{"id":194,"date":"2025-08-02T06:03:26","date_gmt":"2025-08-02T06:03:26","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=194"},"modified":"2025-08-02T06:34:43","modified_gmt":"2025-08-02T06:34:43","slug":"acne-cheloidienne-de-la-nuque","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/dermatologie\/maladies-des-cheveux-et-du-cuir-chevelu\/alopecie-cicatricielle\/acne-cheloidienne-de-la-nuque\/","title":{"rendered":"\ud83e\uddd1\ud83c\udffd\u200d\ud83d\udd2c Acn\u00e9 ch\u00e9lo\u00efdienne de la nuque"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>(Folliculite ch\u00e9lo\u00efdienne de la nuque)<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddec D\u00e9finition<\/h3>\n\n\n\n<p>L\u2019acn\u00e9 ch\u00e9lo\u00efdienne de la nuque est une <strong>dermatose chronique inflammatoire et cicatricielle<\/strong>, touchant principalement la nuque et la r\u00e9gion occipitale du cuir chevelu. Elle se manifeste par des <strong>papules et nodules folliculaires<\/strong> \u00e9voluant vers des <strong>cicatrices hypertrophiques ou ch\u00e9lo\u00efdiennes<\/strong>.<\/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\u00e9dominance chez les <strong>hommes jeunes<\/strong> (20\u201340 ans)<\/li>\n\n\n\n<li>Fr\u00e9quent chez les <strong>phototypes fonc\u00e9s (V\u2013VI)<\/strong><\/li>\n\n\n\n<li>Facteurs favorisants : <strong>rasage \u00e0 blanc<\/strong>, <strong>tondeuses<\/strong>, frottements r\u00e9p\u00e9t\u00e9s<\/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><strong>Papules folliculaires fermes<\/strong>, prurigineuses ou douloureuses<\/li>\n\n\n\n<li>Nodules inflammatoires \u00e9voluant vers des <strong>plages ch\u00e9lo\u00efdiennes indur\u00e9es<\/strong><\/li>\n\n\n\n<li><strong>Distribution occipitale<\/strong>, parfois en couronne<\/li>\n\n\n\n<li>\u00c9tendue possible vers la nuque, le haut du dos ou les tempes<\/li>\n\n\n\n<li>Possibles suintements ou surinfections<\/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>Follicules obstru\u00e9s ou absents<\/li>\n\n\n\n<li>Papules hyperk\u00e9ratosiques<\/li>\n\n\n\n<li>Zones atrophiques et zones \u00e9paissies, fibreuses<\/li>\n\n\n\n<li>Vascularisation anormale<\/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 dans la majorit\u00e9 des cas<\/li>\n\n\n\n<li>Trichoscopie pour \u00e9valuer l\u2019activit\u00e9 et l\u2019\u00e9tendue<\/li>\n\n\n\n<li>Biopsie si doute avec d&rsquo;autres formes d&rsquo;alop\u00e9cies cicatricielles (folliculite d\u00e9calvante, lichen plan pilaire)<\/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\">Objectifs : stopper l\u2019inflammation, freiner la fibrose, pr\u00e9venir les r\u00e9cidives<\/h4>\n\n\n\n<h5 class=\"wp-block-heading\">Traitement de fond<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u00c9viction des rasages courts, tondeuses, lames de rasoir<\/strong><\/li>\n\n\n\n<li><strong>Rasage \u00e9lectrique doux ou arr\u00eat du rasage<\/strong><\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\">M\u00e9dical<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Cortico\u00efdes intral\u00e9sionnels<\/strong> (ac\u00e9tate de triamcinolone 5\u201310 mg\/mL)<\/li>\n\n\n\n<li><strong>T\u00e9tracyclines orales<\/strong> ou <strong>\u00e9rythromycine<\/strong> si surinfection<\/li>\n\n\n\n<li><strong>R\u00e9tino\u00efdes oraux<\/strong> (isotr\u00e9tino\u00efne dans les formes inflammatoires s\u00e9v\u00e8res)<\/li>\n\n\n\n<li><strong>Cr\u00e8mes d\u00e9pigmentantes<\/strong> en cas de troubles pigmentaires post-inflammatoires<\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\">Techniques compl\u00e9mentaires<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Laser CO\u2082 fractionn\u00e9<\/strong> ou <strong>Nd:YAG<\/strong> pour aplanir les ch\u00e9lo\u00efdes<\/li>\n\n\n\n<li><strong>Cryoth\u00e9rapie localis\u00e9e<\/strong> (nodule actif)<\/li>\n\n\n\n<li><strong>Ex\u00e9r\u00e8se chirurgicale<\/strong> (rare, \u00e0 haut risque de r\u00e9cidive)<\/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>Chronique<\/strong> avec risque de r\u00e9cidives fr\u00e9quentes<\/li>\n\n\n\n<li><strong>Cicatrices d\u00e9finitives<\/strong> si non trait\u00e9 ou mal suivi<\/li>\n\n\n\n<li>\u00c9volution favorable sous traitement pr\u00e9coce et hygi\u00e8ne rigoureuse<\/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>\u00c9valuation trichoscopique et clinique<\/li>\n\n\n\n<li>Protocole combin\u00e9 : topique, intral\u00e9sionnel, laser si n\u00e9cessaire<\/li>\n\n\n\n<li>Suivi sur le long terme pour stabilisation et pr\u00e9vention<\/li>\n\n\n\n<li>\u00c9ducation th\u00e9rapeutique pour les gestes quotidiens adapt\u00e9s<\/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, Trichologie et Esth\u00e9tique \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(Folliculite ch\u00e9lo\u00efdienne de la nuque) \ud83e\uddec D\u00e9finition L\u2019acn\u00e9 ch\u00e9lo\u00efdienne de la nuque est une dermatose chronique inflammatoire et cicatricielle, touchant principalement la nuque et la r\u00e9gion occipitale du cuir chevelu. Elle se manifeste par des papules et nodules folliculaires \u00e9voluant vers des cicatrices hypertrophiques ou ch\u00e9lo\u00efdiennes. \ud83d\udc64 \u00c9pid\u00e9miologie \ud83d\udd0d Pr\u00e9sentation clinique \ud83d\udcf8 Trichoscopie \ud83e\uddea Diagnostic [&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-194","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/194","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=194"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/194\/revisions"}],"predecessor-version":[{"id":195,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/194\/revisions\/195"}],"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=194"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}