HUMAN SKIN : THE GOOD : SKIN PHYSIOLOGY Professor Lester M. Davids [[email protected]] January 2017 HUMAN SKIN EPIDERMIS DERMIS HYPODERMIS WHAT GIVES OUR SKIN IT’S COLOUR ? “THE PIGMENT FACTORY” KERATINOCYTE MELANOCYTE BAGS OF MELANIN PIGMENT SKIN COLOURS MELANIN PIGMENT = ALBINISM VITILIGO WHY IS THE MELANIN PIGMENT SO IMPORTANT ?... MELANIN PIGMENT = 11 JANUARY! UV-B UV-A - Cloud cover UVC O3 - Ozone in the stratosphere O3 O3 O3 - Oblique angle of sunlight - Altitude -Dust and Smoke O3 O3 O3 Earth UVC 0% UVA UVB 10% 90 % UVA UVB - Wavelength: 320-400 nm - Least energetic, but harmful, destroys collagen and elastin - Passes the earth’s atmosphere almost unfiltered. - The amount that reaches the earth’s surface stays constant through the seasons and time of day. - Not filtered by glass - Wavelength 290-320 nm - Lower energy levels and longer wavelength than UVC - Destroys DNA directly!! - Some gets to the earth’s surface. Durban Cape Town CAPE TOWN - PROVEN TO HAVE THE HIGHEST UVB EXPOSURE IN SA UV-A – “AGEING” WAVELENGTH UV-B – “BURNING” WAVELENGTH MED = MINIMAL ERYTHEMAL DOSE - defined as minimal sun exposure needed to produce a reddening/darkening effect SPF = SUN PROTECTION FACTOR - defined as effectiveness of sun creams (Personal photo, Martin Nilsson) SO, WHY NOT STAY OUT OF THE SUN COMPLETELY ?... THE GOOD… UV-B WOUND HEALING VITAMIN D SYNTHESIS ...What is it? …Where to get it? • We get vitamin D from: 1. Exposure to sunlight 2. Diet 3. Dietary Supplements Highest precursor [7dehydrocholesterol] are found in the epidermal layer of skin. Vitamin D has a wide range of functions in human health. Vitamin D → Sunshine Vitamin Protects against heart diseases Strengthen & Build bones Prevent diabetes Prevent high blood pressure (HBP) Protects against cancers Calcium Homeostasis Protects against autoimmune diseases 1,25-DIHYDROXYVITAMIN D 3 • • • Pre-vitamin D3 is synthesized in the skin when exposed to mid-ultraviolet waves. – Pre-vitamin D3 isomerized to vitamin D3 (cholecalciferol). Cholecalciferol is hydroxylated in liver to form 25 hydroxycholecalciferol. In proximal convoluted tubule is hydroxylated to 1,25 dihydroxycholecalciferol (active vitamin D3). – Stimulated by PTH. FREQUENTLY ASKED QUESTIONS… HOW DO I PROTECT MY SKIN ? 12 – 3pm 30 mins CAN I TAN IF I HAVE A LIGHT SKIN ? WHAT ARE FRECKLES (EPHILIDES) ? - Concentrated areas of melanin in the skin…activated by sunlight BAG OF PIGMENT WHY DO WE GO GREY ? FINALLY…. LOVE THE SKIN YOU’RE IN!!... …..IT’S THE ONLY ONE WE’VE GOT!!! Thanx !
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