Ultraviolet (UV) radiation is known to damage skin; excessive exposure can cause enough damage to stimulate acute inflammation (sunburn).   Histologic examination of the epidermis shows a layer of keratinocytes that have committed premature apoptosis (killed themselves before they normally would have died) and a lack of Langerhans cells in the affected region.  Severe sunburns are followed several days later with non-bleeding blistering and peeling of large patches of skin.  In the following weeks, the epidermis becomes thicker and darker (tan!). Hypothesize about which layers and/or sublayers of the skin are primarily affected; and about why the blistering, peeling, thickening, and darkening occurs.  Be sure to explain your reasoning.  This answer requires a logical hypothesis based on what we’ve learned about the specific microanatomy of the skin; it does not require “THE” correct answer.

3-2-1 Code It
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ISBN:9781337660549
Author:GREEN
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Chapter3: Icd-10-cm And Icd-10-pcs Coding Conventions
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Problem 1.12MC
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Ultraviolet (UV) radiation is known to damage skin; excessive exposure can cause enough damage to stimulate acute inflammation (sunburn).  

Histologic examination of the epidermis shows a layer of keratinocytes that have committed premature apoptosis (killed themselves before they normally would have died) and a lack of Langerhans cells in the affected region.  Severe sunburns are followed several days later with non-bleeding blistering and peeling of large patches of skin.  In the following weeks, the epidermis becomes thicker and darker (tan!).

Hypothesize about which layers and/or sublayers of the skin are primarily affected; and about why the blistering, peeling, thickening, and darkening occurs.  Be sure to explain your reasoning.  This answer requires a logical hypothesis based on what we’ve learned about the specific microanatomy of the skin; it does not require “THE” correct answer. 

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