{"id":111,"date":"2025-08-01T21:27:04","date_gmt":"2025-08-01T21:27:04","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=111"},"modified":"2025-08-02T21:39:39","modified_gmt":"2025-08-02T21:39:39","slug":"hepatite-c-infection-par-le-virus-de-lhepatite-c-vhc","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-c-infection-par-le-virus-de-lhepatite-c-vhc\/","title":{"rendered":"\ud83e\uddec H\u00e9patite C \u2013 Infection par le Virus de l\u2019H\u00e9patite C (VHC)"},"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>Une h\u00e9patite chronique silencieuse, d\u00e9sormais curable<\/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 l\u2019h\u00e9patite C ?<\/strong><\/h3>\n\n\n\n<p>Le <strong>virus de l\u2019h\u00e9patite C (VHC)<\/strong> est un virus \u00e0 tropisme h\u00e9patique, principalement transmis par le sang. Contrairement au VHB, il <strong>ne se transmet pas majoritairement par voie sexuelle<\/strong>, sauf dans certains contextes (HSH, co-infection VIH, pratiques sexuelles \u00e0 risque).<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>L\u2019infection \u00e9volue fr\u00e9quemment vers une <strong>forme chronique<\/strong>, avec risque de <strong>cirrhose<\/strong> et <strong>cancer du foie<\/strong>, mais peut aujourd\u2019hui \u00eatre <strong>gu\u00e9rie dans plus de 95\u202f% des cas<\/strong> gr\u00e2ce aux antiviraux \u00e0 action directe.<\/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>Transfusion sanguine non s\u00e9curis\u00e9e<\/strong> (avant 1992)<\/li>\n\n\n\n<li><strong>Partage de seringues<\/strong> (toxicomanie)<\/li>\n\n\n\n<li>Mat\u00e9riel mal st\u00e9rilis\u00e9 : tatouage, piercing, chirurgie, soins dentaires<\/li>\n\n\n\n<li><strong>Transmission sexuelle<\/strong> possible mais faible, sauf si co-infection VIH<\/li>\n\n\n\n<li>Transmission m\u00e8re-enfant possible mais rare (2 \u00e0 5 %)<\/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 C est <strong>souvent silencieuse<\/strong>, d\u2019o\u00f9 l\u2019importance du d\u00e9pistage.<\/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, douleurs abdominales, naus\u00e9es<\/li>\n\n\n\n<li>Parfois ict\u00e8re mod\u00e9r\u00e9<\/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>Asth\u00e9nie persistante<\/li>\n\n\n\n<li>Troubles digestifs discrets<\/li>\n\n\n\n<li>D\u00e9couverte souvent fortuite<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Complications \u00e0 long terme :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fibrose, cirrhose h\u00e9patique<\/li>\n\n\n\n<li>Carcinome h\u00e9patocellulaire<\/li>\n\n\n\n<li>Insuffisance h\u00e9patique terminale<\/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>S\u00e9rologie VHC (anticorps anti-VHC)<\/li>\n\n\n\n<li>Si positive \u2192 confirmation par <strong>PCR VHC (charge virale)<\/strong><\/li>\n\n\n\n<li>\u00c9valuation de la fibrose h\u00e9patique (Fibroscan, tests sanguins)<\/li>\n\n\n\n<li>Bilan pr\u00e9-th\u00e9rapeutique complet<\/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\udc8a <strong>Traitement<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Antiviraux \u00e0 action directe (AAD)<\/strong> : cure de 8 \u00e0 12 semaines\n<ul class=\"wp-block-list\">\n<li>Exemples : sofosbuvir + velpatasvir, glecaprevir + pibrentasvir<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Tr\u00e8s bien tol\u00e9r\u00e9s, taux de gu\u00e9rison >\u202f95\u202f%<\/li>\n\n\n\n<li>Suivi h\u00e9patique \u00e0 long terme selon les ant\u00e9c\u00e9dents<\/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\udee1\ufe0f <strong>Pr\u00e9vention<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aucune vaccination disponible<\/li>\n\n\n\n<li>Pr\u00e9servatif lors des rapports \u00e0 risque<\/li>\n\n\n\n<li>Ne pas partager rasoirs, brosses \u00e0 dents, objets coupants<\/li>\n\n\n\n<li>Hygi\u00e8ne stricte en milieu m\u00e9dical et esth\u00e9tique<\/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 rapide et confidentiel<\/li>\n\n\n\n<li>Information sur les modes de transmission et les mesures de pr\u00e9vention<\/li>\n\n\n\n<li>Suivi dermatologique des manifestations cutan\u00e9es associ\u00e9es (purpura, cryoglobulin\u00e9mie)<\/li>\n\n\n\n<li>Orientation vers un centre d\u2019h\u00e9patologie pour traitement<\/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 \u2013 L\u2019h\u00e9patite C se soigne !<\/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>Une h\u00e9patite chronique silencieuse, d\u00e9sormais curable \ud83d\udccc Qu\u2019est-ce que l\u2019h\u00e9patite C ? Le virus de l\u2019h\u00e9patite C (VHC) est un virus \u00e0 tropisme h\u00e9patique, principalement transmis par le sang. Contrairement au VHB, il ne se transmet pas majoritairement par voie sexuelle, sauf dans certains contextes (HSH, co-infection VIH, pratiques sexuelles \u00e0 risque). L\u2019infection \u00e9volue fr\u00e9quemment [&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-111","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/111","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=111"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/111\/revisions"}],"predecessor-version":[{"id":112,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/111\/revisions\/112"}],"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=111"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}