Abstract
The skin responds to acute and chronic mechanical damage in different ways. In acute mechanical skin irritation, such as from friction, there is cleavage between the dermis and epidermis and blisters form. In the thick skin of palms and soles, the cleavage may be in the epidermis from shear stress. Chronic or intermittent irritations of lower intensity induce epidermopoiesis with acanthosis and hyperkeratosis, and thereby epidermal thickening. Also, the melanocyte system can be stimulated to melanopoiesis by mechanical skin irritation. When the skin reacts excessively to mechanical injury, congenital disorders such as hereditary epidermolysis or cutis hyperelastica (Ehlers-Danlos syndrome) must be considered.
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Bibliography: Skin Diseases
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Braun-Falco, O., Plewig, G., Wolff, H.H., Winkelmann, R.K. (1991). Skin Diseases Due to Physical and Chemical Causes. In: Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-00181-3_13
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