6. EMBRYOLOGY
• Epidermal downgrowths in Fetal Life
(Ectodermal Origin)
• 03 Months – Palms / Soles
• 05 Months – Other Areas
• 08 Months - Adult Morphology
No Post-natal development
10. SECRETORY COIL
• 02-05 mm Uncoiled Length ; 60-80 microns Dia
Large CLEAR CELLS (CC)
Secretory / Pyramidal / Rest on ME
Lipofuschin Autofluoroscent Granules
Aqueous Substance + Glycogen
House Na+ - PUMP for Active Ion Tpt
11. SECRETORY COIL
• Small DARK Cells (DC)
Mucoid / Cuboidal / Rest on CC
PAS – positive Glycoproteins
Sialomucin secretion
• Myo-Epithelial Cells (ME)
Spindle / Rest on BM / Support CC
Myofilaments / Mechanical Support
? Propel Sweat to the surface
Non-Secretory
COLLAGEN-RICH HYALINE BASEMENT MEMBRANE
14. INTRADERMAL SWEAT DUCT
• LUMINAL Cells – Inner / Small / Cuboidal /
Basophilic
• DUCTAL Cells – Outer (Basal) / Na – K –
ATPase Activity ? Ductal Reabsorption of
Sweat
Tonofilament – rich Pseudo-Cuticle Rigidity
15. ACROSYRINGIUM
• Intraepidermal Ductal System
• Rete Ridge Corneal Surface
• Single layer of Inner Luminal Cells
• 02-03 Layers of Outer Basal Cells
Cells contain Desmosomes, few Melanocytes and
undergo Kertainization
Final Propulsion of Formed Sweat to Surface via
Pore
16. FUNCTIONS
• SWEATING
Heat Stress – Evaporative Heat Loss
(1 L 585 kCal)
Emotional Stimuli
Gustatory Stimuli
• MOISTURIZING
For Improved Grip
• EXCRETION
Minor / Adjunct Organ
except Certain Drugs
MAINTAIN ELECTROLYTE-BALANCE
ANTI-MICROBIAL PEPTIDES (DERMICIDIN - ‘Sweat Antibiotic’)
17. CONTROL OF ECCRINE SWEATING
03 PHYSIOLOGICAL STIMULI
THERMOREGULATORY (Hypothalamus)
EMOTIONAL (?Frontal)
GUSTATORY (Medulla)
21. THERMOREGULATION
• HEAT LOSS - radiation,
convection, conduction and
evaporation
• Thermal Sweating keeps Body
Temperature constant
• High environmental Temp
Evaporational Heat Loss
provides maximum regulation
23. SWEATING
• CLEAR ODOURLESS ECCRINE SECRETION
PERSPIRATION
• Comprises WATER + electrolytes
• SWEAT RATE
No of Active Sweat Glands per area X Rate of
Sweating / Gland (Max 02-20 micro L / gland)
• 10 L SWEAT / DAY in Acclimatized indl
25. MECHANISM OF SWEAT PRODUCTION
• 02 STEPS :
(1) SECRETORY COIL ‘ULTRAFILTRATE’
ISOTONIC FLUID i/r/o Ach
(2) DUCTAL SYSTEM REABSORBS NaCl HYPOTONIC
SURFACE SWEAT
26. • ACh stimulates EG by inc intracellular Ca2+
• Opens K+ Cl- Channels in CC Loss of K+
Cl- H20
• Eccrine Gland Shrinkage
• Na K ATPase Pump Activated to facilitate
Intracellular entry of Na+ K+ Cl-
• Isotonic NaCl in Lumen of Coiled Tubule
27. DUCTAL REABSORPTION
• Na+ Re-Entry via Na+ Channels
and Transport across BDC by
Na+ K+ ATPase Pump
• SWEAT ACIDIFICATION by
Carbonic Anhydrase
28. OTHER FACTORS AFFECTING
SWEATING
• Environmental conditions(Ambient Temp / Air Velocity
• Clothing (Insulation and Moisture Permeability)
• Degree of Acclimatization
• Physical activity level
• Emotional stress
29. EXCRETORY FUNCTION
• MINOR ROUTE for Water / Electrolytes /
Metabolic Wastes
• ACTIVE EXCRETION of DRUGS :
– Griseofulvin / Ketoconazole / ?Fluconazole
– Ciprofloxacin / Sulpha Drugs
– Phenobarbitol / Other AEDs
– ?? Chemotherapeutic Agents / DMARDs ??