{"id":202,"date":"2025-08-02T06:09:06","date_gmt":"2025-08-02T06:09:06","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=202"},"modified":"2025-08-02T20:55:28","modified_gmt":"2025-08-02T20:55:28","slug":"teignes-inflammatoires-du-cuir-chevelu-kerion","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/dermatologie\/maladies-des-cheveux-et-du-cuir-chevelu\/alopecies-non-cicatricielles\/teignes-inflammatoires-du-cuir-chevelu-kerion\/","title":{"rendered":"\ud83e\udda0 Teignes inflammatoires du cuir chevelu (K\u00e9rion)"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\ud83e\uddec D\u00e9finition<\/h2>\n\n\n\n<p>Le <strong>k\u00e9rion<\/strong> est une <strong>teigne inflammatoire profonde<\/strong> du cuir chevelu, caus\u00e9e par une infection \u00e0 <strong>dermatophytes zoophiles ou telluriques<\/strong>, entra\u00eenant une <strong>r\u00e9action inflammatoire intense<\/strong>, suppur\u00e9e et douloureuse. Elle constitue une urgence dermatologique p\u00e9diatrique et une cause d\u2019<strong>alop\u00e9cie cicatricielle si non trait\u00e9e \u00e0 temps<\/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>Surtout chez les <strong>enfants<\/strong> de 2 \u00e0 12 ans<\/li>\n\n\n\n<li>Pr\u00e9dominance chez les <strong>gar\u00e7ons<\/strong><\/li>\n\n\n\n<li>Contamination par <strong>contact animal (chat, chien, bovin)<\/strong> ou sol souill\u00e9<\/li>\n\n\n\n<li>Esp\u00e8ces fr\u00e9quentes : <em>Trichophyton mentagrophytes<\/em>, <em>T. verrucosum<\/em>, <em>Microsporum canis<\/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 Pr\u00e9sentation clinique<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Plaque arrondie tr\u00e8s inflammatoire<\/strong>, rouge, \u0153d\u00e9mateuse, douloureuse<\/li>\n\n\n\n<li><strong>Suppuration<\/strong>, <strong>cro\u00fbtes \u00e9paisses<\/strong>, <strong>pustules folliculaires<\/strong><\/li>\n\n\n\n<li>Parfois <strong>ad\u00e9nopathies satellites<\/strong><\/li>\n\n\n\n<li>Risque de <strong>fi\u00e8vre<\/strong> ou d\u2019<strong>alt\u00e9ration de l\u2019\u00e9tat g\u00e9n\u00e9ral<\/strong><\/li>\n\n\n\n<li>\u00c9volution vers une <strong>alop\u00e9cie cicatricielle<\/strong> sans traitement pr\u00e9coce<\/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>Pus folliculaire<\/strong>, <strong>cheveux dystrophiques ou cass\u00e9s<\/strong>, <strong>points jaunes<\/strong><\/li>\n\n\n\n<li><strong>Absence de follicules visibles<\/strong> en zone centrale<\/li>\n\n\n\n<li><strong>Cheveux en tire-bouchon<\/strong> ou <strong>virgule<\/strong> (selon l&rsquo;esp\u00e8ce)<\/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><strong>Examen direct + culture mycologique<\/strong> sur squames ou pus<\/li>\n\n\n\n<li>Recherche de dermatophytes (lampe de Wood utile si <em>Microsporum<\/em>)<\/li>\n\n\n\n<li>Bilan infectieux si forme \u00e9tendue : NFS, CRP<\/li>\n\n\n\n<li>Parfois pr\u00e9l\u00e8vement bact\u00e9riologique si surinfection suspect\u00e9e<\/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 : \u00e9radiquer le champignon et pr\u00e9venir la cicatrice<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Gris\u00e9ofulvine per os<\/strong> (20 mg\/kg\/j pendant 6\u20138 semaines) \u2013 1er choix<\/li>\n\n\n\n<li>Alternativement : <strong>Terbinafine<\/strong>, <strong>Itraconazole<\/strong> ou <strong>Fluconazole<\/strong><\/li>\n\n\n\n<li><strong>Antiseptiques locaux<\/strong> (povidone iod\u00e9e, ciclopirox)<\/li>\n\n\n\n<li><strong>Pas de cortico\u00efdes oraux<\/strong> sauf en cas d\u2019\u0153d\u00e8me majeur mena\u00e7ant ou k\u00e9rion purulent s\u00e9v\u00e8re<\/li>\n\n\n\n<li><strong>Rasage non syst\u00e9matique<\/strong>, \u00e9viter les traumatismes<\/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>Bon sous traitement pr\u00e9coce<\/li>\n\n\n\n<li><strong>Cicatrice alop\u00e9cique irr\u00e9versible<\/strong> si traitement tardif<\/li>\n\n\n\n<li>Risque de transmission intrafamiliale ou scolaire<\/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 mycologique rapide<\/li>\n\n\n\n<li>Traitement antifongique oral personnalis\u00e9<\/li>\n\n\n\n<li>Suivi jusqu\u2019\u00e0 gu\u00e9rison clinique et mycologique<\/li>\n\n\n\n<li>\u00c9ducation familiale sur pr\u00e9vention et hygi\u00e8ne<\/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 P\u00e9diatrique \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ud83e\uddec D\u00e9finition Le k\u00e9rion est une teigne inflammatoire profonde du cuir chevelu, caus\u00e9e par une infection \u00e0 dermatophytes zoophiles ou telluriques, entra\u00eenant une r\u00e9action inflammatoire intense, suppur\u00e9e et douloureuse. Elle constitue une urgence dermatologique p\u00e9diatrique et une cause d\u2019alop\u00e9cie cicatricielle si non trait\u00e9e \u00e0 temps. \ud83d\udc64 \u00c9pid\u00e9miologie \ud83d\udd0d Pr\u00e9sentation clinique \ud83d\udcf8 Trichoscopie \ud83e\uddea Diagnostic \ud83d\udc8a [&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-202","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/202","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=202"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/202\/revisions"}],"predecessor-version":[{"id":203,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/202\/revisions\/203"}],"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=202"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}