{"id":168,"date":"2025-08-02T05:36:28","date_gmt":"2025-08-02T05:36:28","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=168"},"modified":"2025-08-02T05:38:48","modified_gmt":"2025-08-02T05:38:48","slug":"classification-des-alopecies","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/dermatologie\/maladies-des-cheveux-et-du-cuir-chevelu\/classification-des-alopecies\/","title":{"rendered":"\ud83d\udccb Classification des alop\u00e9cies"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\ud83d\udd35 <strong>I. Alop\u00e9cies non cicatricielles (r\u00e9versibles)<\/strong><\/h2>\n\n\n\n<p>Ces alop\u00e9cies se caract\u00e9risent par l\u2019absence de destruction du follicule pileux. Elles sont <strong>potentiellement r\u00e9versibles<\/strong> avec un traitement adapt\u00e9.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">1. <strong>Alop\u00e9cie androg\u00e9n\u00e9tique<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Masculine (calvitie)<\/li>\n\n\n\n<li>F\u00e9minine (diffuse, en bande fronto-pari\u00e9tale)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">2. <strong>Effluviums t\u00e9log\u00e8nes<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Post-partum<\/li>\n\n\n\n<li>Post-f\u00e9brile (COVID-19, paludisme, typho\u00efde, etc.)<\/li>\n\n\n\n<li>Carences (fer, zinc, vitamine D)<\/li>\n\n\n\n<li>Post-chirurgie, stress, amaigrissement<\/li>\n\n\n\n<li>M\u00e9dicamenteux (isotr\u00e9tino\u00efne, antithyro\u00efdiens, b\u00eatabloquants\u2026)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">3. <strong>Effluvium anag\u00e8ne<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chimioth\u00e9rapie<\/li>\n\n\n\n<li>Radioth\u00e9rapie<\/li>\n\n\n\n<li>Intoxication (thallium, arsenic)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">4. <strong>Alop\u00e9cies inflammatoires non cicatricielles<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Alop\u00e9cie areata (pelade) : plaques arrondies, brutalement d\u00e9nud\u00e9es<\/li>\n\n\n\n<li>Trichotillomanie : arrachements volontaires de cheveux<\/li>\n\n\n\n<li>Alop\u00e9cie de traction (tresses serr\u00e9es, chignons, extensions)<\/li>\n\n\n\n<li>Teignes du cuir chevelu (dermatophytes)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">5. <strong>Alop\u00e9cies m\u00e9caniques et chimiques<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Brushing fr\u00e9quent, d\u00e9frisages, colorations agressives<\/li>\n\n\n\n<li>Utilisation excessive de chaleur<\/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\udd34 <strong>II. Alop\u00e9cies cicatricielles (destructives, irr\u00e9versibles)<\/strong><\/h3>\n\n\n\n<p>Caract\u00e9ris\u00e9es par une <strong>destruction permanente du follicule pileux<\/strong> et son remplacement par du tissu fibreux.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">1. <strong>Lupus \u00e9ryth\u00e9mateux chronique<\/strong> (forme disco\u00efde)<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Plaques alop\u00e9ciantes, \u00e9ryth\u00e9mato-squameuses, atrophiques<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">2. <strong>Lichen plan pilaire<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Alop\u00e9cie frontale fibrosante (variant du lichen plan pilaire)<\/li>\n\n\n\n<li>Caract\u00e9ris\u00e9 par une r\u00e9cession frontale sym\u00e9trique chez la femme m\u00e9nopaus\u00e9e<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">3. <strong>Folliculite d\u00e9calvante de Quinquaud<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pustules, cro\u00fbtes, zones cicatricielles centrales<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">4. <strong>Acn\u00e9 ch\u00e9lo\u00efdienne de la nuque<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nodules et cicatrices ch\u00e9lo\u00efdiennes dans la r\u00e9gion occipitale<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">5. <strong>Pseudopelade de Brocq<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Plaques alop\u00e9ciantes atrophiques, de contours irr\u00e9guliers (\u00ab en empreinte de pas \u00bb)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">6. <strong>Alop\u00e9cie cicatricielle centrale centrifuge (CCCA)<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fr\u00e9quente chez les femmes afrodescendantes, \u00e9volution centrifuge lente<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">7. <strong>Scl\u00e9rodermie cutan\u00e9e (forme en plaques)<\/strong><\/h4>\n\n\n\n<h4 class=\"wp-block-heading\">8. <strong>Causes infectieuses<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Teignes inflammatoires (k\u00e9rion)<\/li>\n\n\n\n<li>Syphilis tertiaire (gommateuse)<\/li>\n\n\n\n<li>Tuberculose cutan\u00e9e (lupus tuberculeux)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">9. <strong>Causes tumorales<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u00e9tastases du cuir chevelu<\/li>\n\n\n\n<li>Lymphomes cutan\u00e9s<\/li>\n\n\n\n<li>K\u00e9ratoacanthomes<\/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>Approche diagnostique au cabinet du Dr Hadi HAKIM<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Trichoscopie \/ Dermoscopie cibl\u00e9e<\/strong><\/li>\n\n\n\n<li><strong>Biopsie du cuir chevelu<\/strong> (si doute cicatriciel vs inflammatoire)<\/li>\n\n\n\n<li><strong>Bilan \u00e9tiologique complet<\/strong> (immunologique, hormonal, carentiel, mycologique)<\/li>\n\n\n\n<li><strong>Phototh\u00e8que comparative<\/strong> pour suivi \u00e9volutif<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\ud83d\udd35 I. Alop\u00e9cies non cicatricielles (r\u00e9versibles) Ces alop\u00e9cies se caract\u00e9risent par l\u2019absence de destruction du follicule pileux. Elles sont potentiellement r\u00e9versibles avec un traitement adapt\u00e9. 1. Alop\u00e9cie androg\u00e9n\u00e9tique 2. Effluviums t\u00e9log\u00e8nes 3. Effluvium anag\u00e8ne 4. Alop\u00e9cies inflammatoires non cicatricielles 5. Alop\u00e9cies m\u00e9caniques et chimiques \ud83d\udd34 II. Alop\u00e9cies cicatricielles (destructives, irr\u00e9versibles) Caract\u00e9ris\u00e9es par une destruction permanente [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":21,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-168","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/168","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=168"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/168\/revisions"}],"predecessor-version":[{"id":169,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/168\/revisions\/169"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/21"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=168"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}