{"id":113,"date":"2025-08-01T21:28:25","date_gmt":"2025-08-01T21:28:25","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=113"},"modified":"2025-08-02T21:39:58","modified_gmt":"2025-08-02T21:39:58","slug":"hepatite-d-infection-par-le-virus-de-lhepatite-d-vhd","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-d-infection-par-le-virus-de-lhepatite-d-vhd\/","title":{"rendered":"\ud83e\uddec H\u00e9patite D \u2013 Infection par le Virus de l\u2019H\u00e9patite D (VHD)"},"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 co-infection virale grave, exclusivement li\u00e9e au virus de l\u2019h\u00e9patite B<\/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 VHD ?<\/strong><\/h3>\n\n\n\n<p>Le <strong>virus de l\u2019h\u00e9patite D (VHD)<\/strong>, ou <strong>virus delta<\/strong>, est un <strong>virus d\u00e9fectif<\/strong> qui n\u00e9cessite imp\u00e9rativement la <strong>pr\u00e9sence du virus de l\u2019h\u00e9patite B (VHB)<\/strong> pour pouvoir se multiplier.<br>L\u2019infection par le VHD peut survenir de deux fa\u00e7ons :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Co-infection<\/strong> : contamination simultan\u00e9e par le VHB et le VHD<\/li>\n\n\n\n<li><strong>Surinfection<\/strong> : chez une personne d\u00e9j\u00e0 porteuse chronique du VHB<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>L\u2019h\u00e9patite D est <strong>rare mais tr\u00e8s s\u00e9v\u00e8re<\/strong>, avec une \u00e9volution plus rapide vers la <strong>cirrhose<\/strong> et <strong>l\u2019insuffisance h\u00e9patique<\/strong> que l\u2019h\u00e9patite B seule.<\/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>M\u00eame que le VHB :\n<ul class=\"wp-block-list\">\n<li>Rapports sexuels non prot\u00e9g\u00e9s<\/li>\n\n\n\n<li>Contact avec du sang infect\u00e9 (aiguilles, transfusions, mat\u00e9riel contamin\u00e9)<\/li>\n\n\n\n<li>Transmission m\u00e8re-enfant (rare)<\/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>Elle est <strong>plus fr\u00e9quente<\/strong> en Afrique de l\u2019Ouest, en M\u00e9diterran\u00e9e, et en Asie centrale.<\/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\">\u26a0\ufe0f <strong>Signes cliniques<\/strong><\/h3>\n\n\n\n<p>Les sympt\u00f4mes sont similaires \u00e0 ceux de l\u2019h\u00e9patite B mais souvent <strong>plus intenses<\/strong>.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Co-infection aigu\u00eb VHB\/VHD :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fi\u00e8vre, fatigue, douleurs abdominales<\/li>\n\n\n\n<li>Ict\u00e8re (jaunisse)<\/li>\n\n\n\n<li>H\u00e9patite aigu\u00eb plus s\u00e9v\u00e8re, parfois fulminante<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Surinfection VHD sur VHB chronique :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aggravation rapide d\u2019une h\u00e9patite B stable<\/li>\n\n\n\n<li>Signes d\u2019insuffisance h\u00e9patique : ascite, enc\u00e9phalopathie, h\u00e9morragies<\/li>\n\n\n\n<li>Cirrhose acc\u00e9l\u00e9r\u00e9e<\/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>Diagnostic<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Recherche obligatoire chez tout porteur chronique du VHB \u00e0 risque<\/li>\n\n\n\n<li>S\u00e9rologie : <strong>anti-VHD IgG et IgM<\/strong><\/li>\n\n\n\n<li>PCR VHD (charge virale) si s\u00e9rologie positive<\/li>\n\n\n\n<li>Bilan h\u00e9patique et \u00e9valuation de la fibrose<\/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>Pas de traitement antiviral sp\u00e9cifique<\/strong> efficace \u00e0 ce jour<\/li>\n\n\n\n<li><strong>Interf\u00e9ron p\u00e9gyl\u00e9<\/strong> : parfois utilis\u00e9, efficacit\u00e9 limit\u00e9e<\/li>\n\n\n\n<li>Suivi sp\u00e9cialis\u00e9 en h\u00e9patologie<\/li>\n\n\n\n<li><strong>Transplantation h\u00e9patique<\/strong> possible en cas d\u2019insuffisance terminale<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Des traitements antiviraux sp\u00e9cifiques sont en cours de d\u00e9veloppement (bulevirtide, etc.).<\/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\udc89 <strong>Pr\u00e9vention<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Vaccination contre l\u2019h\u00e9patite B<\/strong> : seul moyen de pr\u00e9venir l\u2019h\u00e9patite D<\/li>\n\n\n\n<li>Pas de vaccin sp\u00e9cifique contre le VHD<\/li>\n\n\n\n<li>Mesures d\u2019hygi\u00e8ne et de pr\u00e9vention identiques au VHB<\/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 du VHD chez les porteurs du VHB<\/li>\n\n\n\n<li>\u00c9ducation th\u00e9rapeutique sur les co-infections virales<\/li>\n\n\n\n<li>Bilan cutan\u00e9 et surveillance dermatologique associ\u00e9e<\/li>\n\n\n\n<li>Orientation vers un service d\u2019h\u00e9patologie en cas d\u2019atteinte avanc\u00e9e<\/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>D\u00e9pistage et pr\u00e9vention des h\u00e9patites virales<\/strong><\/h3>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp m\u00e9dical 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 co-infection virale grave, exclusivement li\u00e9e au virus de l\u2019h\u00e9patite B \ud83d\udccc Qu\u2019est-ce que le VHD ? Le virus de l\u2019h\u00e9patite D (VHD), ou virus delta, est un virus d\u00e9fectif qui n\u00e9cessite imp\u00e9rativement la pr\u00e9sence du virus de l\u2019h\u00e9patite B (VHB) pour pouvoir se multiplier.L\u2019infection par le VHD peut survenir de deux fa\u00e7ons : L\u2019h\u00e9patite [&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-113","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/113","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=113"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/113\/revisions"}],"predecessor-version":[{"id":114,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/113\/revisions\/114"}],"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=113"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}