reference presentation true The Foot and Ankle Knowledgebase, L.L.C., L.L.C., L.L.C. 2000 en-US Skin and Nail Problems of the Foot | Causes and treatment options Skin,nail,conditions of the skin and nail of the foot,information for patients with skin and nail problems of the foot,skin problems of the foot, toe nail problems Glossary of skin and nail problems of the foot and ankle - part of the Foot and Ankle Knowledge Base.

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Skin is the single largest organ in the human body. Estimates of the size of the surface area of the skin of an adult male range up to 15,000 sq. inches, or roughly the size of a 9'x12' rug. The average man has approximately ten pounds of skin and the average woman, seven pounds.  Skin functions as a bi-directional barrier meaning that it keeps the good things in and the bad things out. Skin holds in water and protects us from our environment shielding us from radiation, chemicals, microorganisms and physical trauma.


When our ancestors assumed upright gait, a significant burden was placed upon the skin of the legs and feet. There's a number of unique conditions of the skin that are seen specific to the feet and legs that are due to weight bearing and are found no where else in the body. The feet and legs will endure more trauma than any other part of our body resulting in infections, cuts, and scrapes, corns, calluses, etc. The feet are also a common site for thermal injuries such as frostbite.

The skin consists of three basic layers; the outer layer or epidermis, the middle layer or dermis and the inner layer referred to as hypodermis. Each of these layers provides a specific function and is in a constant state of change. For instance, the epidermis, or outer layer of the skin, is completely replaced once every 28 days. The 28 day turn over is influenced by many factors such as hydration, friction, sun exposure, age and a host of other environmental issues.

The skin of the foot is unique in many regards. The skin found on the plantar surface (bottom) of the foot, referred to as glabrous skin, is a very thick form of skin. Glabrous skin also contains 4-5 times the normal number of sweat glands, lacks hair follicles and sebaceous glands that would normally lubricate the hair. The skin on the dorsal surface (top) of the foot is also unique and is referred to as hairy skin. This is skin much like what we would see on the majority of the body such as the arms and legs.

Related articles

Athlete's foot
Heel fissures
Immersion foot
Toe box dermatitis
Trench foot


References are pending.

Author(s) and date

This article was written by medical director Jeffrey A. Oster, DPM.  

Competing Interests - None

Peer Reviewed - This article is peer reviewed by an open source editorial board.  Your comments and suggestions to improve this paper are appreciated.

Cite this article as: Oster, Jeffrey. Skin.

Most recent article update: December 22, 2015.

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