Psoriasis
Psoriasis is a long-lasting autoimmune disease characterized by patches of abnormal skin.[6] These skin patches are typically red, dry, itchy, and scaly.[3] On people with darker skin the patches may be purple in colour.[9] Psoriasis varies in severity from small, localized patches to complete body coverage.[3] Injury to the skin can trigger psoriatic skin changes at that spot, which is known as the Koebner phenomenon.[10]
There are five main types of psoriasis: plaque, guttate, inverse, pustular, and erythrodermic.[6] Plaque psoriasis, also known as psoriasis vulgaris, makes up about 90 percent of cases.[4] It typically presents as red patches with white scales on top.[4] Areas of the body most commonly affected are the back of the forearms, shins, navel area, and scalp.[4] Guttate psoriasis has drop-shaped lesions.[6] Pustular psoriasis presents as small non-infectious pus-filled blisters.[11] Inverse psoriasis forms red patches in skin folds.[6] Erythrodermic psoriasis occurs when the rash becomes very widespread, and can develop from any of the other types.[4]Fingernails and toenails are affected in most people with psoriasis at some point in time.[4] This may include pits in the nails or changes in nail color.[4]
Psoriasis is generally thought to be a genetic disease that is triggered by environmental factors.[3] In twin studies, identical twins are three times more likely to be affected compared to non-identical twins. This suggests that genetic factors predispose to psoriasis.[4] Symptoms often worsen during winter and with certain medications, such as beta blockers or NSAIDs.[4] Infections and psychological stress can also play a role.[3][6]Psoriasis is not contagious.[4] The underlying mechanism involves the immune system reacting to skin cells.[4] Diagnosis is typically based on the signs and symptoms.[4]
There is no cure for psoriasis; however, various treatments can help control the symptoms.[4] These treatments include steroid creams, vitamin D3 cream, ultraviolet light and immune system suppressing medications, such as methotrexate.[6] About 75 percent of cases can be managed with creams alone.[4] The disease affects two to four percent of the population.[8] Men and women are affected with equal frequency.[6] The disease may begin at any age, but typically starts in adulthood.[5] Psoriasis is associated with an increased risk of psoriatic arthritis, lymphomas, cardiovascular disease, Crohn’s disease and depression.[4] Psoriatic arthritis affects up to 30 percent of individuals with psoriasis.[11]
Collierville
Collierville is a town in Shelby County, Tennessee, United States, and a suburb located in the Memphis metropolitan area. The town had a population of 43,965 at the 2010 census.[5]
Collierville is a town of large houses and considerable retail expansion. Smaller, older houses are still found in the heart of Collierville, mainly between Byhalia Road and Collierville-Arlington on the east and west and Shelton and Highway 72 on the north and south. Some industry, notably Pepsi and Carrier, still dots the areas located south of Poplar Avenue.
Collierville is home to the Avenue at Carriage Crossing, an 800,000+ sq ft shopping center which opened in October 2005. Baptist Hospital, Collierville, serves the medical needs of the town’s residents. Collierville will become part of the Interstate 69 highway plan integrating Bill Morris Parkway (SR 385) as Interstate 269, part of this USDOT project linking Canada and Mexico with the United States.
Collierville was chosen as one of Relocate-America’s Top 100 Places to Live in 2008.[6] In 2014, Collierville’s historic town square was ranked by Parade Magazine as the “Best Main Street” in America.[7]