{"id":22620,"date":"2018-11-07T16:25:06","date_gmt":"2018-11-07T15:25:06","guid":{"rendered":"https:\/\/saintjoseph.agepcom.fr\/?post_type=service&#038;p=12401"},"modified":"2022-04-21T15:52:56","modified_gmt":"2022-04-21T13:52:56","slug":"phenomene-de-raynaud","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/medecine-vasculaire-phlebologie\/pathologies\/phenomene-de-raynaud\/","title":{"rendered":"Ph\u00e9nom\u00e8ne de Raynaud"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"modification-de-couleur-non-permanente-survenant-par-crises-lors-de-l-exposition-au-froid\">Modification de couleur non permanente, survenant par crises, lors de l\u2019exposition au froid.<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Les doigts, les orteils, parfois le nez et les oreilles deviennent blancs et insensibles pendant une dur\u00e9e variant de quelques secondes \u00e0 plusieurs minutes, voire plusieurs heures. Puis la zone devient rouge et souvent douloureuse (\u00e0 type de br\u00fblures). Ceci traduit l\u2019existence d\u2019un <strong>arr\u00eat de la circulation<\/strong> sanguine en raison d\u2019un spasme au niveau des petits vaisseaux.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La conduite \u00e0 tenir est centr\u00e9e sur la recherche de l\u2019\u00e9tiologie du ph\u00e9nom\u00e8ne de Raynaud :<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>dans plus de 80% des cas, primitif sans pathologie sous-jacente, ancien, souvent chez une femme et qui ne se complique jamais de plaies au niveau des doigts<\/li><li>secondaire : scl\u00e9rodermie, m\u00e9dicaments, causes professionnelles, hyperviscosit\u00e9 du sang&#8230;<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Le bilan minimum comporte une capillaroscopie (observation des capillaires de la base de l\u2019ongle sous un microscope) et une recherche d\u2019anticorps antinucl\u00e9aires.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Modification de couleur non permanente, survenant par crises, lors de l\u2019exposition au froid. Les doigts, les orteils, parfois le nez et les oreilles deviennent blancs et insensibles pendant une dur\u00e9e variant de quelques secondes \u00e0 plusieurs minutes, voire plusieurs heures. Puis la zone devient rouge et souvent douloureuse (\u00e0 type de br\u00fblures). Ceci traduit l\u2019existence [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":18545,"menu_order":4,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":null,"stick-header-meta":null,"header-above-stick-meta":null,"header-main-stick-meta":null,"header-below-stick-meta":null,"astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"etablissements":[],"services":[],"class_list":["post-22620","service","type-service","status-publish","hentry"],"acf":[],"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/devhml.givememore.net\/author\/usersync\/","display_name":"usersync"},"relative_dates":{"created":"Publi\u00e9 8 ans il y a","modified":"Mis \u00e0 jour 4 ans il y a"},"absolute_dates":{"created":"Publi\u00e9 le 7 novembre 2018","modified":"Mise \u00e0 jour le 21 avril 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 7 novembre 2018 16 h 25 min","modified":"Mise \u00e0 jour le 21 avril 2022 15 h 52 min"},"featured_img_caption":"","tax_additional":{"etablissements":{"linked":[],"unlinked":[],"slug":"etablissements","name":"\u00c9tablissements"},"services":{"linked":[],"unlinked":[],"slug":"services","name":"Services"}},"series_order":"","_links":{"self":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/22620","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service"}],"about":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/types\/service"}],"version-history":[{"count":1,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/22620\/revisions"}],"predecessor-version":[{"id":22632,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/22620\/revisions\/22632"}],"up":[{"embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18545"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=22620"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=22620"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=22620"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}