{"id":192,"date":"2025-08-02T06:01:56","date_gmt":"2025-08-02T06:01:56","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=192"},"modified":"2025-08-02T06:33:37","modified_gmt":"2025-08-02T06:33:37","slug":"folliculite-decalvante-de-quinquaud","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/dermatologie\/maladies-des-cheveux-et-du-cuir-chevelu\/alopecie-cicatricielle\/folliculite-decalvante-de-quinquaud\/","title":{"rendered":"\ud83d\udd2c Folliculite d\u00e9calvante de Quinquaud"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>(Alop\u00e9cie cicatricielle suppur\u00e9e du cuir chevelu)<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddec D\u00e9finition<\/h3>\n\n\n\n<p>La folliculite d\u00e9calvante est une <strong>alop\u00e9cie cicatricielle chronique<\/strong>, inflammatoire et suppur\u00e9e, affectant principalement le cuir chevelu. Elle est caract\u00e9ris\u00e9e par une <strong>infection folliculaire r\u00e9cidivante<\/strong>, entra\u00eenant une <strong>destruction progressive des follicules<\/strong> et une perte de cheveux d\u00e9finitive.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc64 \u00c9pid\u00e9miologie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pr\u00e9domine chez <strong>l\u2019homme jeune adulte<\/strong><\/li>\n\n\n\n<li>Rare mais souvent chronique et invalidante<\/li>\n\n\n\n<li>\u00c9volution lente, par pouss\u00e9es inflammatoires<\/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 Pr\u00e9sentation clinique<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Plaques <strong>alop\u00e9ciantes cicatricielles<\/strong> sur le <strong>vertex ou les r\u00e9gions pari\u00e9tales<\/strong><\/li>\n\n\n\n<li><strong>Pustules folliculaires<\/strong>, <strong>cro\u00fbtes<\/strong>, <strong>zones suppur\u00e9es<\/strong><\/li>\n\n\n\n<li><strong>Douleur<\/strong>, prurit ou sensation de br\u00fblure fr\u00e9quents<\/li>\n\n\n\n<li>Evolution centrifuge, avec repousse centrale parfois visible<\/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>Pustules folliculaires<\/strong>, <strong>cro\u00fbtes jaun\u00e2tres<\/strong><\/li>\n\n\n\n<li><strong>Absence de follicules dans les zones cicatricielles<\/strong><\/li>\n\n\n\n<li><strong>Orifices dilat\u00e9s<\/strong> parfois group\u00e9s<\/li>\n\n\n\n<li><strong>\u00c9ryth\u00e8me p\u00e9rifolliculaire<\/strong> actif en p\u00e9riph\u00e9rie des plaques<\/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>Diagnostic clinique + trichoscopie<\/li>\n\n\n\n<li>Pr\u00e9l\u00e8vement bact\u00e9riologique du pus (souvent Staphylococcus aureus)<\/li>\n\n\n\n<li>Biopsie cutan\u00e9e si doute diagnostique (infiltrat mixte, 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\udc8a Traitement<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">Objectif : contr\u00f4ler l\u2019infection et stopper l\u2019inflammation<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Antibioth\u00e9rapie prolong\u00e9e<\/strong> (t\u00e9tracyclines ou pristinamycine)<\/li>\n\n\n\n<li><strong>Antiseptiques topiques<\/strong> (chlorhexidine, triclosan)<\/li>\n\n\n\n<li><strong>Cortico\u00efdes topiques ou intral\u00e9sionnels<\/strong> selon inflammation<\/li>\n\n\n\n<li><strong>Isotr\u00e9tino\u00efne orale<\/strong> dans les formes r\u00e9sistantes (0,3 \u00e0 0,5 mg\/kg\/j sur plusieurs mois)<\/li>\n\n\n\n<li>\u00c9viction des coiffures occlusives, lavages fr\u00e9quents<\/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>Cicatricielle irr\u00e9versible<\/strong> dans les zones atteintes<\/li>\n\n\n\n<li>Risque de r\u00e9cidives fr\u00e9quentes sans traitement prolong\u00e9<\/li>\n\n\n\n<li>Possibles complications esth\u00e9tiques et psychologiques<\/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 trichoscopique et pr\u00e9l\u00e8vement bact\u00e9riologique sur place<\/li>\n\n\n\n<li>Traitement m\u00e9dical personnalis\u00e9 selon le stade \u00e9volutif<\/li>\n\n\n\n<li>Suivi mensuel pour pr\u00e9venir les rechutes<\/li>\n\n\n\n<li>Prise en charge globale (aspects cutan\u00e9s, capillaires et qualit\u00e9 de vie)<\/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 et Trichologie \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(Alop\u00e9cie cicatricielle suppur\u00e9e du cuir chevelu) \ud83e\uddec D\u00e9finition La folliculite d\u00e9calvante est une alop\u00e9cie cicatricielle chronique, inflammatoire et suppur\u00e9e, affectant principalement le cuir chevelu. Elle est caract\u00e9ris\u00e9e par une infection folliculaire r\u00e9cidivante, entra\u00eenant une destruction progressive des follicules et une perte de cheveux d\u00e9finitive. \ud83d\udc64 \u00c9pid\u00e9miologie \ud83d\udd0d Pr\u00e9sentation clinique \ud83d\udcf8 Trichoscopie \ud83e\uddea Diagnostic \ud83d\udc8a Traitement [&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-192","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/192","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=192"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/192\/revisions"}],"predecessor-version":[{"id":193,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/192\/revisions\/193"}],"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=192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}