{"id":184,"date":"2025-08-02T05:56:09","date_gmt":"2025-08-02T05:56:09","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=184"},"modified":"2025-08-02T20:55:20","modified_gmt":"2025-08-02T20:55:20","slug":"teignes-du-cuir-chevelu","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/dermatologie\/maladies-des-cheveux-et-du-cuir-chevelu\/alopecies-non-cicatricielles\/teignes-du-cuir-chevelu\/","title":{"rendered":"\ud83e\uddeb Teignes du cuir chevelu"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><\/h2>\n\n\n\n<p><strong>(Dermatophytoses du cuir chevelu)<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddec D\u00e9finition<\/h3>\n\n\n\n<p>Les teignes du cuir chevelu sont des infections fongiques <strong>superficielles<\/strong> dues \u00e0 des <strong>dermatophytes<\/strong> (champignons k\u00e9ratinophiles) affectant principalement les enfants. Elles sont <strong>contagieuses<\/strong> et provoquent une alop\u00e9cie souvent <strong>inflammatoire<\/strong> ou <strong>non inflammatoire<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddea Agents pathog\u00e8nes principaux<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Microsporum audouinii<\/strong> (anthropophile)<\/li>\n\n\n\n<li><strong>Trichophyton soudanense<\/strong><\/li>\n\n\n\n<li><strong>Trichophyton tonsurans<\/strong><\/li>\n\n\n\n<li><strong>Microsporum canis<\/strong> (zoophile, transmissible par les animaux)<\/li>\n\n\n\n<li>Autres : <em>T. violaceum<\/em>, <em>T. schoenleinii<\/em><\/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\udd0d Formes cliniques<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">1. <strong>Teignes tondantes (non inflammatoires)<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Plaques d\u2019alop\u00e9cie avec cheveux cass\u00e9s \u00e0 ras<\/li>\n\n\n\n<li>Trichoscopie : cheveux en points noirs, cheveux en \u00ab V \u00bb<\/li>\n\n\n\n<li>Peu ou pas de prurit<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">2. <strong>K\u00e9rion (forme inflammatoire)<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Placard inflammatoire douloureux, tum\u00e9fi\u00e9, purulent<\/li>\n\n\n\n<li>Ad\u00e9nopathies cervicales associ\u00e9es<\/li>\n\n\n\n<li>Risque \u00e9lev\u00e9 d\u2019alop\u00e9cie cicatricielle<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">3. <strong>Favus<\/strong> (rare)<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cro\u00fbtes jaun\u00e2tres (scutula), odeur naus\u00e9abonde<\/li>\n\n\n\n<li>Forme chronique, souvent end\u00e9mique en Afrique du Nord et subsaharienne<\/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\uddec Diagnostic<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Examen direct au KOH<\/strong> : mise en \u00e9vidence des filaments fongiques<\/li>\n\n\n\n<li><strong>Culture mycologique<\/strong> sur milieu de Sabouraud<\/li>\n\n\n\n<li><strong>Trichoscopie<\/strong> : tr\u00e8s utile pour guider le diagnostic<\/li>\n\n\n\n<li><strong>Lumi\u00e8re de Wood<\/strong> : fluorescence verd\u00e2tre (M. canis, M. audouinii)<\/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 Traitement<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">1. <strong>Antifongiques syst\u00e9miques (indispensables)<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Gris\u00e9ofulvine<\/strong> :  pendant 6\u20138 semaines<\/li>\n\n\n\n<li><strong>Terbinafine<\/strong> : selon le poids (hors AMM chez enfants &lt;15 kg)<\/li>\n\n\n\n<li><strong>Itraconazole<\/strong> : en cure discontinue possible<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">2. <strong>Soins locaux associ\u00e9s<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Shampooings antifongiques (k\u00e9toconazole, ciclopirox) pour r\u00e9duire la contagiosit\u00e9<\/li>\n\n\n\n<li>Traitement des objets personnels (peignes, oreillers, bonnets)<\/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 Mesures de pr\u00e9vention<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Exclusion temporaire scolaire en cas de forme active<\/li>\n\n\n\n<li>Traitement des sujets contacts si n\u00e9cessaire<\/li>\n\n\n\n<li>V\u00e9rification des animaux domestiques (v\u00e9t\u00e9rinaire si suspicion)<\/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\udd04 Pronostic<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Bon sous traitement adapt\u00e9<\/strong><\/li>\n\n\n\n<li>Risque de s\u00e9quelles cicatricielles en cas de k\u00e9rion n\u00e9glig\u00e9<\/li>\n\n\n\n<li>Surveillance indispensable pendant plusieurs semaines<\/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\udccd Prise en charge au Cabinet du Dr Hadi HAKIM \u2013 Dakar<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diagnostic mycologique et trichoscopique pr\u00e9cis<\/li>\n\n\n\n<li>Prescription antifongique adapt\u00e9e \u00e0 l\u2019\u00e2ge et au poids<\/li>\n\n\n\n<li>Suivi r\u00e9gulier jusqu\u2019\u00e0 n\u00e9gativation mycologique<\/li>\n<\/ul>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp professionnel disponible<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(Dermatophytoses du cuir chevelu) \ud83e\uddec D\u00e9finition Les teignes du cuir chevelu sont des infections fongiques superficielles dues \u00e0 des dermatophytes (champignons k\u00e9ratinophiles) affectant principalement les enfants. Elles sont contagieuses et provoquent une alop\u00e9cie souvent inflammatoire ou non inflammatoire. \ud83e\uddea Agents pathog\u00e8nes principaux \ud83d\udd0d Formes cliniques 1. Teignes tondantes (non inflammatoires) 2. K\u00e9rion (forme inflammatoire) 3. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":212,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-184","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/184","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=184"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/184\/revisions"}],"predecessor-version":[{"id":185,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/184\/revisions\/185"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/212"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=184"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}