ABSTRACT
I. INTRODUCTION The skin is the largest organ of the body, accounting for more than 10% of body mass, and the one that enables the body to interact most intimately with its environment. Figure 1 shows a diagrammatic illustration of the skin. In essence, the skin consists of four layers: the stratum corneum (nonviable epidermis), the remaining layers of the epidermis (viable epidermis), dermis, and subcutaneous tissues. There are also several associated appendages: hair follicles, sweat ducts, apocrine glands, and nails. Many of the functions of the skin can be classified as essential to survival of the body bulk of mammals and humans in a relatively hostile environment. In a general context, these functions may be classified as protective, maintaining homeostasis, or sensing. The importance of the protective and homeostatic role of the skin is illustrated in one context by its barrier property. This allows the survival of humans in an environment of variable temperature; water content (humidity and bathing); and the presence of environmental dangers, such as chemicals, bacteria, allergens, fungi, and radiation. In a second context, the skin is a major organ for maintaining the homeostasis of the body, especially in terms of its composition, heat regulation, blood pressure control, and excretory roles. It has been argued that the basal metabolic rate of animals differing in size should be scaled to the surface area of the body to maintain a constant temperature through the skin’s thermoregulatory control (1). Third, the skin is a major sensory organ in terms of sensing environmental influences, such as heat, pressure, pain, allergen, and microorganism entry. Finally, the skin is an organ that is in a continual state of regeneration and repair. To fulfill
Figure 1 Components of the epidermis and dermis of human skin.
