{"id":188,"date":"2025-08-02T05:59:07","date_gmt":"2025-08-02T05:59:07","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=188"},"modified":"2025-08-02T06:33:56","modified_gmt":"2025-08-02T06:33:56","slug":"lupus-erythemateux-chronique-forme-discoide","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/dermatologie\/maladies-des-cheveux-et-du-cuir-chevelu\/alopecie-cicatricielle\/lupus-erythemateux-chronique-forme-discoide\/","title":{"rendered":"\ud83e\udd8b Lupus \u00e9ryth\u00e9mateux chronique (forme disco\u00efde)"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\ud83e\uddec D\u00e9finition<\/h2>\n\n\n\n<p>Le <strong>lupus \u00e9ryth\u00e9mateux chronique disco\u00efde (LECD)<\/strong> est une <strong>dermatose auto-immune<\/strong> touchant le cuir chevelu, entra\u00eenant une alop\u00e9cie <strong>cicatricielle<\/strong>, caract\u00e9ris\u00e9e par des plaques <strong>\u00e9ryth\u00e9mato-squameuses, atrophiques<\/strong> et bien limit\u00e9es.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd0d Pr\u00e9sentation clinique<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Plaques arrondies ou ovalaires<\/strong>, alop\u00e9ciantes<\/li>\n\n\n\n<li><strong>\u00c9ryth\u00e8me<\/strong>, squames adh\u00e9rentes, t\u00e9langiectasies<\/li>\n\n\n\n<li><strong>Hyperpigmentation p\u00e9riph\u00e9rique<\/strong> et <strong>d\u00e9pigmentation centrale<\/strong><\/li>\n\n\n\n<li>Atrophie cutan\u00e9e en phase tardive<\/li>\n\n\n\n<li>Localisation pr\u00e9f\u00e9rentielle : cuir chevelu, visage, oreilles<\/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\udcf8 Trichoscopie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>T\u00e9langiectasies<\/strong>, <strong>plugs k\u00e9ratosiques<\/strong>, <strong>absence de follicules<\/strong><\/li>\n\n\n\n<li><strong>Points blancs<\/strong> (fibrose), <strong>zones atrophiques brillantes<\/strong><\/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 Diagnostic<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Clinique et trichoscopie \u00e9vocateurs<\/li>\n\n\n\n<li><strong>Biopsie cutan\u00e9e<\/strong> : infiltrat lymphocytaire p\u00e9rifolliculaire, fibrose<\/li>\n\n\n\n<li>Recherche de signes de lupus syst\u00e9mique (bilan immunologique : ANA, anti-DNA, compl\u00e9ment C3\/C4)<\/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\">M\u00e9dical local<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Cortico\u00efdes topiques puissants<\/strong><\/li>\n\n\n\n<li><strong>Inhibiteurs de la calcineurine<\/strong> (pimecrolimus, tacrolimus)<\/li>\n\n\n\n<li><strong>Photoprotection stricte<\/strong> (indice 50+)<\/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><strong>Hydroxychloroquine (Plaquenil\u00ae)<\/strong> : traitement de fond<\/li>\n\n\n\n<li>Cortico\u00efdes oraux ou immunosuppresseurs si formes \u00e9tendues ou r\u00e9sistantes<\/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 \u00c9volution<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u00c9volution chronique et cicatricielle<\/strong><\/li>\n\n\n\n<li>Risque de pouss\u00e9es p\u00e9riodiques<\/li>\n\n\n\n<li>N\u00e9cessit\u00e9 de prise en charge pr\u00e9coce pour limiter la destruction folliculaire<\/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 clinique et trichoscopique expert<\/li>\n\n\n\n<li>Biopsie cutan\u00e9e si n\u00e9cessaire<\/li>\n\n\n\n<li>Suivi dermatologique et immunologique coordonn\u00e9<\/li>\n\n\n\n<li>Pr\u00e9vention des r\u00e9cidives et \u00e9ducation th\u00e9rapeutique<\/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>\ud83e\uddec D\u00e9finition Le lupus \u00e9ryth\u00e9mateux chronique disco\u00efde (LECD) est une dermatose auto-immune touchant le cuir chevelu, entra\u00eenant une alop\u00e9cie cicatricielle, caract\u00e9ris\u00e9e par des plaques \u00e9ryth\u00e9mato-squameuses, atrophiques et bien limit\u00e9es. \ud83d\udd0d Pr\u00e9sentation clinique \ud83d\udcf8 Trichoscopie \ud83e\uddea Diagnostic \ud83d\udc8a Traitement M\u00e9dical local Traitement syst\u00e9mique \ud83d\udd04 \u00c9volution \ud83d\udccd Prise en charge au Cabinet du Dr Hadi HAKIM \u2013 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":209,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-188","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/188","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=188"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/188\/revisions"}],"predecessor-version":[{"id":189,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/188\/revisions\/189"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/209"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=188"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}