{"id":7568,"date":"2020-04-25T00:48:01","date_gmt":"2020-04-25T03:48:01","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/penfigoide-cicatricial-de-brunsting-perry\/"},"modified":"2020-10-30T07:11:36","modified_gmt":"2020-10-30T10:11:36","slug":"pemphigoide-cicatriciel-de-brunsting-perry","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/penfigoide-cicatricial-de-brunsting-perry\/","title":{"rendered":"Pemphigo\u00efde cicatricielle Brunsting-Perry"},"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\/penfigoide-cicatricial-de-brunsting-perry\/#%C2%BFQue-es-Brunsting-Perry-cicatricial-penfigoide\" >Qu&#039;est-ce que Brunsting-Perry? Cicatrice pemphigo\u00efde?<\/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\/penfigoide-cicatricial-de-brunsting-perry\/#%C2%BFQue-causa-el-penfigoide-cicatricial-de-Brunsting-Perry\" >Quelles sont les causes de la pemphigo\u00efde cicatricielle de Brunsting-Perry?<\/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\/penfigoide-cicatricial-de-brunsting-perry\/#Presentacion-clinica-del-penfigoide-cicatricial-de-Brunsting-Perry\" >Pr\u00e9sentation clinique de la pemphigo\u00efde cicatricielle Brunsting-Perry<\/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\/penfigoide-cicatricial-de-brunsting-perry\/#%C2%BFCual-es-el-tratamiento-para-el-penfigoide-cicatricial-Brunsting-Perry\" >Quel est le traitement de la pemphigo\u00efde cicatricielle de Brunsting-Perry?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-Brunsting-Perry-cicatricial-penfigoide\"><\/span>Qu&#039;est-ce que Brunsting-Perry? <span class=\"term\" data-term-id=\"36\">cicatrice<\/span> pemphigo\u00efde?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Pemphigo\u00efde cicatricielle Brunsting-Perry (ou <span class=\"term\" data-term-id=\"188\">muqueux<\/span> pemphigo\u00efde membranaire) est une variante rare de <span class=\"term\" data-term-id=\"1485\">membrane muqueuse<\/span> pemphigo\u00efde C&#039;est un <span class=\"term\" data-term-id=\"691\">auto-immune<\/span> condition de peau boursoufl\u00e9e <span class=\"term\" data-term-id=\"324\">situ\u00e9<\/span> a la regi\u00f3n de la cabeza y el cuello. La caracter\u00edstica m\u00e1s llamativa es el desarrollo de cicatrices significativas. A diferencia del cl\u00e1sico <a href=\"https:\/\/doctorhoogstra.com\/fr\/tipos-tratamientos\/lesiones-de-la-piel\/\" class=\"wpil_internal_link\" style=\"display: inline !important;width: auto !important\" data-wpil-post-to-id=\"\">pemphigo\u00efde<\/a> de la membrana mucosa, la afectaci\u00f3n de la membrana mucosa es menos com\u00fan y no se asocia con cicatrices.<\/p>\n<p>Certains auteurs pensent que la pemphigo\u00efde cicatricielle de Brunsting-Perry est mieux connue sous le nom de variante de Brunsting-Perry de l&#039;\u00e9pidermolyse bulleuse acquise. L&#039;\u00e9pidermolyse bulleuse acquise est un autre trouble rare des cloques auto-immunes.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-el-penfigoide-cicatricial-de-Brunsting-Perry\"><\/span>Quelles sont les causes de la pemphigo\u00efde cicatricielle de Brunsting-Perry?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La pemphigo\u00efde cicatricielle de Brunsting-Perry est une maladie auto-immune. Cela signifie que le syst\u00e8me immunitaire d&#039;un individu commence \u00e0 r\u00e9agir contre ses propres tissus. Dans ce cas, <span class=\"term\" data-term-id=\"352\">autoanticorps<\/span> r\u00e9agir avec les composants de la membrane basale, en particulier l&#039;ancrage <span class=\"term\" data-term-id=\"1611\">filament<\/span> composant laminin 5, et le <span class=\"term\" data-term-id=\"1599\">h\u00e9midesmosome<\/span>-Prot\u00e9ines associ\u00e9es BP180 et BP230. Chez certains patients <span class=\"term\" data-term-id=\"426\">des anticorps<\/span> \u00e0 <span class=\"term\" data-term-id=\"39\">collag\u00e8ne<\/span> VII ont \u00e9t\u00e9 d\u00e9crits.<\/p>\n<p>Chez 20 \u00e0 30% de patients atteints de pemphigo\u00efde cicatricielle de Brunsting-Perry, des anticorps cutan\u00e9s peuvent \u00eatre d\u00e9tect\u00e9s dans leur circulation sanguine. (indirect positif <span class=\"term\" data-term-id=\"142\">immunofluorescence<\/span>)<\/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=\"Presentacion-clinica-del-penfigoide-cicatricial-de-Brunsting-Perry\"><\/span>Pr\u00e9sentation clinique de la pemphigo\u00efde cicatricielle Brunsting-Perry<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Le diagnostic de la pemphigo\u00efde cicatricielle de Brunsting-Perry est bas\u00e9 sur les caract\u00e9ristiques suivantes:<\/p>\n<ul>\n<li>D\u00e9manger <span class=\"term\" data-term-id=\"493\">Urtic\u00e9<\/span> <span class=\"term\" data-term-id=\"235\">plaque d&#039;immatriculation<\/span> situ\u00e9 sur la t\u00eate et le cou (&quot;urtic\u00e9&quot; signifie un <span class=\"term\" data-term-id=\"302\">bosse<\/span>-comme une assiette similaire \u00e0 <span class=\"term\" data-term-id=\"1646\">urticaire<\/span>\n<\/li>\n<li>La plaque s&#039;agrandit pendant des semaines ou des mois.<\/li>\n<li>Les cloques apparaissent autour du bord de la plaque.<\/li>\n<li>Parfois, une plaque secondaire plus petite appara\u00eet.<\/li>\n<li>La plaque gu\u00e9rit lentement avec des cicatrices importantes au cours des mois ou des ann\u00e9es.<\/li>\n<li>Les blessures au cuir chevelu sont associ\u00e9es \u00e0 des cicatrices. <span class=\"term\" data-term-id=\"824\">alop\u00e9cie<\/span> (<span class=\"term\" data-term-id=\"122\">cheveux<\/span> perdu)<\/li>\n<li>Des l\u00e9sions de la muqueuse peuvent survenir des mois apr\u00e8s <span class=\"term\" data-term-id=\"949\">primaire<\/span> <span class=\"term\" data-term-id=\"164\">blessure<\/span>\n<\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"24\">Biopsie<\/span> les caract\u00e9ristiques sont similaires \u00e0 <span class=\"term\" data-term-id=\"498\">bulleux<\/span> pemphigo\u00efde, mais sans cicatrices.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-penfigoide-cicatricial-Brunsting-Perry\"><\/span>Quel est le traitement de la pemphigo\u00efde cicatricielle de Brunsting-Perry?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Le traitement de la pemphigo\u00efde cicatricielle de Brunsting-Perry est similaire \u00e0 celui de la pemphigo\u00efde cicatricielle classique. L&#039;objectif du traitement est de favoriser la gu\u00e9rison.<\/p>\n<p>Ultra puissant <span class=\"term\" data-term-id=\"1330\">actuel<\/span> des st\u00e9ro\u00efdes tels que le propionate de clob\u00e9tasol peuvent suffire en monoth\u00e9rapie, mais de nombreux patients <span class=\"term\" data-term-id=\"380\">syst\u00e9mique<\/span> Corticost\u00e9ro\u00efdes D&#039;autres agents immunomodulateurs utilis\u00e9s pour la pemphigo\u00efde cicatricielle de Brunsting-Perry ont inclus:<\/p>\n<ul>\n<li>M\u00e9thotrexate<\/li>\n<li>Dapsone<\/li>\n<li>\n<span class=\"term\" data-term-id=\"848\">Excision<\/span> avec une greffe de peau pleine \u00e9paisseur<\/li>\n<\/ul>\n<p>En g\u00e9n\u00e9ral, les patients atteints de pemphigo\u00efde cicatricielle de Brunsting-Perry ont <span class=\"term\" data-term-id=\"241\">pr\u00e9voir<\/span> que les patients atteints de pemphigo\u00efde cicatricielle classique ou d&#039;\u00e9pidermolyse bulleuse acquise.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es Brunsting-Perry? cicatricial penfigoide? Penfigoide cicatricial de Brunsting-Perry (o mucoso penfigoide de membrana) es una variante rara de membrana mucosa penfigoide Es un autoinmune condici\u00f3n ampollosa de la piel&#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-7568","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/7568","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=7568"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/7568\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=7568"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=7568"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=7568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}