{"id":139,"date":"2025-08-01T22:02:31","date_gmt":"2025-08-01T22:02:31","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=139"},"modified":"2025-08-02T22:31:38","modified_gmt":"2025-08-02T22:31:38","slug":"gale-sarcoptes-scabiei-forme-sexuelle","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/infections-sexuellement-transmissibles-ist-dorigine-parasitaire\/gale-sarcoptes-scabiei-forme-sexuelle\/","title":{"rendered":"\ud83e\udeb1 Gale \u2013 Sarcoptes scabiei (forme sexuelle)"},"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>Ectoparasitose cutan\u00e9e tr\u00e8s contagieuse, transmissible sexuellement<\/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 la gale ?<\/strong><\/h3>\n\n\n\n<p>La <strong>gale<\/strong> est une <strong>infestation cutan\u00e9e<\/strong> due \u00e0 un acarien microscopique, <em>Sarcoptes scabiei<\/em>, qui creuse des galeries dans l\u2019\u00e9piderme pour y pondre ses \u0153ufs. Elle se manifeste par un <strong>prurit intense<\/strong> et des <strong>l\u00e9sions cutan\u00e9es caract\u00e9ristiques<\/strong>, souvent aggrav\u00e9s la nuit.<br>Elle se transmet <strong>par contact cutan\u00e9 prolong\u00e9<\/strong>, y compris <strong>les rapports sexuels<\/strong> \u2014 c\u2019est pourquoi la forme dite <strong>\u201csexuelle\u201d<\/strong> est class\u00e9e parmi les <strong>IST<\/strong>.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>La gale est <strong>fr\u00e9quente, hautement contagieuse<\/strong>, et <strong>requiert un traitement simultan\u00e9 des contacts<\/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>Contact cutan\u00e9 prolong\u00e9<\/strong> (rapports sexuels, vie en collectivit\u00e9)<\/li>\n\n\n\n<li>Moins fr\u00e9quemment par v\u00eatements, literie ou serviettes contamin\u00e9s<\/li>\n\n\n\n<li>Incubation : 2 \u00e0 6 semaines (ou 1 \u00e0 4 jours si r\u00e9infestation)<\/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>Manifestations cliniques<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">Sympt\u00f4mes majeurs :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Prurit intense<\/strong>, surtout nocturne<\/li>\n\n\n\n<li>\u00c9ruption polymorphe : <strong>papules, v\u00e9sicules, sillons<\/strong>, nodules<\/li>\n\n\n\n<li><strong>Sillons scabieux<\/strong> : lignes grises sinueuses visibles \u00e0 la loupe (zones pr\u00e9f\u00e9rentielles)<\/li>\n\n\n\n<li>L\u00e9sions de grattage, surinfection bact\u00e9rienne possible<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Localisation typique dans la forme sexuelle :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>P\u00e9nis, scrotum, vulve<\/li>\n\n\n\n<li>Espaces interdigitaux, poignets, coudes, ar\u00e9oles mammaires<\/li>\n\n\n\n<li>Fesses, omoplates<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Chez les adultes, les <strong>zones g\u00e9nitales sont souvent atteintes<\/strong>, et la <strong>dermoscopie<\/strong> permet de visualiser le parasite.<\/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\">\ud83e\uddea <strong>Diagnostic<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Clinique<\/strong> : prurit nocturne + atteinte des contacts<\/li>\n\n\n\n<li>Visualisation de <strong>sillons et l\u00e9sions typiques<\/strong><\/li>\n\n\n\n<li><strong>Dermoscopy<\/strong> : image du \u00ab jet avec tra\u00een\u00e9e \u00bb (signe du parasite)<\/li>\n\n\n\n<li>Confirmation par grattage cutan\u00e9 (examen microscopique)<\/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<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Traitement antiparasitaire local et syst\u00e9mique + d\u00e9sinfection environnementale<\/p>\n<\/blockquote>\n\n\n\n<h4 class=\"wp-block-heading\">Traitement local :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S<\/strong>ur tout le corps (sauf visage), 8 \u00e0 12h, renouvel\u00e9e \u00e0 J+7<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Traitement syst\u00e9mique :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tr\u00e8s utile en cas de gale cro\u00fbteuse, de collectivit\u00e9, ou d\u2019\u00e9chec du traitement local<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Environnement :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lavage \u00e0 60\u202f\u00b0C des v\u00eatements, draps, sous-v\u00eatements<\/li>\n\n\n\n<li>Isolement temporaire, \u00e9viction scolaire\/professionnelle si n\u00e9cessaire<\/li>\n<\/ul>\n\n\n\n<p>\u2705 Traitement de <strong>tous les contacts \u00e9troits et partenaires sexuels<\/strong><\/p>\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>\u00c9viter les contacts intimes non prot\u00e9g\u00e9s pendant le traitement<\/li>\n\n\n\n<li>Information et traitement du couple<\/li>\n\n\n\n<li>Lavage des textiles \u00e0 haute temp\u00e9rature<\/li>\n\n\n\n<li>Pr\u00e9vention en milieu communautaire et professionnel<\/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>Diagnostic rapide par <strong>examen dermatologique ou dermoscopie<\/strong><\/li>\n\n\n\n<li>Traitement <strong>complet disponible sur place<\/strong> (permet d&rsquo;\u00e9viter les r\u00e9cidives)<\/li>\n\n\n\n<li><strong>D\u00e9pistage associ\u00e9 des autres IST<\/strong><\/li>\n\n\n\n<li>Suivi de l\u2019efficacit\u00e9 th\u00e9rapeutique<\/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>Traitement de la gale \u2013 Rapide, discret et efficace<\/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 \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ectoparasitose cutan\u00e9e tr\u00e8s contagieuse, transmissible sexuellement \ud83d\udccc Qu\u2019est-ce que la gale ? La gale est une infestation cutan\u00e9e due \u00e0 un acarien microscopique, Sarcoptes scabiei, qui creuse des galeries dans l\u2019\u00e9piderme pour y pondre ses \u0153ufs. Elle se manifeste par un prurit intense et des l\u00e9sions cutan\u00e9es caract\u00e9ristiques, souvent aggrav\u00e9s la nuit.Elle se transmet par [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":218,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-139","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/139","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=139"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/139\/revisions"}],"predecessor-version":[{"id":140,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/139\/revisions\/140"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/218"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}