product of vitamin D, an important nutrient involved in calcium absorption. Thus, the amount of melanin present in our skin is dependent on a residue betwixt bachelor sunlight and folic acid devastation, and protection from UV radiation and vitamin D product.

It requires nigh 10 days later on initial dominicus exposure for melanin synthesis to peak, which is why pale-skinned individuals tend to suffer sunburns of the epidermis initially. Night-skinned individuals can also get sunburns, just are more protected than are pale-skinned individuals. Melanosomes are temporary structures that are eventually destroyed past fusion with lysosomes; this fact, along with melanin-filled keratinocytes in the stratum corneum sloughing off, makes tanning impermanent.

Too much dominicus exposure tin can eventually lead to wrinkling due to the devastation of the cellular structure of the skin, and in severe cases, tin crusade sufficient DNA damage to result in skin cancer. When in that location is an irregular accumulation of melanocytes in the skin, freckles appear. Moles are larger masses of melanocytes, and although most are benign, they should exist monitored for changes that might indicate the presence of cancer (Figure 5.8).

Five photos of moles. The three upper photos show moles that are small, flat, and dark brown. The bottom left photo shows a dark black mole that is raised above the skin. The bottom right photo shows a large, raised, reddish mole with protruding hairs.

Figure 5.viii. Moles
Moles range from benign accumulations of melanocytes to melanomas. These structures populate the landscape of our peel. (credit: the National Cancer Constitute)

Peel Discoloration

The first thing a clinician sees is the skin, and so the test of the skin should exist part of any thorough concrete exam. Most skin disorders are relatively beneficial, only a few, including melanomas, tin be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the pare and its accessory organs. Although neither is fatal, it would be hard to claim that they are benign, at least to the individuals so afflicted.

Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, pilus, and optics. The defect is primarily due to the inability of melanocytes to produce melanin. Individuals with albinism tend to appear white or very stake due to the lack of melanin in their skin and hair. Recall that melanin helps protect the peel from the harmful effects of UV radiation. Individuals with albinism tend to need more than protection from UV radiation, as they are more prone to sunburns and pare cancer. They as well tend to be more sensitive to light and have vision problems due to the lack of pigmentation on the retinal wall. Treatment of this disorder ordinarily involves addressing the symptoms, such as limiting UV light exposure to the skin and eyes. Invitiligo, the melanocytes in sure areas lose their ability to produce melanin, perchance due to an autoimmune reaction. This leads to a loss of color in patches (Figure 5.9). Neither albinism nor vitiligo straight affects the lifespan of an individual.

This photo shows the back of a man's neck. There is a large, discolored patch of skin at the base of his hairline. The discolored area extends over the ears onto the cheeks, toward the front of the face. The man's head and facial hair are mostly gray, but white patches of hair are seen above the discolored skin.

Figure 5.nine. Vitiligo
Individuals with vitiligo experience depigmentation that results in lighter colored patches of skin. The condition is specially noticeable on darker skin. (credit: Klaus D. Peter)

Other changes in the appearance of skin coloration can be indicative of diseases associated with other body systems. Liver disease or liver cancer can crusade the accumulation of bile and the yellow pigment bilirubin, leading to the skin actualization yellow or jaundiced (jaune is the French word for "yellow"). Tumors of the pituitary gland can result in the secretion of large amounts of melanocyte-stimulating hormone (MSH), which results in a darkening of the skin. Similarly, Addison'southward disease tin can stimulate the release of excess amounts of adrenocorticotropic hormone (ACTH), which tin can give the peel a deep bronze color. A sudden drop in oxygenation tin can touch skin color, causing the skin to initially turn pale (white), a condition called pallor. With a prolonged reduction in oxygen levels, night red deoxyhemoglobin becomes dominant in the claret, making the skin appear blue, a status referred to equally cyanosis (kyanos is the Greek discussion for "blue"). This happens when the oxygen supply is restricted, as when someone is experiencing difficulty in animate because of asthma or a heart assail. However, in these cases the effect on skin colour has nothing do with the pare's pigmentation.

Interactive Link

This ABC video follows the story of a pair of congenial African-American twins, one of whom is albino. Lookout this video to learn about the challenges these children and their family unit confront. Which ethnicities do you lot think are exempt from the possibility of albinism?

Source: https://courses.lumenlearning.com/nemcc-ap/chapter/pigmentation/

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