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Sweat Glands

Glandulae sudoriferae

For medical students2 min readUpdated 2026-10-10

Sweat glands are simple, unbranched tubular glands of the skin responsible for thermoregulation and metabolic excretion. They play a crucial role in heat dissipation and the elimination of excess water, electrolytes, and organic compounds.

Total CountApproximately 4 million glands (with an average density of about 200 per cm²)
Daily Output600–700 ml of sweat (98% water, 2% solutes)
RegulationSympathetic nervous system (effector neurotransmitter is acetylcholine)
ClassificationDivided into merocrine (eccrine) and apocrine based on the mode of secretion

General Characteristics and Morphology

Sweat glands are classified as simple unbranched tubular glands. Their secretory segments form long tubules tightly coiled into glomeruli (balls) and are located deep within the reticular dermis at the border with the subcutaneous adipose tissue. These structures are present in both thick skin (palms and soles) and thin skin (the rest of the body).

The primary functional objectives of sweating are heat dissipation to maintain temperature homeostasis and an accessory pathway for excretion. Under normal conditions, the daily volume of secreted fluid is 600–700 ml. The fluid consists of 98% water, with the remaining 2% comprising electrolytes (primarily NaCl) and metabolic waste products (lactate, urea, uric acid, ammonia, and certain protein components).

Cellular Composition of Secretory Segments

The wall of the secretory segment is formed by two functional groups of cells:

  1. Secretory cells (glandular epithelium). These are tall cells with rounded nuclei forming a single layer. They differentiate into two types:
  2. Clear cells: specialized in the active transport of water and ions.
  3. Dark cells: synthesize and secrete organic macromolecules (metabolic waste products).
  4. Myoepithelial cells. These have a flattened shape and are located peripherally, enclosing the secretory cells from the outside. Through their pronounced contractile activity, they assist in expelling the formed secretion from the glandular lumen into the excretory duct.

Structure of Excretory Ducts

Excretory ducts are long tubules characterized by a spiral course. Due to their tortuous path, histological sections rarely capture a duct in its entirety, making them appear as isolated cross-sectional fragments («coiled worms»).

Dust walls are lined by a stratified cuboidal epithelium. Unlike the secretory segments, the ducts have a noticeably smaller diameter and strong basophilia (staining significantly darker on histological preparations).

During the excretion of sweat, the long, unbranched duct traverses all layers of the skin: from the reticular dermis through the papillary dermis and epidermis, opening onto the surface via a sweat pore. An important feature of the excretory duct cells is their regenerative potential—following skin injury, they can serve as a source for epidermal repair.

Classification of Sweat Glands

Depending on the mechanism of secretion and morphological features, sweat glands are divided into two types:

FeatureMerocrine (Eccrine)Apocrine
LocalizationAlmost all skin surfacesForehead, axillae, anogenital region
Mechanism of SecretionExocytosis without cellular damagePinching off of the apical portion of the secretory cell
Glomerulus SizeSmall (30–35 µm)Large (150–200 µm)
Duct OpeningSweat pore on the skin surfaceHair follicles (infundibulum)
Secretion CompositionLow organic content (~2%)High organic content (up to 5%), cytoplasmic proteins
EmbryogenesisFrom epidermal buds growing down into mesenchymeFrom hair follicle germs

Specialized types of apocrine glands include ceruminous glands of the external auditory meatus, which produce earwax (cerumen).

Mnemonic

To remember the physiological regulation: «Sweat flows from stress, but acetylcholine serves as the effector» — a rare exception within the sympathetic nervous system.

Frequently asked questions

How can an excretory duct be distinguished from a secretory segment of a sweat gland on a histological slide?

Ducts have a smaller diameter, are lined by a stratified cuboidal epithelium, and exhibit prominent basophilia (stain darker). Secretory segments are larger, lighter, and lined by a single layer of tall secretory cells surrounded by myoepithelial cells.

Why does axillary sweat have a distinct pungent odor?

Apocrine glands are located in these regions. Their secretion involves the detachment of part of the cell and is rich in proteins. The odor arises secondarily as a result of the bacterial decomposition of organic secretion components on the skin surface.

What diagnostic feature on a skin histological slide reliably indicates "thin" skin?

The primary diagnostic marker of thin skin is the presence of sebaceous glands and hair follicles in the field of view. These are completely absent in thick skin (palms and soles).

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