{"id":23224,"date":"2018-11-08T12:34:22","date_gmt":"2018-11-08T11:34:22","guid":{"rendered":"https:\/\/saintjoseph.agepcom.fr\/?post_type=service&#038;p=12510"},"modified":"2022-05-03T10:06:16","modified_gmt":"2022-05-03T08:06:16","slug":"dermatoses","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/proctologie\/pathologies-2\/dermatoses\/","title":{"rendered":"Dermatoses"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"les-lesions-dermatologiques-de-l-anus-sont-nombreuses\">Les l\u00e9sions dermatologiques de l\u2019anus sont nombreuses.<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Les sympt\u00f4mes les plus fr\u00e9quents sont le prurit (d\u00e9mangeaisons), une irritation, un&nbsp; suintement, un saignement \u00e0 l\u2019essuyage mais le prurit est le motif principal de consultation.<br>L\u2019examen doit rechercher une cause dermatologique ou proctologique sp\u00e9cifique. Voici les plus fr\u00e9quentes :<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"l-oxyurose\">L\u2019oxyurose<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"wp-block-paragraph\">Elle doit \u00eatre \u00e9limin\u00e9e de principe et trait\u00e9e au moindre doute. Il s\u2019agit d\u2019une contamination digestive parasitaire par les oxyures. Elle est responsable d\u2019un prurit anal, d\u2019un inconfort digestif voire des douleurs abdominales. La contamination se fait par voie orale et reste fr\u00e9quente chez les enfants et dans leur entourage.<span style=\"color: #f37207;font-size: 13px;font-weight: 800\"><\/span><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:20%\">\n<div class=\"wp-block-image\"><figure class=\"alignright\"><a href=\"https:\/\/devhpsj.givememore.net\/wp-content\/uploads\/2015\/09\/dermite.jpg\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/devhml.givememore.net\/wp-content\/uploads\/2022\/05\/dermite-226x300-1.jpg\" alt=\"dermite\" class=\"wp-image-5543\" \/><\/a><\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"les-lesions-de-grattage-et-la-lichenification\">Les l\u00e9sions de grattage et la lich\u00e9nification<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Un prurit chronique peut \u00eatre responsable d\u2019un \u00e9paississement des plis de l\u2019anus et de l\u00e9sions d\u2019excoriation. Un suintement peut en d\u00e9couler. Une irritation \u00e0 l\u2019essuyage et quelques saignements sur le papier sont fr\u00e9quents.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"les-lesions-de-diarrhee-chronique-et-ou-d-incontinence\">Les l\u00e9sions de diarrh\u00e9e chronique et\/ou d\u2019incontinence<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Des micro-ulc\u00e9rations p\u00e9ri-anales sont possibles du fait de passage fr\u00e9quent de selles acides. Des douleurs, suintements, irritation et saignements sont fr\u00e9quents. Les troubles du transit doivent \u00eatre corrig\u00e9s&nbsp; au maximum pour cicatriser les l\u00e9sions cutan\u00e9es externes.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"l-eczema-de-contact\">L\u2019ecz\u00e9ma de contact<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:20%\">\n<div class=\"wp-block-image\"><figure class=\"alignleft\"><a href=\"https:\/\/devhpsj.givememore.net\/wp-content\/uploads\/2015\/09\/eczema.jpg\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/devhml.givememore.net\/wp-content\/uploads\/2022\/05\/eczema-189x300-1.jpg\" alt=\"eczema\" class=\"wp-image-5544\" \/><\/a><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"wp-block-paragraph\">Il s\u2019agit d\u2019une allergie de contact \u00e0 un allerg\u00e8ne souvent difficile \u00e0 mettre en \u00e9vidence. Une enqu\u00eate doit \u00eatre men\u00e9e pour rechercher l\u2019agent en cause (le plus souvent : produits de toilette, applications cutan\u00e9es, lessive). Le prurit est le principal sympt\u00f4me.<\/p>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"la-candidose\">La candidose<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"wp-block-paragraph\">C\u2019est une affection infectieuse tr\u00e8s fr\u00e9quente, survenant surtout chez le jeune enfant ou lorsque le terrain est favorable (ob\u00e9sit\u00e9, mac\u00e9ration, diab\u00e8te, antibioth\u00e9rapie, immuno-suppression). Elle se pr\u00e9sente le plus souvent comme une zone lisse rouge, suintante et bien d\u00e9limit\u00e9e.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:20%\">\n<div class=\"wp-block-image\"><figure class=\"alignleft\"><a href=\"https:\/\/devhpsj.givememore.net\/wp-content\/uploads\/2015\/09\/candidose.jpg\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/devhml.givememore.net\/wp-content\/uploads\/2022\/05\/candidose-182x300-1.jpg\" alt=\"candidose\" class=\"wp-image-5545\" \/><\/a><\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"la-dermatophytose\">La dermatophytose<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Il s\u2019agit d\u2019une infection par des dermatophytes. Elle atteint plus souvent le sujet de sexe masculin. Elle peut se transmettre par un contact \u00e9troit (rapports sexuels, v\u00eatements partag\u00e9s, auto contamination \u00e0 partir d\u2019une mycose des pieds). Il s\u2019agit de zones rouges bien d\u00e9limit\u00e9es souvent squameuses en p\u00e9riph\u00e9rie et initialement unilat\u00e9rales.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"le-psoriasis\">Le psoriasis<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:20%\">\n<div class=\"wp-block-image\"><figure class=\"alignright\"><a href=\"https:\/\/devhpsj.givememore.net\/wp-content\/uploads\/2015\/09\/pso.jpg\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/devhml.givememore.net\/wp-content\/uploads\/2022\/05\/pso-142x300-1.jpg\" alt=\"pso\" class=\"wp-image-5546\" \/><\/a><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"wp-block-paragraph\">On parle de psoriasis invers\u00e9 au niveau des plis. Il est souvent associ\u00e9 \u00e0 d\u2019autres l\u00e9sions, m\u00eame minimes, sur le reste du corps. Les l\u00e9sions peuvent se surinfecter avec des agents mycologiques (candidose) ou bact\u00e9rienne (imp\u00e9tigo).<\/p>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"le-lichen-plan\">Le lichen plan<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"has-text-align-left wp-block-paragraph\">C\u2019est une maladie rare. C\u2019est une l\u00e9sion souvent un peu en relief rouge. La cause de cette maladie reste inconnue et le diagnostic est souvent histologique sur une biopsie. Dans certains cas, la l\u00e9sion peut \u00eatre \u00e9rosive douloureuse et chronique.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:20%\">\n<div class=\"wp-block-image\"><figure class=\"alignleft\"><a href=\"https:\/\/devhpsj.givememore.net\/wp-content\/uploads\/2015\/09\/lichen_plan.jpg\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/devhml.givememore.net\/wp-content\/uploads\/2022\/05\/lichen_plan-205x300-1.jpg\" alt=\"lichen_plan\" class=\"wp-image-5547\" \/><\/a><\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"le-lichen-sclero-atrophique\">Le lichen scl\u00e9ro-atrophique<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:20%\">\n<div class=\"wp-block-image\"><figure class=\"alignright\"><a href=\"https:\/\/devhpsj.givememore.net\/wp-content\/uploads\/2015\/09\/lichen.jpg\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/devhml.givememore.net\/wp-content\/uploads\/2022\/05\/lichen-296x300-1.jpg\" alt=\"lichen\" class=\"wp-image-5548\" \/><\/a><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"wp-block-paragraph\"><span style=\"color: #f37207;font-size: 13px;font-weight: 800\"><\/span>C\u2019est une maladie purement f\u00e9minine, survenant g\u00e9n\u00e9ralement apr\u00e8s la m\u00e9nopause et correspondant \u00e0 une extension de l\u2019atteinte des grandes l\u00e8vres. Il s\u2019agit d\u2019un aspect blanc nacr\u00e9, brillant parfois associ\u00e9 \u00e0 des excoriations. Le risque est domin\u00e9 par le risque de transformation tumorale.<\/p>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"ces-diverses-pathologies-dermatologiques-relevent-de-traitements-specifiques-mais-dans-tous-les-cas-il-faut-essayer-de-respecter-quelques-regles-d-hygiene-locale\">Ces diverses pathologies dermatologiques rel\u00e8vent de traitements sp\u00e9cifiques mais, dans tous les cas, il faut essayer de respecter quelques r\u00e8gles d\u2019hygi\u00e8ne locale :<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>\u00e9viter la mac\u00e9ration et l\u2019irritation pour obtenir une zone bien s\u00e8che (et non dess\u00e9ch\u00e9e), propre et non irrit\u00e9e.<\/li><li>laver l\u2019ext\u00e9rieur de la r\u00e9gion anale avec de l\u2019eau au cours de la toilette.<\/li><li>ne pas utiliser de savon dans la r\u00e9gion anale.<\/li><li>\u00e9viter les traumatismes abrasifs ou un frottement vigoureux et se contenter de tapoter la peau s\u00e8che avec une serviette douce ou en utilisant un s\u00e8che-cheveux \u00e0 basse temp\u00e9rature.<\/li><li>il peut \u00eatre utile d\u2019appliquer un tampon de coton fin directement dans le pli fessier en regard de l\u2019anus au cours de la journ\u00e9e et l\u2019heure du coucher.<\/li><li>\u00e9vitez d\u2019utiliser du papier de toilette et de frotter, et privil\u00e9gier les lingettes humides.<\/li><li>porter des sous-v\u00eatements amples en coton qui limitent la transpiration et la mac\u00e9ration, et \u00e9viter les strings.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"sur-le-plan-de-l-hygiene-alimentaire\">Sur le plan de l\u2019hygi\u00e8ne alimentaire :<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>la r\u00e9gularisation du transit intestinal est n\u00e9cessaire : les selles trop molles ainsi que la constipation peuvent \u00eatre \u00e0 l\u2019origine du prurit, il faut alors maintenir une selle molle et non irritante par une alimentation riche en fibres.<\/li><li>d\u2019autres mesures peuvent \u00eatre entreprises, comme un r\u00e9gime pauvre en irritants ou excitants digestifs.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Elise POMMARET<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Les l\u00e9sions dermatologiques de l\u2019anus sont nombreuses. Les sympt\u00f4mes les plus fr\u00e9quents sont le prurit (d\u00e9mangeaisons), une irritation, un&nbsp; suintement, un saignement \u00e0 l\u2019essuyage mais le prurit est le motif principal de consultation.L\u2019examen doit rechercher une cause dermatologique ou proctologique sp\u00e9cifique. Voici les plus fr\u00e9quentes : L\u2019oxyurose Elle doit \u00eatre \u00e9limin\u00e9e de principe et trait\u00e9e [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":22646,"menu_order":0,"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-23224","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 8 novembre 2018","modified":"Mise \u00e0 jour le 3 mai 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 8 novembre 2018 12 h 34 min","modified":"Mise \u00e0 jour le 3 mai 2022 10 h 06 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\/23224","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":2,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23224\/revisions"}],"predecessor-version":[{"id":23345,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23224\/revisions\/23345"}],"up":[{"embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/22646"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=23224"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=23224"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=23224"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}