The dermoepidermal junction or dermal-epidermal junction (DEJ) is the interface between the
epidermal and the
dermal
The dermis or corium is a layer of skin between the epidermis (with which it makes up the cutis) and subcutaneous tissues, that primarily consists of dense irregular connective tissue and cushions the body from stress and strain. It is divided i ...
layers of the skin. The
basal cells of the epidermis connect to the
basement membrane
The basement membrane, also known as base membrane, is a thin, pliable sheet-like type of extracellular matrix that provides cell and tissue support and acts as a platform for complex signalling. The basement membrane sits between epithelial tis ...
by the anchoring filaments of
hemidesmosomes
Hemidesmosomes are very small stud-like structures found in keratinocytes of the epidermis of skin that attach to the extracellular matrix. They are similar in form to desmosomes when visualized by electron microscopy; however, desmosomes attach ...
; the cells of the
papillary layer of the dermis are attached to the basement membrane by
anchoring fibrils, which consist of
type VII collagen.
Clinical significance
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Interface dermatitis includes conditions which primarily involve the dermoepidermal junction.
*
Stevens–Johnson syndrome
Stevens–Johnson syndrome (SJS) is a type of severe skin reaction. Together with toxic epidermal necrolysis (TEN) and #Classification, Stevens–Johnson/toxic epidermal necrolysis (SJS/TEN) overlap, they are considered febrile mucocutaneous d ...
and
toxic epidermal necrolysis
Toxic epidermal necrolysis (TEN), also known as Lyell's syndrome, is a type of severe skin reaction. Together with Stevens–Johnson syndrome (SJS) it forms a spectrum of disease, with TEN being more severe. Early symptoms include fever and f ...
are diseases where there is a breakdown of the dermoepidermal junction.
References
Skin anatomy
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