Store
|
Contributing Editors
|
Help
|
Contact
|
Sign In
select
All
Images Only
Search
home
resources
images
handouts
videos
quizzes
boardreview
atoz
< Current issue
Dermatopathology: Practical & Conceptual April - June 1995
>
Searching for Diogenes: Bulge-Activation Hypothesis Part II—The Bulge is Not a Bulge
Michael Radonich
Cosimo Misciali, MD
A. Bernard Ackerman, MD
Introduction
1876 Unna
1877 Schulin
1883 Unna
1892 Garcia
1904 Stöhr
1927 Felix Pinkus
1935 Zimmermann
1951 Hermann Pinkus
1958 Hermann Pinkus
1961 Sanderson & Thiede
1961 Sanderson
1964 Madsen
1964 Montagna
1984 Headington
1986 Mehregan
1987 Headington & Astle
1990 Leshin & White
1990 Cotsarelis, Sun, Lavker
1991 Sun, Cotsarelis, Lavker
1991 Lavker, Cotsarelis, Wei, Sun
1991 Lane, Wilson, Hughes, Leigh
1992 Jaworsky, Kligman, Murphy
1993 Yang, Lavker, Sun
1993 Lavker, Miller, Wilson, Costarelis, Wei, Yang, Sun
1993 Headington
1993 Whiting
1993 Kobayashi, Rochat, Barrandon
1994 Rochat, Kobayashi, Barrandon
References
<
Previous
|
Next
>
1892 Garcia
Beiträge zur Kenntnis des Haarwechsels bei menschlichen Embryonen und Neugeborenen. Morphol Arb. 1892;26:136-206 (
Fig. 4
).
View Figure
Fig. 4 [Fig. 11] General letter designation. AeW" Outer root sheath; G Glassy membrane; H Hair; HC Epithelial root cylinder; Hke Hair cone; HS Hair stem by Wertheim; ISA Insertion site of arrector; KS Germ layer; LfS Longitudinal fiber layer; MA Musculus arrector pili; Pg Pigment; Phm Papillary half-moon; Phs Papillary neck; PK Papillary button; PrR Productive region; RfS Circular fiber layer; RIW Rest of the internal root sheath; SS Spinous layer. Reproduced with permission.
Message
The bulge is nothing more than the site of attachment of the hair arrector muscle.
The follicular cycle depends upon activation of the "productive region" of the outer sheath by a papilla contiguous with it.
The "productive region," a distinct zone positioned beneath the bulge, is the source of cells for downgrowth of epithelium that will become the new follicle.
Critique
For Garcia, the papilla was responsible for activating an anagen follicle, a key element of the bulge-activation hypothesis proposed a century later by Cotsarelis et al.
The drawing of follicles that appears in Garcia"s article shows that the "productive region" described by him corresponds to what today is considered to be the base of the isthmus. In short, Garcia depicts the base of the isthmus, rather than bulges of the isthmus, as the source of cells of a new follicle, an observation with which we concur.
<
Previous
|
Next
>
This site is made possible in part by:
Copyright © Derm101.com. All Rights Reserved.