{"id":109,"date":"2025-08-01T21:25:56","date_gmt":"2025-08-01T21:25:56","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=109"},"modified":"2025-08-02T21:39:23","modified_gmt":"2025-08-02T21:39:23","slug":"hepatite-b-infection-par-le-virus-de-lhepatite-b-vhb","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/infections-sexuellement-transmissibles-ist-dorigine-virale\/hepatite-b-infection-par-le-virus-de-lhepatite-b-vhb\/","title":{"rendered":"\ud83e\uddec H\u00e9patite B \u2013 Infection par le Virus de l\u2019H\u00e9patite B (VHB)"},"content":{"rendered":"\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><\/h2>\n\n\n\n<p><em>IST virale potentiellement chronique et s\u00e9v\u00e8re<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccc <strong>Qu\u2019est-ce que le VHB ?<\/strong><\/h3>\n\n\n\n<p>Le <strong>virus de l\u2019h\u00e9patite B (VHB)<\/strong> est un virus sexuellement transmissible et h\u00e9matog\u00e8ne qui s\u2019attaque au <strong>foie<\/strong>. L\u2019infection peut \u00eatre <strong>aigu\u00eb<\/strong>, avec une gu\u00e9rison spontan\u00e9e, ou \u00e9voluer vers une <strong>forme chronique<\/strong>, \u00e0 l\u2019origine de complications graves comme la <strong>cirrhose<\/strong> ou le <strong>cancer du foie (carcinome h\u00e9patocellulaire)<\/strong>.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>L\u2019h\u00e9patite B est <strong>100 fois plus contagieuse que le VIH<\/strong> et reste <strong>end\u00e9mique en Afrique subsaharienne<\/strong>.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd2c <strong>Modes de transmission<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sexuelle<\/strong> : rapports non prot\u00e9g\u00e9s avec une personne infect\u00e9e<\/li>\n\n\n\n<li><strong>Sanguine<\/strong> : transfusion, seringues, mat\u00e9riel m\u00e9dical ou esth\u00e9tique mal st\u00e9rilis\u00e9<\/li>\n\n\n\n<li><strong>M\u00e8re-enfant<\/strong> : transmission <strong>p\u00e9rinatale<\/strong> lors de l\u2019accouchement<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u26a0\ufe0f <strong>Sympt\u00f4mes<\/strong><\/h3>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>L\u2019h\u00e9patite B est souvent <strong>asymptomatique<\/strong>, surtout chez l\u2019adulte jeune.<\/p>\n<\/blockquote>\n\n\n\n<h4 class=\"wp-block-heading\">Phase aigu\u00eb :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fatigue, fi\u00e8vre, naus\u00e9es<\/li>\n\n\n\n<li>Douleurs de l\u2019hypochondre droit<\/li>\n\n\n\n<li>Ict\u00e8re (jaunisse), urines fonc\u00e9es<\/li>\n\n\n\n<li>Transaminases \u00e9lev\u00e9es<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Phase chronique :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aucune manifestation pendant plusieurs ann\u00e9es<\/li>\n\n\n\n<li>D\u00e9couverte fortuite lors d\u2019un bilan<\/li>\n\n\n\n<li>Risque \u00e9volutif : fibrose, cirrhose, h\u00e9patocarcinome<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddea <strong>D\u00e9pistage<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S\u00e9rologie h\u00e9patite B compl\u00e8te<\/strong> :\n<ul class=\"wp-block-list\">\n<li>HBsAg (antig\u00e8ne de surface) : indique l\u2019infection<\/li>\n\n\n\n<li>Anti-HBs : immunit\u00e9 (post-vaccination ou gu\u00e9rison)<\/li>\n\n\n\n<li>Anti-HBc : exposition pass\u00e9e ou r\u00e9cente<\/li>\n\n\n\n<li>Bilan de la fonction h\u00e9patique (ALAT, ASAT\u2026)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Le d\u00e9pistage est <strong>recommand\u00e9 avant un traitement immunosuppresseur<\/strong>, une grossesse, ou un acte invasif.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc8a <strong>Traitement<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">Cas aigu :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Le plus souvent aucun traitement, surveillance clinique et biologique<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Cas chronique :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Traitement antiviral (ent\u00e9cavir, t\u00e9nofovir\u2026) selon charge virale, fibrose h\u00e9patique, et statut immunitaire<\/li>\n\n\n\n<li>Suivi r\u00e9gulier (fibroscan, \u00e9cho h\u00e9patique, alpha-foetoprot\u00e9ine)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc89 <strong>Pr\u00e9vention par la vaccination<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Vaccin VHB<\/strong> recommand\u00e9 chez :\n<ul class=\"wp-block-list\">\n<li>Tous les nourrissons d\u00e8s la naissance<\/li>\n\n\n\n<li>Adolescents et adultes non immunis\u00e9s<\/li>\n\n\n\n<li>Personnes \u00e0 risque : personnel de sant\u00e9, partenaires multiples, h\u00e9modialys\u00e9s, immunod\u00e9prim\u00e9s<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddd1\ud83c\udffd\u200d\u2695\ufe0f <strong>Prise en charge au cabinet du Dr Hadi HAKIM<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u00e9pistage s\u00e9rologique complet<\/li>\n\n\n\n<li>Suivi des h\u00e9patites chroniques en coordination avec un h\u00e9patologue<\/li>\n\n\n\n<li>Information et vaccination sur place<\/li>\n\n\n\n<li>D\u00e9pistage associ\u00e9 des autres IST : VIH, syphilis, VHC, HPV<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udcde <strong>Faites-vous d\u00e9pister ou vacciner contre l\u2019h\u00e9patite B<\/strong><\/h3>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp s\u00e9curis\u00e9<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie, IST &amp; Pr\u00e9vention \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>IST virale potentiellement chronique et s\u00e9v\u00e8re \ud83d\udccc Qu\u2019est-ce que le VHB ? Le virus de l\u2019h\u00e9patite B (VHB) est un virus sexuellement transmissible et h\u00e9matog\u00e8ne qui s\u2019attaque au foie. L\u2019infection peut \u00eatre aigu\u00eb, avec une gu\u00e9rison spontan\u00e9e, ou \u00e9voluer vers une forme chronique, \u00e0 l\u2019origine de complications graves comme la cirrhose ou le cancer du [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":216,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-109","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/109","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/comments?post=109"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/109\/revisions"}],"predecessor-version":[{"id":110,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/109\/revisions\/110"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/216"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}