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ECCRINE GLANDS
OVERVIEW
• Major Sweat Glands
• Primates
• ‘Atrichial’
• Temp Regulation
• Grip
• Minor Excretory
ETYMOLOGY
Merocrine (Gk: Meros – Part + Krinien – Separate)
Sudoriferous (Lat: Sudare – Sweat Fer – to carry /
bear)
Eccrine (Gk : Ekkrinien – to secrete)
Exocrine Glands
DENSITY / DISTRIBUTION
• Generalized distt INCL Glans / Prepuce
EXCL Vermillion Border Lip
Nail Bed
Clitoris / Labia Minora
Ext Aud Canal
02 – 04 Million Glands / BSA
30 – 40 mcg Indl Weight (Cum – 100 g)
Males > Females > Pre-pubertal Distt
DISTRIBUTION (Glands/cm2)
• Volar 600 – 700
• Forehead 181
• Forearm 108
• Back 64
EMBRYOLOGY
• Epidermal downgrowths in Fetal Life
(Ectodermal Origin)
• 03 Months – Palms / Soles
• 05 Months – Other Areas
• 08 Months - Adult Morphology
No Post-natal development
DEVELOPMENT
STRUCTURE
• SIMPLE COILED TUBULAR Glands
• Spiral Intraepidermal duct (ACROSYRINGIUM)
• Straight Intradermal duct UPPER DERMIS
• Coiled Terminal Portion (ACINUS / FUNDUS)
2/3rd SECRETORY
1/3rd DUCTAL
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
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
ULTRASTRUCTURE OF
SECRETORY COIL
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
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
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’)
CONTROL OF ECCRINE SWEATING
03 PHYSIOLOGICAL STIMULI
THERMOREGULATORY (Hypothalamus)
EMOTIONAL (?Frontal)
GUSTATORY (Medulla)
THERMOREGULATORY MECHANISM
INNERVATION OF ECCRINE GLANDS
• Via Efferent Sudomotor Pathway through Postganglionic
non-myelinated C fibres to Eccrine Glands
• SKIN SUPPLY
UPPER LIMB T2 – T8
TRUNK T4 – T12
LOWER LIMB L2 – L4
• Sympathetic nerve supply - MUSCARINIC & CHOLINERGIC R
• Alpha / Beta Adrenergic Receptors
SUDOMOTOR PATHWAY
THERMOREGULATION
• HEAT LOSS - radiation,
convection, conduction and
evaporation
• Thermal Sweating keeps Body
Temperature constant
• High environmental Temp 
Evaporational Heat Loss
provides maximum regulation
THERMOREGULATION
FACTORS :
LOCAL SKIN TEMP
10 deg C Rise  3X Local Sweating
CORE TEMP
Similar Rise  9X Local Skin Temp
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
CONTENTS
• pH : 4.3 – 4.7
• WATER
• Inorganic ions – sodium, chloride, potassium
• Lactate / Urea (Moisturizers)
• Glucose +/-
• Ammonia and amino acids
• Proteins including proteases
MECHANISM OF SWEAT PRODUCTION
• 02 STEPS :
(1) SECRETORY COIL  ‘ULTRAFILTRATE’
ISOTONIC FLUID i/r/o Ach
(2) DUCTAL SYSTEM  REABSORBS NaCl  HYPOTONIC
SURFACE SWEAT
• 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
DUCTAL REABSORPTION
• Na+ Re-Entry via Na+ Channels
and Transport across BDC by
Na+ K+ ATPase Pump
• SWEAT ACIDIFICATION by
Carbonic Anhydrase
OTHER FACTORS AFFECTING
SWEATING
• Environmental conditions(Ambient Temp / Air Velocity
• Clothing (Insulation and Moisture Permeability)
• Degree of Acclimatization
• Physical activity level
• Emotional stress
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 ??
ECCRINE GLAND
DISORDERS
THANK YOU

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Eccrine glands by Aseem

  • 2. OVERVIEW • Major Sweat Glands • Primates • ‘Atrichial’ • Temp Regulation • Grip • Minor Excretory
  • 3. ETYMOLOGY Merocrine (Gk: Meros – Part + Krinien – Separate) Sudoriferous (Lat: Sudare – Sweat Fer – to carry / bear) Eccrine (Gk : Ekkrinien – to secrete) Exocrine Glands
  • 4. DENSITY / DISTRIBUTION • Generalized distt INCL Glans / Prepuce EXCL Vermillion Border Lip Nail Bed Clitoris / Labia Minora Ext Aud Canal 02 – 04 Million Glands / BSA 30 – 40 mcg Indl Weight (Cum – 100 g) Males > Females > Pre-pubertal Distt
  • 5. DISTRIBUTION (Glands/cm2) • Volar 600 – 700 • Forehead 181 • Forearm 108 • Back 64
  • 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
  • 8. STRUCTURE • SIMPLE COILED TUBULAR Glands • Spiral Intraepidermal duct (ACROSYRINGIUM) • Straight Intradermal duct UPPER DERMIS • Coiled Terminal Portion (ACINUS / FUNDUS) 2/3rd SECRETORY 1/3rd DUCTAL
  • 9.
  • 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
  • 13.
  • 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)
  • 19. INNERVATION OF ECCRINE GLANDS • Via Efferent Sudomotor Pathway through Postganglionic non-myelinated C fibres to Eccrine Glands • SKIN SUPPLY UPPER LIMB T2 – T8 TRUNK T4 – T12 LOWER LIMB L2 – L4 • Sympathetic nerve supply - MUSCARINIC & CHOLINERGIC R • Alpha / Beta Adrenergic Receptors
  • 21. THERMOREGULATION • HEAT LOSS - radiation, convection, conduction and evaporation • Thermal Sweating keeps Body Temperature constant • High environmental Temp  Evaporational Heat Loss provides maximum regulation
  • 22. THERMOREGULATION FACTORS : LOCAL SKIN TEMP 10 deg C Rise  3X Local Sweating CORE TEMP Similar Rise  9X Local Skin Temp
  • 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
  • 24. CONTENTS • pH : 4.3 – 4.7 • WATER • Inorganic ions – sodium, chloride, potassium • Lactate / Urea (Moisturizers) • Glucose +/- • Ammonia and amino acids • Proteins including proteases
  • 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 ??
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.