{"id":16674,"date":"2020-04-29T05:56:08","date_gmt":"2020-04-29T08:56:08","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/sindrome-de-lofgren\/"},"modified":"2020-05-03T10:30:12","modified_gmt":"2020-05-03T13:30:12","slug":"syndrome-de-lofgren","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/sindrome-de-lofgren\/","title":{"rendered":"Syndrome de L\u00f6fgren"},"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\/sindrome-de-lofgren\/#%C2%BFQue-es-Lofgren-sindrome\" >Qu\u2019est-ce que L\u00f6fgren ? syndrome?<\/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\/sindrome-de-lofgren\/#%C2%BFQuien-contrae-el-sindrome-de-Lofgren\" >Qui est atteint du syndrome de L\u00f6fgren ?<\/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\/sindrome-de-lofgren\/#%C2%BFQue-causa-el-sindrome-de-Lofgren\" >Quelles sont les causes du syndrome de L\u00f6fgren ?<\/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\/sindrome-de-lofgren\/#%C2%BFCuales-son-las-caracteristicas-clinicas-del-sindrome-de-Lofgren\" >Quelles sont les caract\u00e9ristiques cliniques du syndrome de L\u00f6fgren ?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/sindrome-de-lofgren\/#Eritema-nudoso\" >Erythema nodosum<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/sindrome-de-lofgren\/#Eritema-nudoso-2\" >Erythema nodosum<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/sindrome-de-lofgren\/#Artritis-de-tobillo\" >Arthrite de la cheville<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/sindrome-de-lofgren\/#Sistemico-sintomas\" >Sympt\u00f4mes syst\u00e9miques<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/sindrome-de-lofgren\/#%C2%BFComo-se-hace-el-diagnostico-del-sindrome-de-Lofgren\" >Comment se pose le diagnostic du syndrome de L\u00f6fgren ?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/sindrome-de-lofgren\/#%C2%BFCual-es-el-tratamiento-para-el-sindrome-de-Lofgren\" >Quel est le traitement du syndrome de L\u00f6fgren ?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/sindrome-de-lofgren\/#%C2%BFCual-es-el-pronostico-para-el-sindrome-de-Lofgren\" >Quel est le pronostic du syndrome de L\u00f6fgren ?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-Lofgren-sindrome\"><\/span>Qu\u2019est-ce que L\u00f6fgren ? <span class=\"term\" data-term-id=\"350\">syndrome<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Le syndrome de L\u00f6fgren est un <span class=\"term\" data-term-id=\"349\">aigu<\/span> forme de sarco\u00efdose La sarco\u00efdose est un trouble multisyst\u00e9mique caract\u00e9ris\u00e9 <span class=\"term\" data-term-id=\"1669\">histologiquement<\/span> pour <span class=\"term\" data-term-id=\"1718\">granulomes<\/span> (un type sp\u00e9cifique de <span class=\"term\" data-term-id=\"148\">inflammation<\/span>)<\/p>\n<p>Le syndrome de L\u00f6fgren pr\u00e9sente une combinaison de sympt\u00f4mes et de signes\u00a0:<\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"90\">\u00c9ryth\u00e8me<\/span> noueux<\/li>\n<li>\n<span class=\"term\" data-term-id=\"23\">Bilat\u00e9ral<\/span> rotation <span class=\"term\" data-term-id=\"503\">lymphad\u00e9nopathie<\/span> (agrandi <span class=\"term\" data-term-id=\"1775\">ganglions lymphatiques<\/span> au centre de la poitrine)<\/li>\n<li>Cheville bilat\u00e9rale <span class=\"term\" data-term-id=\"1578\">arthrite<\/span> ou chevilles douloureuses<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1176\">Fi\u00e8vre<\/span> et <span class=\"term\" data-term-id=\"1211\">malaise<\/span>\n<\/li>\n<\/ul>\n<p>Le syndrome doit son nom au chercheur su\u00e9dois Sven L\u00f6fgren (1910-1978), qui a d\u00e9crit les sympt\u00f4mes chez une s\u00e9rie de 113 patients (1953).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-el-sindrome-de-Lofgren\"><\/span>Qui est atteint du syndrome de L\u00f6fgren ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Certaines populations courent un risque plus \u00e9lev\u00e9 de d\u00e9velopper le syndrome de L\u00f6fgren <span class=\"term\" data-term-id=\"558\">g\u00e9n\u00e9tique<\/span> et des raisons environnementales.<\/p>\n<ul>\n<li>Il y a une forte pr\u00e9dominance f\u00e9minine<\/li>\n<li>Elle touche les patients jeunes et d\u2019\u00e2ge moyen, avec un \u00e2ge moyen d\u2019apparition de 35 ans.<\/li>\n<li>Le syndrome de L\u00f6fgren est plus fr\u00e9quent et plus grave en Scandinavie et en Irlande.<\/li>\n<li>Il existe une forte association avec <span class=\"term\" data-term-id=\"1245\">HLA<\/span>-DRB1 <span class=\"term\" data-term-id=\"529\">allele<\/span>.<\/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%BFQue-causa-el-sindrome-de-Lofgren\"><\/span>Quelles sont les causes du syndrome de L\u00f6fgren ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Malgr\u00e9 des recherches intenses, la cause du syndrome de L\u00f6fgren et d&#039;autres formes de <span class=\"term\" data-term-id=\"47\">cutan\u00e9<\/span> La sarco\u00efdose est inconnue. La sarco\u00efdose est reconnue comme une r\u00e9ponse immunitaire \u00e0 m\u00e9diation cellulaire face \u00e0 un facteur inconnu. <span class=\"term\" data-term-id=\"410\">antig\u00e8ne<\/span>, dans lequel activ\u00e9 <span class=\"term\" data-term-id=\"457\">macrophages<\/span> et CD4 T-<span class=\"term\" data-term-id=\"421\">lymphocytes<\/span> lancement <span class=\"term\" data-term-id=\"434\">cytokines<\/span> qui d\u00e9clenchent la formation de granulomes.<\/p>\n<p>Au moins certains cas de sarco\u00efdose cutan\u00e9e peuvent \u00eatre dus \u00e0 une <span class=\"term\" data-term-id=\"1313\">h\u00f4te<\/span> r\u00e9action \u00e0 un ou plusieurs agents infectieux, tels que Mycobacterium paratuberculosis, l&#039;histoplasmose et d&#039;autres champignons. La sarco\u00efdose aigu\u00eb n&#039;est pas contagieuse.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-del-sindrome-de-Lofgren\"><\/span>Quelles sont les caract\u00e9ristiques cliniques du syndrome de L\u00f6fgren ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Le syndrome de L\u00f6fgren survient g\u00e9n\u00e9ralement au printemps.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Eritema-nudoso\"><\/span>Erythema nodosum<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>\n<p>L&#039;\u00e9ryth\u00e8me noueux est majoritairement observ\u00e9 chez les femmes.<\/li>\n<li>Offre <span class=\"term\" data-term-id=\"367\">nodules<\/span> Ils sont le plus souvent localis\u00e9s dans les membres inf\u00e9rieurs, mais ils peuvent parfois survenir \u00e9galement dans les avant-bras.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Eritema-nudoso-2\"><\/span>Erythema nodosum<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='fr1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkilde1nv0-3471622-9442619' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/en1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDE1NV0-3471622.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema nodosum<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='fr2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-3824807-6913097' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/en2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-3824807.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema nodosum<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='pannic3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-3123179-1557270' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/pannic3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-3123179.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema nodosum<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>Plus d\u2019images d\u2019\u00e9ryth\u00e8me noueux\u2026<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Artritis-de-tobillo\"><\/span>Arthrite de la cheville<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>L\u2019arthrite bilat\u00e9rale de la cheville est plus fr\u00e9quente chez les hommes.<\/li>\n<li>Cela produit des douleurs et\/ou des gonflements.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Sistemico-sintomas\"><\/span>\n<span class=\"term\" data-term-id=\"380\">Syst\u00e9mique<\/span> sympt\u00f4mes<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Fi\u00e8vre et malaise g\u00e9n\u00e9ral<\/li>\n<li>Sympt\u00f4mes respiratoires\u00a0: l\u00e9ger essoufflement et diminution de la tol\u00e9rance \u00e0 l&#039;exercice.<\/li>\n<li>Aigu <span class=\"term\" data-term-id=\"505\">uv\u00e9ite<\/span> ou iridocyclite (inflammation de l&#039;\u0153il)<\/li>\n<li>Parotidite<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-hace-el-diagnostico-del-sindrome-de-Lofgren\"><\/span>Comment se pose le diagnostic du syndrome de L\u00f6fgren ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les patients atteints du syndrome de L\u00f6fgren peuvent pr\u00e9senter un <span class=\"term\" data-term-id=\"54\">dermatologue<\/span>m\u00e9decin respiratoire <span class=\"term\" data-term-id=\"980\">ophtalmologiste<\/span>, rhumatologue ou m\u00e9decin g\u00e9n\u00e9raliste en raison de la vari\u00e9t\u00e9 des sympt\u00f4mes possibles.<\/p>\n<p>Le diagnostic peut \u00eatre suspect\u00e9 en raison des caract\u00e9ristiques cliniques typiques. Bien que cela ne soit pas toujours n\u00e9cessaire au diagnostic, le diagnostic de sarco\u00efdose est confirm\u00e9 par la d\u00e9couverte de granulomes non cas\u00e9eux chez <span class=\"term\" data-term-id=\"24\">biopsie<\/span> des ganglions lymphatiques. La biopsie de l&#039;\u00e9ryth\u00e8me noueux r\u00e9v\u00e8le un septum <span class=\"term\" data-term-id=\"213\">panniculite<\/span>.<\/p>\n<p>La radiographie pulmonaire r\u00e9v\u00e8le des signes bilat\u00e9raux <span class=\"term\" data-term-id=\"1433\">lymphad\u00e9nopathie hilaire<\/span> c&#039;est-\u00e0-dire une hypertrophie des ganglions lymphatiques au centre de la poitrine.<\/p>\n<p>Les analyses de sang peuvent r\u00e9v\u00e9ler des niveaux \u00e9lev\u00e9s de\u00a0:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"946\">Prot\u00e9ine C-r\u00e9active<\/span> (<span class=\"term\" data-term-id=\"947\">CRP<\/span>), calcium, ac\u00e9tylcholinest\u00e9rase (ACE), phosphatase alcaline, gammaglobuline (polyclonale)<\/li>\n<\/ul>\n<p>Il est important d&#039;exclure la tuberculose. Le test cutan\u00e9 \u00e0 la tuberculine et le test sanguin QuantiFERON\u00ae gold sont n\u00e9gatifs dans la sarco\u00efdose.<\/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%BFCual-es-el-tratamiento-para-el-sindrome-de-Lofgren\"><\/span>Quel est le traitement du syndrome de L\u00f6fgren ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La plupart des patients atteints du syndrome de L\u00f6fgren sont trait\u00e9s avec des antist\u00e9ro\u00efdes non st\u00e9ro\u00efdiens.<span class=\"term\" data-term-id=\"490\">inflammatoire<\/span> drogues (<span class=\"term\" data-term-id=\"635\">AINS<\/span>), qui r\u00e9duisent l&#039;inconfort et l&#039;inflammation de l&#039;\u00e9ryth\u00e8me noueux et de l&#039;arthrite. D&#039;autres m\u00e9dicaments occasionnellement utilis\u00e9s pour le syndrome de L\u00f6fgren comprennent\u00a0:<\/p>\n<ul>\n<li>\n<p>St\u00e9ro\u00efdes syst\u00e9miques, par exemple prednisone orale, utilis\u00e9s dans les cas graves.<\/li>\n<li>Colchicine<\/li>\n<\/ul>\n<p>Les chaussettes de compression peuvent r\u00e9duire le gonflement et l\u2019inconfort de l\u2019\u00e9ryth\u00e8me noueux.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-pronostico-para-el-sindrome-de-Lofgren\"><\/span>Quel est le pronostic du syndrome de L\u00f6fgren ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les <span class=\"term\" data-term-id=\"241\">pr\u00e9voir<\/span> Le syndrome de L\u00f6fgren est bon, avec une r\u00e9solution compl\u00e8te avec ou sans traitement en 6 mois \u00e0 2 ans.<\/p>\n<p>Il est d\u2019usage de r\u00e9p\u00e9ter les radiographies pulmonaires de temps en temps jusqu\u2019\u00e0 disparition compl\u00e8te de la lymphad\u00e9nopathie.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es L\u00f6fgren? s\u00edndrome? El s\u00edndrome de L\u00f6fgren es un agudo forma de sarcoidosis La sarcoidosis es un trastorno multisist\u00e9mico caracterizado histol\u00f3gicamente por granulomas (un tipo espec\u00edfico de inflamaci\u00f3n) El&#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-16674","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/16674","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=16674"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/16674\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=16674"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=16674"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=16674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}