{"id":190,"date":"2025-08-02T06:00:31","date_gmt":"2025-08-02T06:00:31","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=190"},"modified":"2025-08-02T06:32:45","modified_gmt":"2025-08-02T06:32:45","slug":"lichen-plan-pilaire","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/dermatologie\/maladies-des-cheveux-et-du-cuir-chevelu\/alopecie-cicatricielle\/lichen-plan-pilaire\/","title":{"rendered":"\ud83c\udf3f Lichen plan pilaire"},"content":{"rendered":"\n

(Alop\u00e9cie cicatricielle inflammatoire)<\/strong><\/p>\n\n\n\n

\ud83e\uddec D\u00e9finition<\/h3>\n\n\n\n

Le lichen plan pilaire est une forme particuli\u00e8re de lichen plan folliculaire<\/strong>, affectant pr\u00e9f\u00e9rentiellement le cuir chevelu<\/strong>. Il s’agit d’une alop\u00e9cie cicatricielle progressive<\/strong>, d\u2019origine auto-immune<\/strong>, caract\u00e9ris\u00e9e par une inflammation lymphocytaire destructrice du follicule pileux.<\/p>\n\n\n\n

\n\n\n\n

\ud83d\udd0d Pr\u00e9sentation clinique<\/h3>\n\n\n\n
    \n
  • Plaques alop\u00e9ciantes<\/strong> multifocales, souvent atrophiques<\/strong><\/li>\n\n\n\n
  • \u00c9ryth\u00e8me p\u00e9rifolliculaire<\/strong> et k\u00e9ratose pilaire<\/strong> (aspect rugueux)<\/li>\n\n\n\n
  • Prurit<\/strong>, br\u00fblures<\/strong> ou douleurs<\/strong> fr\u00e9quents<\/li>\n\n\n\n
  • Perte permanente de cheveux dans les zones touch\u00e9es<\/li>\n\n\n\n
  • Localisation : r\u00e9gions pari\u00e9tales<\/strong>, vertex, parfois diffuse<\/li>\n<\/ul>\n\n\n\n
    \n\n\n\n

    \ud83d\udcf8 Trichoscopie<\/h3>\n\n\n\n
      \n
    • Desquamation p\u00e9rifolliculaire<\/strong> (collerettes blanches)<\/li>\n\n\n\n
    • \u00c9ryth\u00e8me folliculaire<\/strong><\/li>\n\n\n\n
    • Absence de follicules<\/strong> dans les zones cicatricielles<\/li>\n\n\n\n
    • Points blancs brillants<\/strong> : cicatrices<\/li>\n<\/ul>\n\n\n\n
      \n\n\n\n

      \ud83e\uddea Diagnostic<\/h3>\n\n\n\n
        \n
      • Clinique + trichoscopie \u00e9vocatrice<\/strong><\/li>\n\n\n\n
      • Biopsie cutan\u00e9e<\/strong> indispensable : infiltrat lymphocytaire, interface folliculaire destructrice<\/li>\n\n\n\n
      • Recherche de lichen plan cutan\u00e9, buccal, ou ungu\u00e9al associ\u00e9<\/li>\n\n\n\n
      • Bilan immunologique selon le contexte<\/li>\n<\/ul>\n\n\n\n
        \n\n\n\n

        \ud83d\udc8a Traitement<\/h3>\n\n\n\n

        Objectif : stopper l’inflammation et pr\u00e9venir l\u2019extension<\/h4>\n\n\n\n
          \n
        • Cortico\u00efdes topiques puissants<\/strong> ou en injections intral\u00e9sionnelles<\/strong><\/li>\n\n\n\n
        • Hydroxychloroquine (Plaquenil\u00ae)<\/strong> : traitement de fond immunomodulateur<\/li>\n\n\n\n
        • Cortico\u00efdes oraux<\/strong> ou m\u00e9thotrexate<\/strong> en cas de formes actives \u00e9tendues<\/li>\n\n\n\n
        • Photoprotection syst\u00e9matique<\/strong><\/li>\n<\/ul>\n\n\n\n
          \n\n\n\n

          \ud83d\udd04 Pronostic<\/h3>\n\n\n\n
            \n
          • Alop\u00e9cie irr\u00e9m\u00e9diable dans les zones cicatricielles<\/strong><\/li>\n\n\n\n
          • Ralentissement de l’\u00e9volution possible si traitement pr\u00e9coce<\/li>\n\n\n\n
          • Surveillance \u00e0 long terme indispensable<\/li>\n<\/ul>\n\n\n\n
            \n\n\n\n

            \ud83d\udccd Prise en charge au Cabinet du Dr Hadi HAKIM \u2013 Dakar<\/h3>\n\n\n\n
              \n
            • Diagnostic trichoscopique expert et biopsie cibl\u00e9e<\/li>\n\n\n\n
            • Protocole th\u00e9rapeutique individualis\u00e9<\/li>\n\n\n\n
            • Suivi r\u00e9gulier avec \u00e9valuation de l\u2019activit\u00e9 inflammatoire<\/li>\n\n\n\n
            • Soutien psychologique en cas d\u2019impact esth\u00e9tique majeur<\/li>\n<\/ul>\n\n\n\n

              \ud83d\udcde +221 33 821 31 22<\/strong>
              \ud83d\udcac WhatsApp professionnel disponible<\/strong>
              \ud83d\udccd Cabinet de Dermatologie et Trichologie \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

              (Alop\u00e9cie cicatricielle inflammatoire) \ud83e\uddec D\u00e9finition Le lichen plan pilaire est une forme particuli\u00e8re de lichen plan folliculaire, affectant pr\u00e9f\u00e9rentiellement le cuir chevelu. Il s’agit d’une alop\u00e9cie cicatricielle progressive, d\u2019origine auto-immune, caract\u00e9ris\u00e9e par une inflammation lymphocytaire destructrice du follicule pileux. \ud83d\udd0d Pr\u00e9sentation clinique \ud83d\udcf8 Trichoscopie \ud83e\uddea Diagnostic \ud83d\udc8a Traitement Objectif : stopper l’inflammation et pr\u00e9venir l\u2019extension […]<\/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-190","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/190","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=190"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/190\/revisions"}],"predecessor-version":[{"id":191,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/190\/revisions\/191"}],"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=190"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}