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< Current issue
Dermatopathology: Practical & Conceptual January - March 1996
>
Searching for Diogenes: Uncloaking the Mantle
Martin Sangueza, MD
Michael Anthony Radonich, MD
A. Bernard Ackerman, MD
Introduction
1876 Unna P
1889 Kölliker A
1895 Benda C
1897 Pinkus F
1902 Hertwig O
1927 Pinkus F
1935 Zimmermann KW
1956 Epstein W, Kligman AM
1963 Strauss JS, Pochi PE
1964 Madsen A
1971 Pinkus H
1972 Hegedus SL, Schorr WF
1976 Pinkus H and Mehregan AH
1987 Ishikawa K
1990 Leshin B, White WL
1991 Mehregan A, Hashimoto K
1992 Jakubovic H, Ackerman AB
1992 Montagna W, Kligman AM, Carlisle KS
1993 Narisawa Y, Hashimoto K, Kobda H
1993 Ackerman AB, deViragh P, and Chongchitnant N
1993 Steffen C
1994 Steffen C, Ackerman AB
1995 Mehregan AH, Hashimoto K, Mehregan DA, Mehregan DR
1995 deViragh PA
1996 Ackerman AB (
Fig. 19
)
SEE ALSO
-
mantle
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1992 Jakubovic H, Ackerman AB
Structure and function of skin: Development, morphology and physiology. In Dermatology, 3rd ed, edited by Moschella and Hurley, 1992 (
Fig. 15
).
View Figure
Fig. 15 (orig. Fig. 163) Mantles at various stages of differentiation are pictured in these photomicrographs taken at low (A) and high (B) magnifications. Mantles are the structures that emanate from bases of follicular infundibula and hang like cloaks or arms on both sides of the lower segments of follicles. Initially, mantles consist of cords of undifferentiated epithelial cells. In time, those cells become vacuolated, and eventually, what was once devoid of character becomes fully mature sebaceous glands and ducts. That sequence is portrayed here, from undifferentiated cords to large sebaceous lobules.
Message
Mantles consist at first of cords of undifferentiated epithelial cells. In time, those cells become vacuolated and eventuate in fully mature sebaceous glands and ducts. The stages in differentiation of sebaceous units imply a cycle of mantle epithelium.
Critique
The authors, like Felix Pinkus and Zimmermann before them, interpreted the mantle as the precursor of sebaceous glands, but their interpretation is only partially correct. Furthermore, what they illustrated as evolution of mantle epithelium really was involution of that epithelium.
There are no mantles in an embryo, only a middle bulge which develops into fully formed sebaceous glands and ducts. During the first few weeks of postnatal life, sebaceous glands are present as a result of the effects of maternal androgens that crossed the placenta. When those androgens are degraded, sebaceous glands in an infant regress and mantles represent the residuum of them. At puberty, androgens from testes and ovaries induce mantles to mature from undifferentiated sebaceous cells into fully formed sebaceous glands and ducts. Near middle age, as the effects of gonadal androgens wane, sebaceous units involute for a second time and the end stage, once again, is mantles.
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