{"id":23,"date":"2025-08-01T15:48:28","date_gmt":"2025-08-01T15:48:28","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=23"},"modified":"2025-08-10T21:41:37","modified_gmt":"2025-08-10T21:41:37","slug":"maladies-des-ongles-onychopathies","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/dermatologie\/maladies-des-ongles-onychopathies\/","title":{"rendered":"Maladies des ongles (onychopathies)"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\ud83d\udd0e <strong>Pourquoi consulter pour un probl\u00e8me d\u2019ongle ?<\/strong><\/h2>\n\n\n\n<p>Les ongles, souvent n\u00e9glig\u00e9s, peuvent r\u00e9v\u00e9ler de nombreuses <strong>affections dermatologiques, infectieuses, inflammatoires, ou syst\u00e9miques<\/strong>. Une modification de couleur, de texture, de forme ou de croissance peut signaler une pathologie n\u00e9cessitant un diagnostic dermatologique pr\u00e9cis.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\ud83e\udde0 <strong>Les principales maladies des ongles<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd39 <strong>Mycoses ungu\u00e9ales (onychomycoses)<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tr\u00e8s fr\u00e9quentes, touchent un ou plusieurs ongles des pieds ou des mains<\/li>\n\n\n\n<li>Aspect : ongle <strong>jaun\u00e2tre, \u00e9paissi, friable<\/strong>, parfois d\u00e9coll\u00e9<\/li>\n\n\n\n<li>Contagieuses et chroniques si non trait\u00e9es<\/li>\n<\/ul>\n\n\n\n<p><strong>Diagnostic :<\/strong> examen direct et culture fongique<br><strong>Traitement :<\/strong> traitement oraux ou locaux, parfois laser Nd-Yag<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd39 <strong>Ongles incarn\u00e9s (onychocryptose)<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Inflammation douloureuse du <strong>repli lat\u00e9ral de l\u2019ongle<\/strong>, souvent au gros orteil<\/li>\n\n\n\n<li>Favoris\u00e9 par chaussures serr\u00e9es ou mauvaise coupe de l\u2019ongle<\/li>\n\n\n\n<li>Peut \u00e9voluer vers une <strong>infection ou un botryomycome<\/strong><\/li>\n<\/ul>\n\n\n\n<p><strong>Traitement :<\/strong> soins locaux, antibiotique si infection, <strong>chirurgie de l\u2019ongle si r\u00e9cidive<\/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\udd39 <strong>Psoriasis ungu\u00e9al<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Atteinte fr\u00e9quente chez les patients psoriasiques<\/li>\n\n\n\n<li>Aspect : ongle <strong>stri\u00e9, d\u00e9form\u00e9, piquet\u00e9, d\u00e9coll\u00e9 ou \u00e9paissi<\/strong><\/li>\n\n\n\n<li>Parfois difficile \u00e0 diff\u00e9rencier d\u2019une mycose<\/li>\n<\/ul>\n\n\n\n<p><strong>Traitement :<\/strong> k\u00e9ratolytiques, cortico\u00efdes locaux, traitements syst\u00e9miques si atteinte invalidante<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd39 <strong>Lichen plan ungu\u00e9al<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Maladie inflammatoire rare mais s\u00e9v\u00e8re<\/li>\n\n\n\n<li>Risque de <strong>destruction permanente de la matrice ungu\u00e9ale<\/strong><\/li>\n\n\n\n<li>Ongles stri\u00e9s, fendus, d\u00e9polish\u00e9s voire absents<\/li>\n<\/ul>\n\n\n\n<p><strong>Traitement urgent<\/strong> : cortico\u00efdes, immunosuppresseurs, surveillance r\u00e9guli\u00e8re<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd39 <strong>M\u00e9lanonychie \/ tache noire sous l\u2019ongle<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Peut \u00eatre b\u00e9nigne (naevus) ou <strong>signaler un m\u00e9lanome sous-ungu\u00e9al (rare mais grave)<\/strong><\/li>\n\n\n\n<li>N\u00e9cessite toujours une <strong>\u00e9valuation dermoscopique<\/strong><\/li>\n\n\n\n<li>Biopsie si doute<\/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\udd39 <strong>Traumatismes de l\u2019ongle<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Contusions, h\u00e9matomes, chutes de l\u2019ongle<\/li>\n\n\n\n<li>S\u00e9quelles fr\u00e9quentes : ongle dystrophique, fendu, irr\u00e9gulier<\/li>\n\n\n\n<li>Parfois associ\u00e9s \u00e0 des troubles m\u00e9caniques ou posturaux<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\ud83d\udd2c <strong>Examens disponibles au cabinet<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Onychoscopie (dermoscopie de l\u2019ongle)<\/strong><\/li>\n\n\n\n<li><strong>Biopsie de l\u2019ongle<\/strong> (matrice ou lit ungu\u00e9al) en cas de suspicion tumorale<\/li>\n\n\n\n<li><strong>Chirurgie ungu\u00e9ale<\/strong> (ongle incarn\u00e9, botryomycome, kyste muco\u00efde, etc.)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u270b <strong>Traitements propos\u00e9s<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Soins m\u00e9dicaux : vernis antifongiques, cortico\u00efdes, \u00e9mollients k\u00e9ratolytiques<\/li>\n\n\n\n<li>M\u00e9dicaments oraux : antifongiques, immunomodulateurs<\/li>\n\n\n\n<li>Actes techniques :\n<ul class=\"wp-block-list\">\n<li><strong>Ex\u00e9r\u00e8se chirurgicale partielle ou totale d\u2019ongle<\/strong><\/li>\n\n\n\n<li><strong>Injections intral\u00e9sionnelles<\/strong><\/li>\n\n\n\n<li><strong>Laser m\u00e9dical pour mycose ou troubles de croissance<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\ud83d\udccd <strong>Quand consulter un dermatologue ?<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Changement de <strong>couleur<\/strong>, de <strong>texture<\/strong>, de <strong>forme<\/strong> ou de <strong>croissance<\/strong><\/li>\n\n\n\n<li>Ongle <strong>douloureux<\/strong>, <strong>incarn\u00e9<\/strong>, infect\u00e9 ou <strong>d\u00e9coll\u00e9<\/strong><\/li>\n\n\n\n<li>Pr\u00e9sence d&rsquo;une <strong>tache noire persistante<\/strong><\/li>\n\n\n\n<li>Suspicion de <strong>mycose r\u00e9cidivante ou r\u00e9sistante<\/strong><\/li>\n\n\n\n<li>D\u00e9formation ungu\u00e9ale invalidante<\/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\udc68\u200d\u2695\ufe0f <em>Le Dr Hadi HAKIM vous re\u00e7oit au cabinet pour un bilan complet des maladies des ongles avec les outils les plus r\u00e9cents en onychologie diagnostique et th\u00e9rapeutique.<\/em><\/h3>\n\n\n\n<p><strong>\ud83d\udcde Prendre rendez-vous :<\/strong> +221 33 821 31 22<br><strong>\ud83d\udccd Adresse :<\/strong> 70 Rue Amadou Assane Ndoye, Dakar<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ud83d\udd0e Pourquoi consulter pour un probl\u00e8me d\u2019ongle ? Les ongles, souvent n\u00e9glig\u00e9s, peuvent r\u00e9v\u00e9ler de nombreuses affections dermatologiques, infectieuses, inflammatoires, ou syst\u00e9miques. Une modification de couleur, de texture, de forme ou de croissance peut signaler une pathologie n\u00e9cessitant un diagnostic dermatologique pr\u00e9cis. \ud83e\udde0 Les principales maladies des ongles \ud83d\udd39 Mycoses ungu\u00e9ales (onychomycoses) Diagnostic : examen [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":233,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-23","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/23","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=23"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/23\/revisions"}],"predecessor-version":[{"id":24,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/23\/revisions\/24"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/233"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=23"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}