{"id":4848,"date":"2019-07-29T09:20:35","date_gmt":"2019-07-29T12:20:35","guid":{"rendered":"https:\/\/doctorhoogstra.com\/?p=4848"},"modified":"2025-03-04T16:35:18","modified_gmt":"2025-03-04T19:35:18","slug":"poroqueratosis","status":"publish","type":"post","link":"https:\/\/doctorhoogstra.com\/fr\/poroqueratosis\/","title":{"rendered":"Porok\u00e9ratose"},"content":{"rendered":"<p>La porok\u00e9ratose est une maladie h\u00e9r\u00e9ditaire de la k\u00e9ratinisation, d\u00e9crite par Mibelli.<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contenu<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Basculer la table des mati\u00e8res\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Basculer<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/fr\/poroqueratosis\/#Cuadro-clinico\" >Image clinique<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/fr\/poroqueratosis\/#Tratamiento\" >Traitement<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/fr\/poroqueratosis\/#Tratamientos-Sistemicos\" >Traitements syst\u00e9miques<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/fr\/poroqueratosis\/#Tratamientos-Quirurgicos\" >Traitements chirurgicaux<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/fr\/poroqueratosis\/#Terapeutica-laser\" >Th\u00e9rapie laser<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/fr\/poroqueratosis\/#Dudas-y-consultas\" >Doutes et requ\u00eates<\/a><\/li><\/ul><\/nav><\/div>\n\n<h2><span class=\"ez-toc-section\" id=\"Cuadro-clinico\"><\/span>Image clinique<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Elle se caract\u00e9rise par l\u2019apparition d\u2019une ou plusieurs plaques hyperk\u00e9ratosiques arrondies. Les l\u00e9sions cutan\u00e9es sont persistantes, alternant p\u00e9riodes d&#039;am\u00e9lioration et de r\u00e9cidive. Il existe plusieurs variantes cliniques, mais la papule hyperk\u00e9ratosique survient dans chacune d&#039;elles. Le diagnostic est confirm\u00e9 par l&#039;histopathologie, o\u00f9 l&#039;on peut observer la lamelle corno\u00efde.<\/p>\n<p>La mauvaise r\u00e9ponse au traitement, les r\u00e9cidives fr\u00e9quentes et son potentiel pr\u00e9-n\u00e9oplasique font de cette pathologie un probl\u00e8me complexe pour le dermatologue.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamiento\"><\/span>Traitement<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Il existe de nombreux traitements propos\u00e9s pour la porok\u00e9ratose, mais la plupart sont d\u00e9cevants. L&#039;ablation avec le laser Erbium Lotus ouvre une possibilit\u00e9 th\u00e9rapeutique efficace, s\u00fbre et indolore, sans effets ind\u00e9sirables ni r\u00e9cup\u00e9ration imm\u00e9diate.<br \/>\nLes \u00e9mollients et la protection solaire sont la base de tout traitement.<\/p>\n<p>Les autres traitements topiques sont\u00a0:<br \/>\n1,5-Fluorouracile : en raison de la forte irritation qu&#039;il produit sur la peau, il ne peut pas \u00eatre utilis\u00e9 sur de grandes surfaces.<br \/>\n2.Cortico\u00efdes locaux : pour leur effet anti-inflammatoire, soulageant les d\u00e9mangeaisons.<br \/>\n3.Diclof\u00e9nac : c&#039;est un autre anti-inflammatoire non st\u00e9ro\u00efdien dans la longue liste de traitements contre la porok\u00e9ratose.<br \/>\n4.Imiquimod 5% : il est particuli\u00e8rement utile dans les dermatoses o\u00f9 le syst\u00e8me immunitaire joue un r\u00f4le important.<br \/>\n5.R\u00e9tino\u00efdes : comme la tr\u00e9tino\u00efne, ils agissent comme des k\u00e9ratolytiques, qui ne gu\u00e9rissent pas les l\u00e9sions mais produisent uniquement une am\u00e9lioration esth\u00e9tique.<br \/>\n6.K\u00e9ratolytiques : acide salicylique, lactate d&#039;ammonium. Ils produisent une am\u00e9lioration esth\u00e9tique et un l\u00e9ger soulagement des sympt\u00f4mes, sans gu\u00e9rison.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamientos-Sistemicos\"><\/span>Traitements syst\u00e9miques<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>R\u00e9tino\u00efdes oraux : isotr\u00e9tino\u00efne, \u00e9tr\u00e9tinate et acitr\u00e9tine.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamientos-Quirurgicos\"><\/span>Traitements chirurgicaux<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00c9lectrocoagulation et cryochirurgie : elles sont efficaces, mais elles font mal et laissent des s\u00e9quelles et il faut du temps pour que la zone trait\u00e9e se r\u00e9tablisse.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Terapeutica-laser\"><\/span>Th\u00e9rapie laser<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les lasers CO2, Nd-YAG, Q-switched et Erbium peuvent \u00eatre utilis\u00e9s. Tous nos centres disposent de cette technologie, parmi laquelle nous pr\u00e9f\u00e9rons, comme nous l&#039;avons dit pr\u00e9c\u00e9demment, le Laser Erbium Lotus pour sa rapidit\u00e9 de traitement de grandes zones du corps et sa r\u00e9cup\u00e9ration imm\u00e9diate. De plus, elle n\u2019est pas douloureuse et ne laisse aucune s\u00e9quelle.<\/p>\n<p>Le traitement au laser est \u00e9galement associ\u00e9 \u00e0 des traitements locaux \u00e0 domicile qui alternent en fonction de l&#039;\u00e9volution de la maladie.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Dudas-y-consultas\"><\/span>Doutes et requ\u00eates<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Si vous avez des questions m\u00e9dicales, envoyez un e-mail \u00e0\u00a0<\/span><a href=\"mailto:consulta@doctorhoogstra.com\"><b>consulta@doctorhoogstra.com\u00a0<\/b><\/a>\u00a0. Dans ce mail\u00a0<span style=\"font-weight: 400;\">Seules les consultations m\u00e9dicales seront re\u00e7ues. Les demandes concernant les quarts de travail, les paiements et les probl\u00e8mes administratifs ne sont pas trait\u00e9es.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Par t\u00e9l\u00e9phone le lundi, jeudi et vendredi de 8 h \u00e0 15 h aux num\u00e9ros de t\u00e9l\u00e9phone suivants.<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">0054 11 4 901 6690<\/span><\/li>\n<li><span style=\"font-weight: 400;\">0054 11 4 904 3434<\/span><\/li>\n<li><span style=\"font-weight: 400;\">0054 11 4 904 0880<\/span><\/li>\n<\/ul>\n\n\t\t<div id=\"fws_6abb4898a7d1c\"  data-column-margin=\"default\" data-midnight=\"dark\"  class=\"wpb_row vc_row-fluid vc_row\"  style=\"padding-top: 0px; padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t<div class=\"nectar-fancy-box using-img\" data-style=\"default\" data-animation=\"\" data-hover-o=\"default\" data-border-radius=\"default\" data-border=\"\" data-box-color-opacity=\"1\" data-delay=\"\" data-alignment=\"left\" data-color=\"accent-color\" ><div class=\"box-bg\" role=\"presentation\"  style=\"background-image: url('https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2018\/06\/caballito.jpg'); \"><\/div> <div class=\"inner\" style=\"min-height: 200px\"><i class=\"icon-default-style fa fa-calendar\" data-color=\"accent-color\" style=\"font-size: 40px!important; line-height: 40px!important;\"><\/i>\n<h2>Planifier la consultation<\/h2>\n<p>R\u00e9server une consultation dans nos centres m\u00e9dicaux situ\u00e9s \u00e0 <strong>Caballito <\/strong>et <strong>Belgrano<\/strong><\/div> <div class=\"link-text\">Planifier la consultation<span class=\"arrow\"><\/span><\/div> <a target=\"_blank\" href=\"https:\/\/doctorhoogstra.com\/fr\/quarts\/\" class=\"box-link\"><\/a> <\/div>\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>La poroqueratosis es un trastorno hereditario de la queratinizaci\u00f3n, descrita por Mibelli. Cuadro cl\u00ednico Se caracteriza por la aparici\u00f3n de una o varias placas hiperquerat\u00f3sicas de forma redondeada. Las lesiones&#8230;<\/p>","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[74],"tags":[],"class_list":["post-4848","post","type-post","status-publish","format-standard","category-tumores-de-la-piel"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/posts\/4848","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/comments?post=4848"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/posts\/4848\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=4848"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=4848"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=4848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}