NUTRITION AND SKIN DISEASES

Dr. Lanny Lestiani, MSc, SpGK

Departemen Ilmu Gizi Fakultas Kedokteran Universitas Indonesia

 A woman is what she eats

YOUR SKIN COVERS YOUR BODY

The largest organ in the body Weighs 10-14 kg (20% total BW) External cover bodys internal milieu Covers 1,5-3 m2 surface area Thickness 1-4 mm Consists of: - Epidermis - Dermis - Hypodermis (Subcutis)

SKIN FUNCTIONS:

Protection Absorption Excretion Perspiration Keratinization Vit D formation

THE SKIN
Consist of :

Epidermis Dermis Sub-cutaneus layer

EPIDERMIS
Outer layer of the skin 0,1-1 mm thickness Non vascular Keratinized cells Is formed from within outwards Consists of : - 4 layers or strata Major protective action against trauma etc

EPIDERMIS
Outermost area The 1st defense mechanism Protection against injury and foreign invasion Consist of: - Stratum corneum - Stratum lucidum - Stratum granulosum - Stratum spinosum - Stratum basale: - Melanocyte

DERMIS
The true skin 0.8-2 mm thickness Connective tissue Responsible for : - Elasticity (elastin fibers) - Rigidity (collagen fibers) Consists of: - Pars papillare: - Nerve endings - Blood vessels - Pars reticulare: - Hair follicles - Sebaceous gland - Sweat glands

SUBCUTANEUS LAYER
(hypodermis):
> 6 mm thickness Loose connective tissue which holds fat cells (body reserve) Contains : - Blood vessels - Lymphatic - Nerve & nerve endings Body cushion

SKIN NUTRITION

I. NUTRITIONAL DEFICIENCIES

II. FOOD ALLERGY

FAT SOLUBLE VITAMINS

VITAMIN A DEFICIENCY
The Skin :
Mucus secreting cells Prod of keratin Dry skin (Xerosis) Xerophthalmia Squamatization - Cells squamous cells Hyperkeratosis Follicullaris Acne impetigo Carbunble Open wound

WATER SOLUBLE VITAMINS

Crazy pavement dermatosis

Defisiensi Asam Lemak Esensial (ALE) - Jarang terjadi, hanya pada anak-anak yang hanya dapat PASI, kulit kering bersisik merah - Dapat diatasi dengan pemberian ALE oral atau topikal