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]
Celebration
Celebration is a census-designated place (CDP) and a master-planned community in Osceola County, Florida, United States, located near Walt Disney World Resort and originally developed by The Walt Disney Company. As part of theOrlando–Kissimmee Metropolitan Statistical Area, Celebration’s population was 7,427 at the 2010 census.[3]
Subsequent to founding Celebration, Disney followed its plans[4] to divest most of its control of the town. Several Disney business units continue to occupy the town’s office buildings, and two utility companies, Smart City Telecom and Reedy Creek Energy Services, both operated from Walt Disney World, provide services to the town. The town itself remains directly connected to the Walt Disney World resorts via one of its primary streets, World Drive, which begins near the Magic Kingdom.
Downtown Celebration’s post office was designed by Michael Graves, the adjacent Welcome Center is by Philip Johnson and the Celebration Health building by Robert A. M. Stern.[5] Other nearby buildings are designed by well known architects including: Charles Moore (Preview Center), Graham Gund (Bohemian Hotel), Cesar Pelli (movie theatre), Robert Venturi andDenise Scott Brown (SunTrust Bank).[6]
Response to Celebration has ranged from an early visitor who said it resembled the too-perfect town of “The Stepford Wives“[5]to those who see Celebration as an example of unabashed neo-urbanism.[7]