3.6 Integumentary System
Overview
The integumentary system is one of the largest body systems, and its main component is the skin. The integumentary system also includes hair/fur, feathers, scales, exoskeleton, horns, nails, claws, hooves, sebaceous and sweat glands. Its functions include thermoregulation, sensory perception, ensuring fluid balance, serving as a protective barrier to external substances, camouflage, communication, and providing immune defense against foreign substances (Introduction to Health Assessment for the Nursing Professional – Part 2, 2023). Skin is made up of multiple layers of cells and tissues that are held to underlying structures by connective tissues. The skin acts as a sense organ because it contains specialized sensory nerve structures that detect touch, surface temperature, and pain (OSCRiceUniversity, 2013).
Layers of the Skin
Epidermis: The outermost skin layer; composed of keratinized, stratified squamous epithelium
Dermis: The middle skin layer; contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands
Hypodermis: Lies below the dermis; also known as the subcutaneous layer. Composed primarily of adipose tissue, it connects the skin to the fibrous tissues of the bones and muscles.
CrashCourse. (2015, February 9). The integumentary system, part 1 – Skin deep: Crash Course anatomy & physiology #6 [Video]. YouTube. https://www.youtube.com/watch?v=Orumw-PyNjw&list=PL8dPuuaLjXtOAKed_MxxWBNaPno5h3Zs8&index=7
Structures of the Integumentary System
Digits: An animal’s toes. The number of digits in mammals varies greatly.
Dog and Cats
Dogs and cats have paws, generally with four toes (or five with dewclaws). The underside of the paws has pads that cushion the foot and each digit. These pads have the toughest and thickest skin of the body and are rich in sensory nerves and glands.
The digits are numbered from medial to lateral—the dewclaw is digit 1 (even if not present) and the most lateral toe is digit 5. This is shown in the figure below:
The claw (nail) of carnivores is composed of specialized epidermis and dermis that are firmly attached to the underlying bone—third phalanx, or P3. Beneath the epidermis is the highly vascular and well-innervated dermis, or quick.
Clinical Insight
When trimming dog and cat nails, we try to only cut the epidermis. If we cut too deep and catch the quick, the nail bleeds and is painful.
It is easier to trim white nails, because you can visualize where the quick is before you cut. With black nails, you can’t see the quick before cutting, so you generally have to go slower to ensure you don’t cut too much at once.
(Jennings & Premanandan, 2017)
Ungulates
Ungulates are hoofed mammals. Examples include pigs, horses, cows, goats, and sheep. Ungulates are generally classified as even-toed or odd-toed. All the examples listed are even-toed ungulates, because they have an even number of toes, except for horses, which only have one toe.
Whose hoof?
Hooves are generally compared to the claw of carnivores as discussed above. Similar to a claw, the hoof is made up of a hard epidermis and is attached to the underlying bone (P3). The sole of the hoof (the underside) can be compared to the pads discussed above—it is used for cushioning and is softer than the outer wall of the hoof. One interesting feature of hooves is how they are connected to the underlying bone. The structures that help with this is called the laminae, which are interlocking projections of the dermis and epidermis.
Sagittal plane of a horse hoof. P3 is the most distal phalanx (bone of the digit) (adapted from Jennings & Premanandan, 2017).
Clinical Insight
In horses, when the laminae become inflamed, the hoof wall can separate from the underlying bone. This condition is called laminitis and is very painful!
(Jennings & Premanandan, 2017)
Hair: A protein filament that grows from follicles in the epidermis. Each hair root is connected to a smooth muscle called the arrector pili that contracts in response to nerve signals from the sympathetic nervous system, making the hair “stand up.” The primary purpose for this is to trap a layer of air to add insulation, which is visible in humans as goosebumps (Betts et al., 2012).
Clinical Insight
When an animal is stressed or cold, their hair stands erect because of contraction of the arrector pili muscles (called piloerection). When an animal “raises their hackles,” the arrector pili on the dorsal side of their neck contracts to make the hair stand up, as seen in Figure 3.23 (Jennings & Premanandan, 2017).
Sebaceous gland: A type of oil gland that helps to 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 skin (Betts et al., 2012).
Sweat glands: Glands that produce sweat to cool the body when it becomes warm
Clinical Insight
Humans sweat to help dissipate heat in thermoregulation, as do horses. However, heat loss in dogs occurs primarily via panting.
COMBINING FORM | MEANING | EXAMPLE USED IN VETERINARY MEDICINE |
---|---|---|
cutane/o | skin | cutaneous |
derm/o, dermat/o | skin | epidermal |
onych/o | claw, nail | onychectomy |
pil/o | hair | piloerection |
ungul/o | hoof | ungulate |
Common Pathological Conditions of the Integumentary System
Abscess: A localized collection of pus (Anspaugh et al., 2013).
Acne: An inflammatory and pustular eruption of the skin (Anspaugh et al., 2013).
Acute moist dermatitis: Localized infection and inflammation of the skin, is usually associated with excessive licking and scratching of the area; also known as a “hot spot“.
Alopecia: A condition characterized by hair loss or lack of hair.
Carcinoma: A malignant tumour that originates in the epithelium.
Cyst: A thin-walled, fluid-filled structure.
Dermatitis: Inflammation of the skin.
Ectoparasites
Ectoparasites are organisms that infest the skin and hair of an animal. Clinical signs include seeing the parasite itself, its eggs, or the irritation caused by them. The animal usually presents with alopecia and pruritus. Ectoparasites include ticks, fleas, lice, and mites. The term used for skin infections by mites is mange. The severity of mange will depend on the number of mites infecting the animal and the body’s reaction to the infestation.
Clinical Insight
Some ectoparasites can also transmit disease. For example, the deer tick (black-legged tick) can transmit Lyme disease.
Flea allergy dermatitis: Inflammation of the skin caused by flea saliva. Fleas are blood-sucking, wingless insects that live and breed in the hair coat of an animal and often cause pruritus.
Example
Figure 3.25 shows a dog that has been diagnosed with fleas. The redness of the skin, erythema, seen on the back and tail, is from the irritation of the fleas’ saliva.
Frostbite: Damage to the tissues caused by extreme cold
Laceration: A cut into the skin, usually accidental.
Lipoma: A benign tumour composed of adipose tissue (Anspaugh et al., 2013).
Pyoderma: An inflammatory skin disease with pus.
Ringworm: A fungal infection of the skin that usually presents with a circular, ring-shaped rash. This disease is zoonotic.
Examples
Figures 3.27 and 3.28 show different presentations of ringworm. Figure 3.27 is a typical circular area of redness. Figure 3.28 is a serous outbreak of ringworm infecting most of the hind end of a calf.
Ulcer: An open sore of the skin or mucous membranes.
Common Procedures
Biopsy: Sampling tissue for histology.
Cauterization: A medical practice or technique that involves burning a part of the body to remove or close off a part of it.
Culture: A diagnostic test to identify microbes. The sample is placed in a sealed medium with specialized nutrients, allowing the fungal or bacterial culture to reproduce.
Debridement: The removal of dead tissue from a wound.
Clinical Insight
Declaw: To surgically remove the most distal of the digital bones in cats; also called onychectomy. Many Canadian provinces have banned the declawing procedure in cats unless deemed necessary by a veterinarian.
Fine needle aspiration: Sampling cells via aspiration through a needle and syringe for cytology.
Intradermal skin testing: A procedure that introduces allergens to the skin to determine the body’s response, allowing the veterinarian to determine the specific allergy a patient may have.
Example
Figure 3.29 shows allergy testing on a dog. The black spots are markers identifying which allergen was placed in that location. The swelling and redness seen beside the markers is the reaction to the allergen.
Lance: To open or pierce with a blade to allow drainage.
Laser: A device that emits certain wavelengths of light; can be used in treatment or surgery, depending on the wavelength.
Skin scrape: The microscopic examination of skin for the presence of mites; skin is sampled by scraping a scalpel blade across an area that is squeezed or raised to obtain a deep skin sample.
Acronyms
Bx: biopsy
FAD: flea allergy dermatitis
ID: intradermal
FNA: fine needle aspiration
SQ/SC: subcutaneous
Additional Integumentary System Terms
Dewclaw: A digit on the forefoot of many mammals, birds, and reptiles. In dogs, it is the first digit. Some dogs may have hind dewclaws.
Intradermal: Within the skin.
Lesion: Any wound, injury, or pathologic change in body tissue (Anspaugh et al., 2013).
Pruritus: Itchiness.
Zoonotic means WHAT???
Zoonotic means a disease can be transmitted between animals and humans. It is important to remember that some skin conditions (and parasites) can spread to humans, so hand-washing and communicating with your team about risks associated with certain diseases is very important to help keep everyone safe! Always ask the veterinarian if you have any concerns about this.
Exercise
Attribution
Unless otherwise indicated, material on this page has been adapted from the following resource:
Sturdy, L., & Erickson, S. (2022). The language of medical terminology. Open Education Alberta. https://pressbooks.openeducationalberta.ca/medicalterminology/, licensed under CC BY-NC-SA 4.0
References
Anspaugh, K., Goncalves, S., Jackson-Osagie E., & Smith, S. Q. (2022). Medical terminology: An interactive approach. LOUIS: The Louisiana Library Network. https://louis.pressbooks.pub/medicalterminology/, licensed under CC BY 4.0
Betts, J. G., Desaix, P., Johnson, E., Johnson, J., Korol, O., Kruse, D., Poe, B., Wise, J., Womble, M., & Young, K. (2012). Anatomy and physiology. OpenStax. https://openstax.org/books/anatomy-and-physiology/pages/preface, licensed under CC BY 4.0
Introduction to health assessment for the nursing professional – Part 2. (2023). Toronto Metropolitan University. https://pressbooks.library.torontomu.ca/assessmentnursing2/, licensed under CC BY-NC 4.0
Jennings, R., & Premanandan, C. (2017). Veterinary histology. Ohio State University. https://ohiostate.pressbooks.pub/vethisto, licensed under CC BY-NC 4.0
OSCRiceUniversity. (2013). Anatomy & physiology. OpenStaxCollege. https://pressbooks-dev.oer.hawaii.edu/anatomyandphysiology/, licensed under CC BY 4.0
Image Credits
(images are listed in order of appearance)
Blausen 0810 SkinAnatomy 01 by BruceBlaus, CC BY 3.0
Dog paw by Kelly Robertson, NorQuest College. Labelled by Matéa David-Steel. Used with permission.
Dog nail by Kelly Robertson, NorQuest College. Used with permission.
Palmar aspect of a horse’s hoof
Palmar aspect of a lamb’s hoof
Cheetah by ArtisticOperations, Pixabay licence
Tick by makamuki0, Pixabay licence
Flea allergy dermatitis by Caroldermoid, CC BY-SA 3.0
Black cat with frostbitten ears by Kelly Robertson, NorQuest College. Used with permission.
Ringworm on the arm by CDC/ Dr. Lucille K. Georg Licensed, Public domain
Calf with ringworm infection-1 by Uberprutser, CC BY-SA 4.0
Intradermal allergy test by Caroldermoid, CC BY-SA 3.0
Mammals with hooves
Pertaining to the skin
Pertaining to above the skin
is a surgical procedure to remove an animal's distal phalanges or claws. Also, known as declawing
the act of the hair standing straight up
animals with hooves.
is an organism that lives on the outer surface of the host
hair loss
itchy skin
skin redness
A disease that is transmissible between humans and animals
The study of tissue
The study of cells