{"id":209,"date":"2025-08-02T06:30:44","date_gmt":"2025-08-02T06:30:44","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=209"},"modified":"2025-08-02T06:31:31","modified_gmt":"2025-08-02T06:31:31","slug":"alopecie-cicatricielle","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/dermatologie\/maladies-des-cheveux-et-du-cuir-chevelu\/alopecie-cicatricielle\/","title":{"rendered":"\ud83d\udd25 Alop\u00e9cie cicatricielle"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>Perte de cheveux irr\u00e9versible par destruction du follicule pileux<\/strong><\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddec D\u00e9finition<\/h3>\n\n\n\n<p>L\u2019alop\u00e9cie cicatricielle d\u00e9signe un <strong>groupe de pathologies capillaires<\/strong> dans lesquelles les <strong>follicules pileux sont d\u00e9truits de fa\u00e7on permanente<\/strong> \u00e0 la suite d\u2019un <strong>processus inflammatoire, infectieux, auto-immun ou traumatique<\/strong>, remplac\u00e9s par du tissu fibreux.<\/p>\n\n\n\n<p>Ce type d\u2019alop\u00e9cie se diff\u00e9rencie des formes non cicatricielles par son <strong>caract\u00e8re d\u00e9finitif<\/strong>, d\u2019o\u00f9 l\u2019importance du <strong>diagnostic et du traitement pr\u00e9coces<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\udde0 M\u00e9canisme<\/h3>\n\n\n\n<p>La destruction du bulbe pilaire entra\u00eene la <strong>perte irr\u00e9versible du cheveu<\/strong>. L\u2019inflammation affecte en particulier la <strong>gaine \u00e9pith\u00e9liale externe du follicule<\/strong>, avec une <strong>fibrose cicatricielle progressive<\/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\udd0d Signes cliniques \u00e9vocateurs<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Zones de <strong>cuir chevelu lisses, brillantes, d\u00e9pourvues de follicules visibles<\/strong><\/li>\n\n\n\n<li>Alop\u00e9cie <strong>centr\u00e9e ou multifocale<\/strong>, souvent <strong>asym\u00e9trique<\/strong><\/li>\n\n\n\n<li>Pr\u00e9sence possible de <strong>rougeur, squames, pustules, douleurs ou prurit<\/strong> en phase active<\/li>\n\n\n\n<li><strong>Pas de repousse<\/strong> spontan\u00e9e dans les zones atteintes<\/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>Absence d\u2019ostia folliculaires<\/strong><\/li>\n\n\n\n<li><strong>Points blancs<\/strong> (fibrose), <strong>collerettes p\u00e9rifolliculaires<\/strong>, <strong>cheveux en touffe r\u00e9duite<\/strong><\/li>\n\n\n\n<li>Parfois <strong>desquamation<\/strong>, <strong>vaisseaux dilat\u00e9s<\/strong>, <strong>pustules folliculaires<\/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><strong>Examen clinique + trichoscopie num\u00e9rique<\/strong><\/li>\n\n\n\n<li><strong>Biopsie cutan\u00e9e<\/strong> indispensable dans de nombreux cas<\/li>\n\n\n\n<li>Parfois analyses mycologiques, bact\u00e9riologiques ou immunologiques selon le contexte<\/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\uddfe Causes fr\u00e9quentes d\u2019alop\u00e9cie cicatricielle<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">\ud83d\udd34 Causes inflammatoires auto-immunes :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lichen plan pilaire<\/li>\n\n\n\n<li>Lupus \u00e9ryth\u00e9mateux disco\u00efde<\/li>\n\n\n\n<li>Pseudopelade de Brocq<\/li>\n\n\n\n<li>Scl\u00e9rodermie cutan\u00e9e en plaques<\/li>\n\n\n\n<li>Alop\u00e9cie cicatricielle centrale centrifuge (CCCA)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">\ud83d\udd2c Causes infectieuses :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Teignes inflammatoires (k\u00e9rion)<\/li>\n\n\n\n<li>Folliculites bact\u00e9riennes chroniques (ex. : folliculite d\u00e9calvante)<\/li>\n\n\n\n<li>Syphilis tertiaire (gommes)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">\u26a0\ufe0f Causes m\u00e9caniques ou traumatiques :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Alop\u00e9cie de traction chronique<\/li>\n\n\n\n<li>Br\u00fblures, radiodermite<\/li>\n\n\n\n<li>Cicatrices post-chirurgicales ou post-biopsie<\/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 Prise en charge<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">Objectifs :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Stopper l\u2019\u00e9volution<\/strong> inflammatoire<\/li>\n\n\n\n<li><strong>Pr\u00e9server les zones p\u00e9riph\u00e9riques<\/strong> encore actives<\/li>\n\n\n\n<li><strong>Am\u00e9liorer l\u2019esth\u00e9tique<\/strong> et le confort psychologique<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Traitements propos\u00e9s :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Cortico\u00efdes topiques puissants<\/strong> ou injections intral\u00e9sionnelles<\/li>\n\n\n\n<li><strong>Antibiotiques \/ T\u00e9tracyclines<\/strong> en cas de folliculite<\/li>\n\n\n\n<li><strong>Hydroxychloroquine, m\u00e9thotrexate, isotretino\u00efne<\/strong> selon l\u2019\u00e9tiologie<\/li>\n\n\n\n<li><strong>Minoxidil<\/strong> pour zones de transition (si follicules pr\u00e9serv\u00e9s)<\/li>\n\n\n\n<li><strong>PRP<\/strong>, LED th\u00e9rapeutique dans les formes non s\u00e9v\u00e8rement fibros\u00e9es<\/li>\n\n\n\n<li><strong>Greffe capillaire<\/strong> possible si alop\u00e9cie stabilis\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\">\ud83e\udde0 Pronostic<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c9volution souvent <strong>d\u00e9finitive sans repousse<\/strong><\/li>\n\n\n\n<li>D\u2019importance capitale de <strong>diagnostiquer t\u00f4t et traiter intensivement<\/strong><\/li>\n\n\n\n<li><strong>Prise en charge psychologique<\/strong> utile dans certains cas<\/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>Expertise en <strong>trichoscopie num\u00e9rique haute r\u00e9solution<\/strong><\/li>\n\n\n\n<li>Diagnostic rapide des <strong>formes actives ou cach\u00e9es<\/strong><\/li>\n\n\n\n<li>Biopsie cutan\u00e9e sur place si n\u00e9cessaire<\/li>\n\n\n\n<li>Suivi personnalis\u00e9 et bilan \u00e9tiologique complet<\/li>\n\n\n\n<li>Accompagnement th\u00e9rapeutique et esth\u00e9tique<\/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>Perte de cheveux irr\u00e9versible par destruction du follicule pileux \ud83e\uddec D\u00e9finition L\u2019alop\u00e9cie cicatricielle d\u00e9signe un groupe de pathologies capillaires dans lesquelles les follicules pileux sont d\u00e9truits de fa\u00e7on permanente \u00e0 la suite d\u2019un processus inflammatoire, infectieux, auto-immun ou traumatique, remplac\u00e9s par du tissu fibreux. Ce type d\u2019alop\u00e9cie se diff\u00e9rencie des formes non cicatricielles par son [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":21,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-209","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/209","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=209"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/209\/revisions"}],"predecessor-version":[{"id":210,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/209\/revisions\/210"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/21"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=209"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}