{"id":16556,"date":"2020-04-28T18:58:27","date_gmt":"2020-04-28T21:58:27","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/prurigo-pigmentosa\/"},"modified":"2020-05-03T15:37:14","modified_gmt":"2020-05-03T18:37:14","slug":"prurigo-pigmentosa","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/prurigo-pigmentosa\/","title":{"rendered":"Prurigo pigmentosa"},"content":{"rendered":"<p><\/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\/wiki\/prurigo-pigmentosa\/#Que-es-prurigo-pigmentosa\" >Qu&#039;est-ce que le prurigo pigmentaire?<\/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\/wiki\/prurigo-pigmentosa\/#%C2%BFQuien-contrae-prurigo-pigmentosa\" >Qui obtient le prurigo pigmentaire?<\/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\/wiki\/prurigo-pigmentosa\/#%C2%BFQue-causa-el-prurigo-pigmentosa\" >Qu&#039;est-ce qui cause le prurigo pigmentaire?<\/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\/wiki\/prurigo-pigmentosa\/#%C2%BFComo-se-presenta-el-prurigo-pigmentosa\" >Comment le prurigo pigmentaire appara\u00eet-il?<\/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\/wiki\/prurigo-pigmentosa\/#Histopatologia-de-prurigo-pigmentosa\" >Histopathologie du prurigo pigmentaire<\/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\/wiki\/prurigo-pigmentosa\/#%C2%BFCual-es-el-tratamiento-para-el-prurigo-pigmentosa\" >Quel est le traitement du prurigo pigmentaire?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-prurigo-pigmentosa\"><\/span>Qu&#039;est que c&#039;est <span class=\"term\" data-term-id=\"243\">prurigo<\/span> pigmentaire?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Le prurigo pigmentaire est un rare <span class=\"term\" data-term-id=\"490\">inflammatoire<\/span> affection cutan\u00e9e associ\u00e9e \u00e0 <span class=\"term\" data-term-id=\"1932\">c\u00e9tose<\/span>. Il se caract\u00e9rise par un <span class=\"term\" data-term-id=\"805\">r\u00e9current<\/span> qui d\u00e9mange <span class=\"term\" data-term-id=\"255\">\u00e9ruption<\/span> avec netlike <span class=\"term\" data-term-id=\"135\">hyperpigmentation<\/span>. Le prurigo pigmentosa r\u00e9pond bien \u00e0 la t\u00e9tracycline et a une excellente <span class=\"term\" data-term-id=\"241\">pr\u00e9voir<\/span>.<\/p>\n<p>Le prurigo pigmentaire est \u00e9galement connu sous le nom de maladie de Nagashima et d&#039;\u00e9ruption c\u00e9tog\u00e8ne.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-prurigo-pigmentosa\"><\/span>Qui obtient le prurigo pigmentaire?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Prurigo pigmentosa a \u00e9t\u00e9 d\u00e9crit chez des personnes de tous \u00e2ges, <span class=\"term\" data-term-id=\"1167\">sexe<\/span> et les groupes ethniques. Cependant, il est plus fr\u00e9quent chez les Asiatiques, en particulier les jeunes femmes. Les femmes sont deux fois plus touch\u00e9es que les hommes.<\/p>\n<p>Il a \u00e9t\u00e9 de plus en plus associ\u00e9 aux \u00e9tats c\u00e9totiques associ\u00e9s au diab\u00e8te, au je\u00fbne et \u00e0 la chirurgie post-bariatrique.<\/p>\n<p>Chez certains patients, le prurigo pigmentaire a \u00e9t\u00e9 associ\u00e9 \u00e0 <span class=\"term\" data-term-id=\"380\">syst\u00e9mique<\/span> des maladies comme Sjogren <span class=\"term\" data-term-id=\"350\">syndrome<\/span> et des troubles de l&#039;alimentation comme l&#039;anorexie mentale. Il a \u00e9galement \u00e9t\u00e9 d\u00e9crit chez des personnes <span class=\"term\" data-term-id=\"1542\">atopie<\/span>, ainsi que pendant la grossesse.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-el-prurigo-pigmentosa\"><\/span>Qu&#039;est-ce qui cause le prurigo pigmentaire?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Le r\u00f4le exact de l&#039;exclusion des glucides et de la c\u00e9tose dans le d\u00e9veloppement du prurigo pigmentaire n&#039;a pas encore \u00e9t\u00e9 \u00e9lucid\u00e9.<\/p>\n<p>Plusieurs autres m\u00e9canismes ont \u00e9t\u00e9 propos\u00e9s pour le prurigo pigmentaire, notamment la friction avec les v\u00eatements ou le contact. <span class=\"term\" data-term-id=\"1136\">allergie<\/span> au trichlorph\u00e9nol, au chrome dans les aiguilles d&#039;acupuncture, au chrome dans les d\u00e9tergents et au nickel.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-presenta-el-prurigo-pigmentosa\"><\/span>Comment le prurigo pigmentaire appara\u00eet-il?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les caract\u00e9ristiques cliniques du prurigo pigmentaire sont:<\/p>\n<ul>\n<li>ONGLE <span class=\"term\" data-term-id=\"244\">prurit<\/span> \u00e9ruption cutan\u00e9e (d\u00e9mangeaisons), qui peut revenir<\/li>\n<li>Taches rouges gonfl\u00e9es et sur\u00e9lev\u00e9es (<span class=\"term\" data-term-id=\"366\">papules<\/span>) qui fusionnent pour former un mod\u00e8le de r\u00e9seau (semblable \u00e0 un r\u00e9seau)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"279\">Sym\u00e9trique<\/span> <span class=\"term\" data-term-id=\"69\">Distribution<\/span> dans le tronc qui affecte le plus souvent le haut du dos, le sacrum (natal <span class=\"term\" data-term-id=\"1835\">fendu<\/span>), l&#039;abdomen et la poitrine<\/li>\n<li>Atteinte rare du visage ou des extr\u00e9mit\u00e9s.<\/li>\n<li>Enregistrer de <span class=\"term\" data-term-id=\"188\">muqueux<\/span> membranes <span class=\"term\" data-term-id=\"122\">cheveux<\/span> et <span class=\"term\" data-term-id=\"193\">clou<\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1343\">Treillis<\/span> <span class=\"term\" data-term-id=\"815\">hyperpigment\u00e9<\/span> patchs apr\u00e8s r\u00e9solution de la phase inflammatoire de l&#039;\u00e9ruption cutan\u00e9e.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Histopatologia-de-prurigo-pigmentosa\"><\/span>\n<span class=\"term\" data-term-id=\"129\">Histopathologie<\/span> de prurigo pigmentosa<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Il existe une histopathologie distincte dans le prurigo pigmentaire.<\/p>\n<ul>\n<li>De bonne heure <span class=\"term\" data-term-id=\"164\">blessure<\/span>: peu profond <span class=\"term\" data-term-id=\"228\">p\u00e9rivasculaire<\/span> <span class=\"term\" data-term-id=\"443\">neutrophile<\/span> <span class=\"term\" data-term-id=\"541\">infiltrer<\/span>et certaines <span class=\"term\" data-term-id=\"770\">n\u00e9crotique<\/span> <span class=\"term\" data-term-id=\"1069\">k\u00e9ratinocytes<\/span>\n<\/li>\n<li>Blessure d\u00e9velopp\u00e9e: irr\u00e9guli\u00e8re <span class=\"term\" data-term-id=\"422\">lymphocytaire<\/span> infiltrer et <span class=\"term\" data-term-id=\"403\">n\u00e9crose<\/span> de nombreux k\u00e9ratinocytes<\/li>\n<li>L\u00e9sion tardive: infiltrat lymphocytaire, <span class=\"term\" data-term-id=\"320\">\u00e9chelle<\/span>&#8211;<span class=\"term\" data-term-id=\"45\">Cortex<\/span>et <span class=\"term\" data-term-id=\"1826\">m\u00e9lanophages<\/span>\n<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-prurigo-pigmentosa\"><\/span>Quel est le traitement du prurigo pigmentaire?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>L&#039;ajout de glucides au r\u00e9gime peut \u00eatre b\u00e9n\u00e9fique si le patient suit un r\u00e9gime c\u00e9tog\u00e8ne ou a subi un je\u00fbne prolong\u00e9 ou une chirurgie de l&#039;estomac.<\/p>\n<p>Les antibiotiques \u00e0 base de dapsone et de t\u00e9tracycline sont efficaces dans le traitement du prurigo pigmentaire pendant la phase inflammatoire de la maladie. On pense que ces traitements agissent en interf\u00e9rant avec le mouvement et la fonction de <span class=\"term\" data-term-id=\"196\"><span class=\"term\" data-term-id=\"442\">neutrophiles<\/span><\/span>. Les antibiotiques macrolides tels que l&#039;\u00e9rythromycine se sont \u00e9galement r\u00e9v\u00e9l\u00e9s r\u00e9cemment utiles. Il n&#039;est pas clair si l&#039;action antibact\u00e9rienne des antibiotiques est pertinente.<\/p>\n<p><span class=\"term\" data-term-id=\"1330\">Actuel<\/span> et les corticost\u00e9ro\u00efdes syst\u00e9miques ne sont pas efficaces pour le prurigo pigmentaire.<\/p>\n<p>\u00c0 ce jour, il n&#039;existe aucun traitement efficace contre l&#039;hyperpigmentation qui se d\u00e9veloppe aux stades ult\u00e9rieurs de la maladie. Au fil du temps, il s&#039;estompe.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es prurigo pigmentosa? Prurigo pigmentosa es un raro inflamatorio condici\u00f3n de la piel asociada con cetosis. Se caracteriza por un recurrente que produce picor erupci\u00f3n con netlike hiperpigmentaci\u00f3n. Prurigo&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-16556","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/16556","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/comments?post=16556"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/16556\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=16556"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=16556"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=16556"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}