31. The blood vessels in the dermis provide nourishment and waste removal from its own epidermis. 32. A deeper biopsy down to the dermis or subcutaneous tissue might reveal the true cancer. 33. The disease may also infiltrate the dermis or, very rarely, the flexor tendon sheath 34. The dermis is thinned because of this. 35. These are replaced by new cells which are produced by the lower layer ( dermis ). 36. When applied to the dermis , it induces mild skin irritation but not delayed contact sensitization. 37. The longest lasting and least risky results appear to arise from use of acellular dermis products. 38. These segmented tissue blocks differentiate into skeletal muscle, vertebrae, and dermis of all vertebrates. 39. Examinations concluded that the lunula was an area of loose dermis with lesser developed collagen bundles. 40. However, unlike scleroderma, it affects the fascia, not the skin ( dermis ).