{"id":6607,"date":"2020-04-22T10:39:08","date_gmt":"2020-04-22T13:39:08","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/crioglobulinemia\/"},"modified":"2020-04-27T17:15:30","modified_gmt":"2020-04-27T20:15:30","slug":"cryoglobulinemie","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/crioglobulinemia\/","title":{"rendered":"Cryoglobulin\u00e9mie"},"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\/crioglobulinemia\/#%C2%BFQue-es-la-crioglobulinemia\" >Qu\u2019est-ce que la cryoglobulin\u00e9mie ?<\/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\/crioglobulinemia\/#Tipos-de-crioglobulinemia\" >Types de cryoglobulin\u00e9mie<\/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\/crioglobulinemia\/#%C2%BFQuien-contrae-crioglobulinemia\" >Qui est atteint de cryoglobulin\u00e9mie ?<\/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\/crioglobulinemia\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-crioglobulinemia\" >Quelles sont les caract\u00e9ristiques cliniques de la cryoglobulin\u00e9mie ?<\/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\/crioglobulinemia\/#Manifestaciones-cutaneas-de-crioglobulinemia\" >Manifestations cutan\u00e9es de la cryoglobulin\u00e9mie.<\/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-6\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/crioglobulinemia\/#Crioglobulinemia-que-afecta-las-manos-y-los-pies\" >Cryoglobulin\u00e9mie affectant les mains et les pieds.<\/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-7\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/crioglobulinemia\/#Otras-manifestaciones-de-crioglobulinemia\" >Autres manifestations de la cryoglobulin\u00e9mie<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/crioglobulinemia\/#%C2%BFCual-es-el-tratamiento-para-la-crioglobulinemia\" >Quel est le traitement de la cryoglobulin\u00e9mie ?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-crioglobulinemia\"><\/span>Qu\u2019est-ce que la cryoglobulin\u00e9mie ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La cryoglobulin\u00e9mie est une maladie rare caract\u00e9ris\u00e9e par la pr\u00e9sence d&#039;anomalies <span class=\"term\" data-term-id=\"427\">immunoglobuline<\/span> prot\u00e9ines dans le sang qui peuvent <span class=\"term\" data-term-id=\"1496\">pr\u00e9cipit\u00e9<\/span> dans les tissus \u00e0 basse temp\u00e9rature et provoquant <span class=\"term\" data-term-id=\"148\">inflammation<\/span> et dommages.<\/p>\n<p><span class=\"term\" data-term-id=\"428\">Immunoglobulines<\/span> sont la classe de prot\u00e9ines qui fabriquent <span class=\"term\" data-term-id=\"426\">des anticorps<\/span> en r\u00e9ponse \u00e0 des substances \u00e9trang\u00e8res (<span class=\"term\" data-term-id=\"411\">antig\u00e8nes<\/span>) introduit dans l\u2019organisme. Dans le cas de la cryoglobulin\u00e9mie, des immunoglobulines anormales forment des complexes (cryoglobulines) et pr\u00e9cipitent (lessivage) du sang \u00e0 basse temp\u00e9rature. Cela entra\u00eene une restriction du flux sanguin dans les tissus et <span class=\"term\" data-term-id=\"380\">syst\u00e9mique<\/span> inflammation, qui entra\u00eene de nombreux signes et sympt\u00f4mes cliniques, notamment des l\u00e9sions cutan\u00e9es, <span class=\"term\" data-term-id=\"601\">arthralgie<\/span> (douleur articulaire), <span class=\"term\" data-term-id=\"1578\">arthrite<\/span>, <span class=\"term\" data-term-id=\"753\">vasculaire<\/span> <span class=\"term\" data-term-id=\"250\">violet<\/span> (marques cutan\u00e9es violettes), <span class=\"term\" data-term-id=\"1349\">v\u00e9cu<\/span> (motif marbr\u00e9) et conditions de saignement.<\/p>\n<p>La cryoglobulin\u00e9mie survient souvent en association avec d&#039;autres maladies, notamment <span class=\"term\" data-term-id=\"691\">auto-immune<\/span> ou des maladies infectieuses (c&#039;est ce qu&#039;on appelle la cryoglobulin\u00e9mie secondaire). Lorsqu\u2019elle survient sans maladie associ\u00e9e, on parle de <span class=\"term\" data-term-id=\"862\">idiopathique<\/span> ou cryoglobulin\u00e9mie essentielle.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tipos-de-crioglobulinemia\"><\/span>Types de cryoglobulin\u00e9mie<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La cryoglobulin\u00e9mie est class\u00e9e en 3 types principaux en fonction de la composition du <span class=\"term\" data-term-id=\"46\">cryoglobuline<\/span> complexe. Chaque type s\u2019est av\u00e9r\u00e9 associ\u00e9 \u00e0 certaines maladies.<\/p>\n<table class=\"borders\">\n<tbody>\n<tr>\n<th>Type de cryoglobuline<\/th>\n<th>Composition des immunoglobulines<\/th>\n<th>Maladies associ\u00e9es<\/th>\n<\/tr>\n<tr>\n<td>Type I\u00a0:\u00a0simple <span class=\"term\" data-term-id=\"466\">monoclonal<\/span> <span class=\"term\" data-term-id=\"425\">anticorps<\/span>\n<\/td>\n<td>Principalement des IgM <br \/>Moins fr\u00e9quemment IgG et IgA<\/td>\n<td>Macroglobulin\u00e9mie de Waldenstr\u00f6m <br \/><span class=\"term\" data-term-id=\"319\">Chronique<\/span> lymphocytaire <span class=\"term\" data-term-id=\"613\">leuc\u00e9mie<\/span> <br \/>My\u00e9lome multiple <br \/><span class=\"term\" data-term-id=\"503\">Ad\u00e9nopathie<\/span> <br \/>leuc\u00e9mie \u00e0 tricholeucocytes<\/td>\n<\/tr>\n<tr>\n<td>Type II\u00a0: anticorps mixte avec facteur rhumato\u00efde monoclonal (g\u00e9n\u00e9ralement IgG ou IgM)<\/td>\n<td>IgM-IgG <br \/>IgG-IgG <br \/>IgA-IgG<\/td>\n<td>\n<p>Macroglobulin\u00e9mie de Waldenstr\u00f6m <br \/>Chronique <span class=\"term\" data-term-id=\"422\">lymphocytaire<\/span> leuc\u00e9mie <br \/>My\u00e9lome multiple <br \/>Cryoglobulin\u00e9mie essentielle mixte<\/td>\n<\/tr>\n<tr>\n<td>Type III\u00a0: anticorps mixte avec facteur rhumato\u00efde polyclonal<\/td>\n<td>IgM-IgG <br \/>IgG-IgG-IgA<\/td>\n<td>\n<p>Le lupus \u00e9ryth\u00e9mateux diss\u00e9min\u00e9  <br \/>Sj\u00f6gren <span class=\"term\" data-term-id=\"350\">syndrome<\/span>  <br \/>Polyarthrite rhumato\u00efde <br \/><span class=\"term\" data-term-id=\"1801\">H\u00e9patite<\/span> A, B ou C  <br \/>Syst\u00e9mique <span class=\"term\" data-term-id=\"260\">scl\u00e9rose<\/span> <br \/><span class=\"term\" data-term-id=\"1091\">Vascularite<\/span> <br \/>Glom\u00e9rulon\u00e9phrite<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\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%BFQuien-contrae-crioglobulinemia\"><\/span>Qui est atteint de cryoglobulin\u00e9mie ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>On pense que la cryoglobulin\u00e9mie est rare. La cryoglobulin\u00e9mie mixte essentielle survient chez environ 1 personne sur 100 000. La plupart des cas de cryoglobulin\u00e9mie ont une cause sous-jacente. Le type de cryoglobulin\u00e9mie retrouv\u00e9 chez les patients est d&#039;environ 25% de type I, 25% de type II et 50% de type III.<\/p>\n<p>Elle a tendance \u00e0 se d\u00e9velopper entre 40 et 60 ans et touche davantage les femmes que les hommes dans un rapport de 3\u00a0:\u00a01.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-crioglobulinemia\"><\/span>Quelles sont les caract\u00e9ristiques cliniques de la cryoglobulin\u00e9mie ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les caract\u00e9ristiques cliniques de la cryoglobulin\u00e9mie diff\u00e8rent selon les types pr\u00e9sent\u00e9s dans le tableau ci-dessous.<\/p>\n<table>\n<tbody>\n<tr>\n<th>Caract\u00e9ristiques de la cryoglobulin\u00e9mie de type I<\/th>\n<th>Caract\u00e9ristiques de la cryoglobulin\u00e9mie de type II et III<\/th>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li>\n<p>Acrocyanose (bleuissement des mains et des pieds d\u00fb au froid)<\/li>\n<li>Syndrome du doigt bleu<\/li>\n<li>R\u00e9tinien <span class=\"term\" data-term-id=\"120\">h\u00e9morragie<\/span> (saignement)<\/li>\n<li>Grave <span class=\"term\" data-term-id=\"256\">Ph\u00e9nom\u00e8ne de raynaud<\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1177\">Art\u00e9riel<\/span> <span class=\"term\" data-term-id=\"769\">thrombose<\/span>\n<\/li>\n<li><span class=\"term\" data-term-id=\"1286\">Gangr\u00e8ne<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Arthralgie et arthrite des articulations PIP et MCP (articulations des doigts, des mains et des orteils), des genoux et des chevilles<\/li>\n<li>Fatigue<\/li>\n<li>Myalgie (douleurs musculaires)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"896\">R\u00e9nal<\/span> maladie du complexe immunitaire (rein)<\/li>\n<li><span class=\"term\" data-term-id=\"47\">Cutan\u00e9<\/span> vascularite<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1374\">P\u00e9riph\u00e9rique<\/span> <span class=\"term\" data-term-id=\"400\">neuropathie<\/span> (Engourdissement des mains et des pieds)<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span class=\"ez-toc-section\" id=\"Manifestaciones-cutaneas-de-crioglobulinemia\"><\/span>Manifestations cutan\u00e9es de la cryoglobulin\u00e9mie.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les probl\u00e8mes de peau sont presque toujours pr\u00e9sents chez les patients atteints de cryoglobulin\u00e9mie.<\/p>\n<table>\n<tbody>\n<tr>\n<th>probl\u00e8me de peau<\/th>\n<th>Type i (%)<\/th>\n<th>Types II et III (%)<\/th>\n<\/tr>\n<tr>\n<td>\n<span class=\"term\" data-term-id=\"765\">Isch\u00e9mique<\/span> <span class=\"term\" data-term-id=\"403\">n\u00e9crose<\/span> (l\u00e9sions cutan\u00e9es et tissulaires dues au manque de circulation sanguine)<\/td>\n<td>40<\/td>\n<td>0-20<\/td>\n<\/tr>\n<tr>\n<td><span class=\"term\" data-term-id=\"1171\">Palpable<\/span> violet<\/td>\n<td>15<\/td>\n<td>80<\/td>\n<\/tr>\n<tr>\n<td><span class=\"term\" data-term-id=\"1350\">Livedoid<\/span> <span class=\"term\" data-term-id=\"595\">vasculopathie<\/span><\/td>\n<td>1<\/td>\n<td>14 (en type III)<\/td>\n<\/tr>\n<tr>\n<td>Induite par le froid <span class=\"term\" data-term-id=\"1646\">urticaire<\/span><\/td>\n<td>15<\/td>\n<td>10 (en type III)<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\">Gu\u00e9rison du bout du nez, des pavillons, des doigts et des orteils.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\">pli d&#039;ongle <span class=\"term\" data-term-id=\"756\">capillaire<\/span> anomalies<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Crioglobulinemia-que-afecta-las-manos-y-los-pies\"><\/span>Cryoglobulin\u00e9mie affectant les mains et les pieds. <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='cryoglob1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2175159-3593998' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cryoglob1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2175159.jpg'>\n<\/div>\n<p class=\"p-small\">Cryoglobulin\u00e9mie<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='cryoglob2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6900767-2291917' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cryoglob2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6900767.jpg'>\n<\/div>\n<p class=\"p-small\">Cryoglobulin\u00e9mie<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='cryoglob3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7270010-3584595' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cryoglob3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7270010.jpg'>\n<\/div>\n<p class=\"p-small\">Cryoglobulin\u00e9mie<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='cryoglob4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2177425-5055991' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cryoglob4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2177425.jpg'>\n<\/div>\n<p class=\"p-small\">Cryoglobulin\u00e9mie<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='cryoglob5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4117248-7158237' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cryoglob5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4117248.jpg'>\n<\/div>\n<p class=\"p-small\">Cryoglobulin\u00e9mie<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='raynaud__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildbd-2157671-2531534' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/raynaud__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDBd-2157671.jpg'>\n<\/div>\n<p class=\"p-small\">Ph\u00e9nom\u00e8ne de raynaud<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\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=\"Otras-manifestaciones-de-crioglobulinemia\"><\/span>Autres manifestations de la cryoglobulin\u00e9mie<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>De nombreux organes peuvent \u00eatre affect\u00e9s par la cryoglobulin\u00e9mie.<\/p>\n<table>\n<tbody>\n<tr>\n<th>Organe affect\u00e9<\/th>\n<th>Signes et sympt\u00f4mes<\/th>\n<\/tr>\n<tr>\n<td>Lumi\u00e8re<\/td>\n<td>Toux, essoufflement, liquide dans les poumons.<\/td>\n<\/tr>\n<tr>\n<td>Gastro-intestinale<\/td>\n<td>Douleurs \u00e0 l&#039;estomac, saignements, hypertrophie du foie et\/ou de la rate.<\/td>\n<\/tr>\n<tr>\n<td>Reins<\/td>\n<td>\n<span class=\"term\" data-term-id=\"561\">Hypertension<\/span> (hypertension art\u00e9rielle), glom\u00e9rulon\u00e9phrite, syndrome n\u00e9phrotique<\/td>\n<\/tr>\n<tr>\n<td>Syst\u00e8me nerveux<\/td>\n<td>Troubles visuels, neuropathie p\u00e9riph\u00e9rique.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span class=\"term\" data-term-id=\"1176\">Fi\u00e8vre<\/span> Cela peut aussi arriver.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-crioglobulinemia\"><\/span>Quel est le traitement de la cryoglobulin\u00e9mie ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>L\u2019objectif principal du traitement est de trouver et de traiter la cause sous-jacente et de limiter la pr\u00e9cipitation de cryoglobuline et l\u2019inflammation qui en r\u00e9sulte. Il convient de conseiller aux patients atteints de cryoglobulin\u00e9mie d&#039;\u00e9viter les environnements froids afin d&#039;\u00e9viter la pr\u00e9cipitation des cryoglobulines.<\/p>\n<p>Le traitement symptomatique comprend\u00a0:<\/p>\n<ul>\n<li>Anti-st\u00e9ro\u00efdes non st\u00e9ro\u00efdiens<span class=\"term\" data-term-id=\"490\">inflammatoire<\/span> m\u00e9dicaments contre l&#039;arthralgie et la fatigue.<\/li>\n<li>M\u00e9dicaments immunosuppresseurs (p. ex. corticost\u00e9ro\u00efdes, cyclophosphamide, azathioprine) en cas d&#039;atteinte d&#039;un organe telle qu&#039;une vascularite, une maladie r\u00e9nale, <span class=\"term\" data-term-id=\"1759\">progressive<\/span> <span class=\"term\" data-term-id=\"402\">neurologique <\/span>sympt\u00f4mes et affections cutan\u00e9es graves et invalidants.<\/li>\n<li>La plasmaph\u00e9r\u00e8se est utilis\u00e9e en cas de complications graves ou potentiellement mortelles.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1512\">Antiviral<\/span> Le traitement est efficace chez les patients atteints de cryoglobulin\u00e9mie associ\u00e9e \u00e0 l&#039;h\u00e9patite C.<\/li>\n<li>L&#039;anticorps monoclonal anti-CD20, le rituximab, s&#039;est r\u00e9v\u00e9l\u00e9 efficace dans le traitement des vascularites dues \u00e0 une cryoglobulin\u00e9mie mixte de type II et \u00e0 une cryoglobulin\u00e9mie associ\u00e9e \u00e0 l&#039;h\u00e9patite C.<\/li>\n<\/ul>\n<p>L&#039;identification et le traitement des premiers sympt\u00f4mes, tels que les l\u00e9sions cutan\u00e9es, la fatigue ou l&#039;arthralgie, r\u00e9sultant de la cryoglobulin\u00e9mie, permettront de pr\u00e9venir d&#039;autres l\u00e9sions organiques et d&#039;am\u00e9liorer les r\u00e9sultats pour les patients.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la crioglobulinemia? La crioglobulinemia es un trastorno poco frecuente que se caracteriza por la presencia de anomal\u00edas inmunoglobulina prote\u00ednas en la sangre que pueden precipitado fuera en los&#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-6607","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6607","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=6607"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6607\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=6607"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=6607"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=6607"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}