{"id":212,"date":"2025-08-02T20:50:19","date_gmt":"2025-08-02T20:50:19","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=212"},"modified":"2025-08-02T20:52:10","modified_gmt":"2025-08-02T20:52:10","slug":"alopecies-non-cicatricielles","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/dermatologie\/maladies-des-cheveux-et-du-cuir-chevelu\/alopecies-non-cicatricielles\/","title":{"rendered":"\ud83d\udca8 Alop\u00e9cies non cicatricielles"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">\ud83e\uddec D\u00e9finition<\/h3>\n\n\n\n<p>Les alop\u00e9cies non cicatricielles sont des <strong>pertes de cheveux r\u00e9versibles<\/strong> ou partiellement r\u00e9versibles, <strong>sans atteinte permanente du follicule pileux<\/strong>. Contrairement aux alop\u00e9cies cicatricielles, les ostia folliculaires sont <strong>pr\u00e9sents<\/strong>, ce qui permet <strong>une repousse si la cause est identifi\u00e9e et trait\u00e9e<\/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>Cheveux cassants ou qui tombent en grande quantit\u00e9<\/li>\n\n\n\n<li>Zones clairsem\u00e9es sans brillance, ni atrophie<\/li>\n\n\n\n<li>Pr\u00e9sence de <strong>follicules visibles<\/strong><\/li>\n\n\n\n<li>Souvent <strong>diffuse ou multifocale<\/strong>, avec des cheveux en phase t\u00e9log\u00e8ne ou anag\u00e8ne<\/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>Pr\u00e9sence d\u2019<strong>ostia folliculaires<\/strong><\/li>\n\n\n\n<li><strong>Cheveux miniaturis\u00e9s<\/strong>, <strong>variabilit\u00e9 de diam\u00e8tre<\/strong>, <strong>points jaunes<\/strong>, <strong>cheveux dystrophiques<\/strong><\/li>\n\n\n\n<li>Absence de fibrose ou cicatrice<\/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 Principales causes d\u2019alop\u00e9cie non cicatricielle<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">1. <strong>Alop\u00e9cie androg\u00e9n\u00e9tique (AGA)<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Masculine : calvitie fronto-pari\u00e9tale et vertex<\/li>\n\n\n\n<li>F\u00e9minine : \u00e9claircissement diffus ou en bande frontale<\/li>\n\n\n\n<li>Li\u00e9e \u00e0 la sensibilit\u00e9 des follicules \u00e0 la DHT<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">2. <strong>Effluvium t\u00e9log\u00e8ne<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Perte brutale et diffuse de cheveux en phase t\u00e9log\u00e8ne<\/li>\n\n\n\n<li>Survient 2 \u00e0 3 mois apr\u00e8s un <strong>stress<\/strong>, <strong>accouchement<\/strong>, <strong>maladie f\u00e9brile<\/strong>, <strong>carence<\/strong> ou <strong>m\u00e9dicament<\/strong><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">3. <strong>Effluvium anag\u00e8ne<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chute massive et rapide en quelques jours<\/li>\n\n\n\n<li>Fr\u00e9quent apr\u00e8s <strong>chimioth\u00e9rapie<\/strong>, <strong>radioth\u00e9rapie<\/strong>, intoxications<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">4. <strong>Pelade (alop\u00e9cie areata)<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Plaques arrondies, d\u00e9nud\u00e9es, non cicatricielles<\/li>\n\n\n\n<li>Maladie auto-immune, parfois associ\u00e9e \u00e0 d&rsquo;autres pathologies<\/li>\n\n\n\n<li>Trichoscopie : cheveux en point d\u2019exclamation, points noirs<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">5. <strong>Trichotillomanie<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Arrachements volontaires des cheveux, souvent en contexte anxieux<\/li>\n\n\n\n<li>Zones de longueurs in\u00e9gales, bords g\u00e9ographiques<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">6. <strong>Alop\u00e9cie de traction (forme d\u00e9butante)<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Coiffures serr\u00e9es r\u00e9p\u00e9t\u00e9es : tresses, chignons, tissages<\/li>\n\n\n\n<li>R\u00e9versible si prise en charge pr\u00e9coce<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">7. <strong>Causes carentielles ou endocriniennes<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Carence en fer, zinc, vitamine D<\/strong>, troubles thyro\u00efdiens<\/li>\n\n\n\n<li>Perte diffuse, diagnostiqu\u00e9e au bilan biologique<\/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 Bilan diagnostique<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Trichoscopie<\/strong> au cabinet<\/li>\n\n\n\n<li><strong>Dosages hormonaux<\/strong> : androg\u00e8nes, TSH<\/li>\n\n\n\n<li><strong>Bilan martial<\/strong> : ferritine<\/li>\n\n\n\n<li><strong>\u00c9valuation du stress \/ troubles du comportement<\/strong><\/li>\n\n\n\n<li><strong>Photographie d\u2019\u00e9volution<\/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\">\ud83d\udc8a Traitements propos\u00e9s<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Minoxidil 2 \u00e0 5 % topique<\/strong><\/li>\n\n\n\n<li><strong>Finast\u00e9ride \/ Dutast\u00e9ride<\/strong> chez l\u2019homme (sous surveillance m\u00e9dicale)<\/li>\n\n\n\n<li><strong>Spironolactone<\/strong> ou <strong>anti-androg\u00e8nes<\/strong> chez la femme<\/li>\n\n\n\n<li><strong>PRP<\/strong> (Plasma Riche en Plaquettes)<\/li>\n\n\n\n<li><strong>LED<\/strong> (th\u00e9rapie par lumi\u00e8re froide)<\/li>\n\n\n\n<li><strong>Micronutrition cibl\u00e9e<\/strong> : fer, zinc, vitamine D, biotine<\/li>\n\n\n\n<li><strong>Psychoth\u00e9rapie ou traitement anxiolytique<\/strong> si trichotillomanie<\/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>Favorable<\/strong> si cause identifi\u00e9e t\u00f4t et prise en charge adapt\u00e9e<\/li>\n\n\n\n<li>Repousse variable selon le type d\u2019alop\u00e9cie<\/li>\n\n\n\n<li><strong>Suivi r\u00e9gulier indispensable<\/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\">\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 haute r\u00e9solution<\/li>\n\n\n\n<li>Bilan \u00e9tiologique complet sur place<\/li>\n\n\n\n<li>Suivi personnalis\u00e9 mensuel<\/li>\n\n\n\n<li>Accompagnement m\u00e9dical 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>\ud83e\uddec D\u00e9finition Les alop\u00e9cies non cicatricielles sont des pertes de cheveux r\u00e9versibles ou partiellement r\u00e9versibles, sans atteinte permanente du follicule pileux. Contrairement aux alop\u00e9cies cicatricielles, les ostia folliculaires sont pr\u00e9sents, ce qui permet une repousse si la cause est identifi\u00e9e et trait\u00e9e. \ud83d\udd0d Signes cliniques \u00e9vocateurs \ud83d\udcf8 Trichoscopie \ud83e\uddfe Principales causes d\u2019alop\u00e9cie non cicatricielle 1. [&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-212","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/212","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=212"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/212\/revisions"}],"predecessor-version":[{"id":213,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/212\/revisions\/213"}],"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=212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}