{"id":6926,"date":"2020-04-23T18:55:33","date_gmt":"2020-04-23T21:55:33","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/fogo-selvagem\/"},"modified":"2020-04-27T16:40:32","modified_gmt":"2020-04-27T19:40:32","slug":"fogo-selvagem","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/fogo-selvagem\/","title":{"rendered":"Fogo selvagem"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 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\/fogo-selvagem\/#%C2%BFQue-es-fogo-selvagem\" >Qu&#039;est-ce que le fogo selvagem?<\/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\/fogo-selvagem\/#%C2%BFQuien-recibe-fogo-selvagem\" >Qui re\u00e7oit le fogo selvagem?<\/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\/fogo-selvagem\/#%C2%BFQue-causa-fogo-selvagem\" >Quelles sont les causes du fogo selvagem?<\/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\/fogo-selvagem\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-fogo-selvagem\" >Quelles sont les caract\u00e9ristiques cliniques du fogo selvagem?<\/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\/fogo-selvagem\/#%C2%BFCuales-son-las-complicaciones-de-fogo-selvagem\" >Quelles sont les complications du fogo selvagem?<\/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\/fogo-selvagem\/#%C2%BFComo-se-diagnostica-el-fogo-selvagem\" >Comment diagnostique-t-on le fogo selvagem?<\/a><\/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\/fogo-selvagem\/#Cual-es-el-diagnostico-diferencial-para-fogo-selvagem\" >Quel est le diagnostic diff\u00e9rentiel pour le fogo selvagem?<\/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\/fogo-selvagem\/#%C2%BFCual-es-el-tratamiento-para-fogo-selvagem\" >Quel est le traitement du fogo selvagem?<\/a><\/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\/fogo-selvagem\/#%C2%BFCual-es-el-resultado-para-fogo-selvagem\" >Quel est le r\u00e9sultat pour fogo selvagem?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-fogo-selvagem\"><\/span>Qu&#039;est-ce que le fogo selvagem?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Fogo selvagem, \u00e9galement connu sous le nom de <span class=\"term\" data-term-id=\"814\">end\u00e9mique<\/span> pemphigus foliac\u00e9, est un <span class=\"term\" data-term-id=\"691\">auto-immune<\/span> maladie bulleuse C&#039;est une variante du pemphigus foliaire avec un seul <span class=\"term\" data-term-id=\"1658\">\u00e9pid\u00e9miologique<\/span> profil.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-recibe-fogo-selvagem\"><\/span>Qui re\u00e7oit le fogo selvagem?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Fogo selvagem est le plus <span class=\"term\" data-term-id=\"1676\">pr\u00e9dominant<\/span> dans les zones rurales des \u00c9tats du sud et du centre-ouest du Br\u00e9sil, comme Goi\u00e1s, Mato Grosso do Sul, Paran\u00e1, S\u00e3o Paulo et Minas Gerais. Des cas ont \u00e9galement \u00e9t\u00e9 signal\u00e9s en Tunisie, au P\u00e9rou, au Paraguay, au Salvador et en Colombie. Elle affecte le plus souvent les enfants et les jeunes adultes.<\/p>\n<p>Le Fogo selvagem est \u00e9troitement li\u00e9 \u00e0 la pauvret\u00e9 et \u00e0 la malnutrition et a un <span class=\"term\" data-term-id=\"578\">incidence<\/span> dans les zones proches des rivi\u00e8res et des ruisseaux. Fogo selvagem est associ\u00e9 \u00e0 l&#039;homme <span class=\"term\" data-term-id=\"438\">globule blanc<\/span> <span class=\"term\" data-term-id=\"410\">antig\u00e8ne<\/span> complexe (<span class=\"term\" data-term-id=\"1245\">HLA<\/span>), indiquant un <span class=\"term\" data-term-id=\"558\">g\u00e9n\u00e9tique<\/span> <span class=\"term\" data-term-id=\"1494\">pr\u00e9disposition<\/span> \u00e0 la maladie<\/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-fogo-selvagem\"><\/span>Quelles sont les causes du fogo selvagem?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Le fogo selvagem est une maladie auto-immune dans laquelle le syst\u00e8me immunitaire d&#039;un individu r\u00e9agit contre <span class=\"term\" data-term-id=\"1069\">k\u00e9ratinocytes<\/span> et <span class=\"term\" data-term-id=\"62\">desmosomes<\/span> qui composent la peau<\/p>\n<p>En r\u00e9action au brouillard selvagem, le corps produit <span class=\"term\" data-term-id=\"427\">immunoglobuline<\/span> G4 (IgG4) <span class=\"term\" data-term-id=\"426\">des anticorps<\/span> qui se lient \u00e0 la prot\u00e9ine desmosomale <span class=\"term\" data-term-id=\"1030\">desmoglein<\/span>-1 (Dsg1). Cela provoque des k\u00e9ratinocytes superficiels de la <span class=\"term\" data-term-id=\"85\">\u00e9piderme<\/span> s\u00e9par\u00e9s les uns des autres et remplis de liquide, provoquant les cloques caract\u00e9ristiques.<\/p>\n<p>L&#039;exact <span class=\"term\" data-term-id=\"527\">Pathog\u00e9n\u00e8se<\/span> de fogo selvagem n&#039;est pas connu, mais on pense qu&#039;une combinaison de facteurs g\u00e9n\u00e9tiques et environnementaux est impliqu\u00e9e. Expression HLA-DRB1-0404, 1402 ou 1406 <span class=\"term\" data-term-id=\"530\">all\u00e8les<\/span> On le trouve chez les patients atteints de fogo selvagem, ce qui sugg\u00e8re une sensibilit\u00e9 g\u00e9n\u00e9tique. On suppose qu&#039;une prot\u00e9ine salivaire d&#039;un insecte suceur de sang comme la mouche noire (<em>Simulium nigrimanum<\/em>) d\u00e9clenche la r\u00e9ponse auto-immune, car les piq\u00fbres de mouches noires se sont r\u00e9v\u00e9l\u00e9es plus fr\u00e9quentes chez les patients atteints de fogo selvagem.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-fogo-selvagem\"><\/span>Quelles sont les caract\u00e9ristiques cliniques du fogo selvagem? <span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les l\u00e9sions classiques du fogo selvagem sont des cloques superficielles ou <span class=\"term\" data-term-id=\"1028\">v\u00e9sicules<\/span> qui progressent pendant des semaines ou des mois. Ses caract\u00e9ristiques comprennent:<\/p>\n<ul>\n<li>Ampoules et l\u00e9sions qui se cassent facilement en frottant la peau.<\/li>\n<li>V\u00e9sicules superficielles, qui progressent pendant des semaines \/ mois.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"535\">\u00c9rosion<\/span> et <span class=\"term\" data-term-id=\"966\">cro\u00fbte<\/span> dans les zones de s\u00e9borrh\u00e9e, y compris le cuir chevelu et le visage, le cou et le tronc sup\u00e9rieur<\/li>\n<li>Sensation de br\u00fblure sur la peau, refl\u00e9t\u00e9e dans le nom: fogo selvagem signifie feu de for\u00eat en portugais.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-complicaciones-de-fogo-selvagem\"><\/span>Quelles sont les complications du fogo selvagem?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>S&#039;ils ne sont pas trait\u00e9s, les complications peuvent inclure:<\/p>\n<ul>\n<li>Retard de croissance et nanisme chez les enfants<\/li>\n<li>Azoospermie (infertilit\u00e9 chez les hommes)<\/li>\n<li>Risque accru d&#039;infections virales.<\/li>\n<\/ul>\n<p>Ces complications sont moins susceptibles de se produire si la maladie est trait\u00e9e imm\u00e9diatement.<\/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%BFComo-se-diagnostica-el-fogo-selvagem\"><\/span>Comment diagnostique-t-on le fogo selvagem?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Le diagnostic de fogo selvagem est bas\u00e9 \u00e0 la fois sur <span class=\"term\" data-term-id=\"589\">pr\u00e9dominance<\/span> de la maladie et de ses cloques caract\u00e9ristiques et un effet positif <span class=\"term\" data-term-id=\"197\">Nikolsky <span class=\"term\" data-term-id=\"899\">signer<\/span><\/span>  (o\u00f9 frotter doucement la peau affect\u00e9e provoque la formation de cloques).<\/p>\n<p>Peau <span class=\"term\" data-term-id=\"24\">biopsie<\/span> spectacles <span class=\"term\" data-term-id=\"3\">acantholyse<\/span> de l&#039;\u00e9piderme sup\u00e9rieur, ce qui entra\u00eene souvent une <span class=\"term\" data-term-id=\"1056\">sous-corn\u00e9en<\/span> <span class=\"term\" data-term-id=\"1835\">fendu<\/span> (o\u00f9 une perte de <span class=\"term\" data-term-id=\"822\">accession<\/span> entre les k\u00e9ratinocytes cr\u00e9e conduit \u00e0 la division de la couche de peau). La fente sous-corn\u00e9enne augmente de taille et peut se d\u00e9tacher, avec ou sans <span class=\"term\" data-term-id=\"27\">bulla<\/span> formation. Autre <span class=\"term\" data-term-id=\"474\">histologique<\/span> les r\u00e9sultats peuvent inclure <span class=\"term\" data-term-id=\"215\">papillomatose<\/span>, <span class=\"term\" data-term-id=\"610\">hyperk\u00e9ratose<\/span> et <span class=\"term\" data-term-id=\"218\">parak\u00e9ratose<\/span>. B\u00e9nin <span class=\"term\" data-term-id=\"422\">lymphocytaire<\/span> <span class=\"term\" data-term-id=\"543\">infiltration<\/span> peuvent \u00eatre pr\u00e9sents.<\/p>\n<p>Direct <span class=\"term\" data-term-id=\"142\">immunofluorescence<\/span> spectacles <span class=\"term\" data-term-id=\"846\">\u00e9pidermique<\/span> fluorescence intercellulaire - principalement anti-IgG ou anti-C3 <span class=\"term\" data-term-id=\"352\">autoanticorps<\/span>.<\/p>\n<p>Un test ELISA (rDsg1-His) peut \u00eatre utilis\u00e9 pour d\u00e9tecter les auto-anticorps intercellulaires du fogo selvagem.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cual-es-el-diagnostico-diferencial-para-fogo-selvagem\"><\/span>Quel est le <span class=\"term\" data-term-id=\"813\">diagnostic diff\u00e9rentiel<\/span> pour fogo selvagem?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D&#039;autres affections cutan\u00e9es peuvent \u00eatre envisag\u00e9es chez un patient pr\u00e9sentant des cloques superficielles du cuir chevelu, du visage, du cou et du tronc sup\u00e9rieur, telles que:<\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"378\">S\u00e9borrh\u00e9ique<\/span> <span class=\"term\" data-term-id=\"53\">dermatite<\/span><\/li>\n<li>\n<span class=\"term\" data-term-id=\"47\">Cutan\u00e9<\/span> lupus \u00e9ryth\u00e9mateux.<\/li>\n<\/ul>\n<p>pour <span class=\"term\" data-term-id=\"308\">g\u00e9n\u00e9ralis\u00e9<\/span> cloques, consid\u00e9rez:<\/p>\n<ul>\n<li>Pemphigus vulgaris<\/li>\n<li>Autres causes de <span class=\"term\" data-term-id=\"91\">\u00e9rythrodermie<\/span>, comme le psoriasis ou <span class=\"term\" data-term-id=\"922\">un sujet<\/span> dermatite.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-fogo-selvagem\"><\/span>Quel est le traitement du fogo selvagem?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Fogo selvagem est trait\u00e9 avec <span class=\"term\" data-term-id=\"380\">syst\u00e9mique<\/span> les corticost\u00e9ro\u00efdes tels que la prednisone ou la prednisolone, auxquels la plupart des patients r\u00e9pondent bien. Des agents immunosuppresseurs peuvent \u00eatre ajout\u00e9s, tels que:<\/p>\n<ul>\n<li>Azathioprine<\/li>\n<li>Mycoph\u00e9nolate<\/li>\n<li>\n<p>Cyclophosphamide<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-resultado-para-fogo-selvagem\"><\/span>Quel est le r\u00e9sultat pour fogo selvagem?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Avec un traitement appropri\u00e9, <span class=\"term\" data-term-id=\"241\">pr\u00e9voir<\/span> de fogo selvagem est bon sans long terme <span class=\"term\" data-term-id=\"540\">cons\u00e9quences<\/span>.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es fogo selvagem? Fogo selvagem, tambi\u00e9n conocido como end\u00e9mico p\u00e9nfigo foli\u00e1ceo, es un autoinmune enfermedad ampollosa Es una variante del p\u00e9nfigo foli\u00e1ceo con un \u00fanico epidemiol\u00f3gico perfil. \u00bfQui\u00e9n recibe&#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-6926","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6926","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=6926"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6926\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=6926"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=6926"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=6926"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}