{"id":6546,"date":"2020-04-22T04:41:37","date_gmt":"2020-04-22T07:41:37","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/acne-comedonal\/"},"modified":"2020-04-27T17:20:11","modified_gmt":"2020-04-27T20:20:11","slug":"acne-comedonienne","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/acne-comedonal\/","title":{"rendered":"Acn\u00e9 com\u00e9donale"},"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\/acne-comedonal\/#Que-son-comedones\" >Que sont les com\u00e9dons ?<\/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'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/acne-comedonal\/#Comedones\" >Com\u00e9dons<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/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\/acne-comedonal\/#%C2%BFQue-es-el-acne-comedonal\" >Qu&#039;est-ce que l&#039;acn\u00e9 com\u00e9donienne ?<\/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'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/acne-comedonal\/#Acne-comedonal\" >Acn\u00e9 com\u00e9donale<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/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\/acne-comedonal\/#%C2%BFQue-causa-los-comedones\" >Qu&#039;est-ce qui cause les com\u00e9dons?<\/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\/acne-comedonal\/#%C2%BFCual-es-el-tratamiento-para-el-acne-comedonal\" >Quel est le traitement de l&#039;acn\u00e9 com\u00e9donienne ?<\/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'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/acne-comedonal\/#Electrocirugia-a-comedones-cerrados\" >Electrochirurgie des com\u00e9dons ferm\u00e9s<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-son-comedones\"><\/span>Qui sont <span class=\"term\" data-term-id=\"328\">com\u00e9dons<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les com\u00e9dons sont de petites bosses de couleur chair (<span class=\"term\" data-term-id=\"366\">papules<\/span>) se trouve fr\u00e9quemment sur le front et le menton des personnes souffrant d&#039;acn\u00e9. Un seul <span class=\"term\" data-term-id=\"164\">blessure<\/span> c&#039;est un <span class=\"term\" data-term-id=\"40\">com\u00e9don<\/span>.<\/p>\n<ul>\n<li>Les com\u00e9dons ouverts sont des points noirs ; noir en surface <span class=\"term\" data-term-id=\"231\">pigment<\/span> (<span class=\"term\" data-term-id=\"180\">m\u00e9lanine<\/span>), au lieu de la salet\u00e9<\/li>\n<li>Les com\u00e9dons ferm\u00e9s sont des points blancs ; la <span class=\"term\" data-term-id=\"1300\">follicule<\/span> est compl\u00e8tement verrouill\u00e9<\/li>\n<li>Les microcom\u00e9dons sont si petits qu&#039;ils ne sont pas visibles \u00e0 l&#039;\u0153il nu.<\/li>\n<li>Les macrocom\u00e9dons sont des com\u00e9dons faciaux ferm\u00e9s de plus de 2 \u00e0 3 mm de diam\u00e8tre.<\/li>\n<li>Un com\u00e9don g\u00e9ant est un type de <span class=\"term\" data-term-id=\"49\">kyste<\/span> dans lequel il y a une ouverture claire, semblable \u00e0 un point noir, dans la peau<\/li>\n<li>\n<p>Les com\u00e9dons solaires se trouvent sur les joues et le menton des personnes \u00e2g\u00e9es et seraient dus aux dommages caus\u00e9s par le soleil.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Comedones\"><\/span>Com\u00e9dons<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='comedos2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-3175874-5557815' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comedos2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-3175874.jpg'>\n<\/div>\n<p class=\"p-small\">Com\u00e9dons ouverts<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comedos__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8513276-9532119' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comedos__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8513276.jpg'>\n<\/div>\n<p class=\"p-small\">Com\u00e9dons ferm\u00e9s<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comedos3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-1069843-4437472' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comedos3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDM2XQ-1069843.jpg'>\n<\/div>\n<p class=\"p-small\">com\u00e9don g\u00e9ant<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-el-acne-comedonal\"><\/span>Qu&#039;est-ce que l&#039;acn\u00e9 com\u00e9donienne ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>L&#039;acn\u00e9 com\u00e9donienne est un type d&#039;acn\u00e9 dans lequel la majorit\u00e9 des l\u00e9sions sont des com\u00e9dons. L&#039;acn\u00e9 com\u00e9donienne affecte le plus souvent le front et le menton.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Acne-comedonal\"><\/span>Acn\u00e9 com\u00e9donale<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='comed1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5970482-7748800' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comed1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5970482.jpg'>\n<\/div>\n<p class=\"p-small\">Com\u00e9dons ouverts<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comed5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-2547405-8800916' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comed5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-2547405.jpg'>\n<\/div>\n<p class=\"p-small\">Acn\u00e9 com\u00e9donale<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comedones1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildbd-6498515-4327312' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comedones1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDBd-6498515.jpg'>\n<\/div>\n<p class=\"p-small\">Acn\u00e9 com\u00e9donale<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-los-comedones\"><\/span>Qu&#039;est-ce qui cause les com\u00e9dons?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les com\u00e9dons apparaissent lorsque les cellules qui tapissent le <span class=\"term\" data-term-id=\"262\">s\u00e9bac\u00e9<\/span> prolif\u00e8rent (cornification) et augmentent <span class=\"term\" data-term-id=\"898\">suif<\/span> production. Un com\u00e9don est form\u00e9 de d\u00e9bris qui obstruent le canal s\u00e9bac\u00e9 et <span class=\"term\" data-term-id=\"122\">les cheveux<\/span> follicule. On sait maintenant que les com\u00e9dons impliquent \u00e9galement <span class=\"term\" data-term-id=\"148\">inflammation<\/span> (Voir les causes de l&#039;acn\u00e9).<\/p>\n<p>Le d\u00e9veloppement des com\u00e9dons peut impliquer les facteurs suivants\u00a0:<\/p>\n<ul>\n<li>Activit\u00e9 masculine excessive. <span class=\"term\" data-term-id=\"1167\">sexe<\/span> hormones 5-<span class=\"term\" data-term-id=\"567\">testost\u00e9rone<\/span> (DHT) \u00e0 l&#039;int\u00e9rieur des cellules de la peau<\/li>\n<li>R\u00e9duction du linol\u00e9ate (le sel de l&#039;acide gras essentiel, l&#039;acide linol\u00e9ique) dans le s\u00e9bum provoquant plus <span class=\"term\" data-term-id=\"320\">\u00e9chelle<\/span> et fonction barri\u00e8re r\u00e9duite<\/li>\n<li>\n<span class=\"term\" data-term-id=\"566\">Proinflammatory<\/span> <span class=\"term\" data-term-id=\"434\">cytokines<\/span> (prot\u00e9ines de signalisation cellulaire), telles que <span class=\"term\" data-term-id=\"915\">Interleukine<\/span> 1 (IL-1) et IL-8, produites par les cellules tapissant le follicule en r\u00e9ponse \u00e0 l&#039;activation du syst\u00e8me immunitaire inn\u00e9<\/li>\n<li>Acides gras libres fabriqu\u00e9s \u00e0 partir de s\u00e9bum par l&#039;acn\u00e9 <span class=\"term\" data-term-id=\"935\">les bact\u00e9ries<\/span>\n<\/li>\n<li>Peau surhydrat\u00e9e avant les menstruations, \u00e0 cause des hydratants ou dans <span class=\"term\" data-term-id=\"710\">humide<\/span> termes<\/li>\n<li>Contact avec certains produits chimiques, y compris les huiles <span class=\"term\" data-term-id=\"1200\">onguents<\/span>, myristate d&#039;isopropyle, propyl\u00e8ne glycol et certains colorants dans les cosm\u00e9tiques<\/li>\n<li>Rupture du follicule suite \u00e0 des blessures telles que la compression des boutons, le frottement abrasif, les peelings chimiques ou <span class=\"term\" data-term-id=\"1617\">\u00catre<\/span> offres<\/li>\n<li>\n<p>Tabagisme\u00a0: l&#039;acn\u00e9 com\u00e9donienne est plus fr\u00e9quente chez les fumeurs que chez les non-fumeurs<\/li>\n<li>Certains facteurs alimentaires peuvent contribuer \u00e0 l&#039;acn\u00e9 com\u00e9donienne, notamment les produits laitiers et les aliments \u00e0 index glyc\u00e9mique \u00e9lev\u00e9 (sucres et graisses)<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-acne-comedonal\"><\/span>Quel est le traitement de l&#039;acn\u00e9 com\u00e9donienne ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Si vous souffrez d&#039;acn\u00e9 com\u00e9donienne, choisissez des cosm\u00e9tiques sans huile et lavez-vous deux fois par jour avec un savon doux et de l&#039;eau. Il est pr\u00e9f\u00e9rable d&#039;arr\u00eater de fumer et d&#039;avoir une alimentation pauvre en sucre, en mati\u00e8res grasses et en produits laitiers.<\/p>\n<p>Choisissez &quot;com\u00e9dolytique&quot; <span class=\"term\" data-term-id=\"1330\">actuel<\/span> Ceux-ci doivent \u00eatre appliqu\u00e9s une ou deux fois par jour sous forme de patch mince sur toute la zone affect\u00e9e. Cela peut prendre plusieurs semaines ou plusieurs mois avant qu&#039;une am\u00e9lioration valable ne se produise. Le traitement doit \u00eatre poursuivi \u00e0 long terme (parfois pendant de nombreuses ann\u00e9es).<\/p>\n<p>Les agents topiques appropri\u00e9s comprennent\u00a0:<\/p>\n<ul>\n<li>Peroxyde de benzoyle<\/li>\n<li>Acide az\u00e9la\u00efque<\/li>\n<li>\n<p>Acide salicylique +\/- soufre et r\u00e9sorcinol<\/li>\n<li>Acide glycolique<\/li>\n<li>\n<span class=\"term\" data-term-id=\"762\">R\u00e9tino\u00efdes<\/span> comme la tr\u00e9tino\u00efne, l&#039;isotr\u00e9tino\u00efne, l&#039;adapal\u00e8ne (ceux-ci n\u00e9cessitent une ordonnance)<\/li>\n<\/ul>\n<p>Les m\u00e9dicaments oraux prescrits pour l&#039;acn\u00e9 com\u00e9donienne comprennent\u00a0:<\/p>\n<ul>\n<li>hormonoth\u00e9rapie<\/li>\n<li>Isotr\u00e9tino\u00efne<\/li>\n<\/ul>\n<p>Les antibiotiques peuvent \u00e9galement am\u00e9liorer l&#039;acn\u00e9 com\u00e9donienne, mais sont g\u00e9n\u00e9ralement prescrits pour <span class=\"term\" data-term-id=\"490\">inflammatoire<\/span> acn\u00e9 (acn\u00e9 vulgaire)<\/p>\n<p>Des traitements chirurgicaux sont parfois pr\u00e9conis\u00e9s pour retirer les com\u00e9dons persistants :<\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"1145\">Cryoth\u00e9rapie<\/span><\/li>\n<li>\n<p>\u00c9lectrochirurgie (<span class=\"term\" data-term-id=\"1616\">caut\u00e9risation<\/span> ou diathermie)<\/li>\n<li>Microdermabrasion<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Electrocirugia-a-comedones-cerrados\"><\/span>Electrochirurgie des com\u00e9dons ferm\u00e9s<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='comed4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7605562-6575168' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comed4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7605562.jpg'>\n<\/div>\n<p class=\"p-small\">Electrochirurgie des com\u00e9dons<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Qu\u00e9 son comedones? Los comedones son peque\u00f1as protuberancias del color de la piel (p\u00e1pulas) se encuentra con frecuencia en la frente y el ment\u00f3n de las personas con acn\u00e9. Un&#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-6546","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6546","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=6546"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6546\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=6546"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=6546"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=6546"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}