{"id":23242,"date":"2018-11-08T12:40:29","date_gmt":"2018-11-08T11:40:29","guid":{"rendered":"https:\/\/saintjoseph.agepcom.fr\/?post_type=service&p=12513"},"modified":"2022-05-03T10:25:18","modified_gmt":"2022-05-03T08:25:18","slug":"hidradenite-suppuree","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/proctologie\/pathologies-2\/hidradenite-suppuree\/","title":{"rendered":"Hidrad\u00e9nite suppur\u00e9e"},"content":{"rendered":"\n

Hidran\u00e9dite suppur\u00e9e ou maladie de verneuil<\/h2>\n\n\n\n

L\u2019hidrad\u00e9nite suppur\u00e9e ou hidrosad\u00e9nite suppur\u00e9e ou acn\u00e9 invers\u00e9e ou encore maladie de Verneuil<\/strong> est une affection dermatologique rare non contagieuse, chronique, suppurante et handicapante qui se d\u00e9veloppe au d\u00e9pend des follicules pileux dans le territoire des glandes sudoripares apocrines.<\/p>\n\n\n\n

Elle se r\u00e9v\u00e8le g\u00e9n\u00e9ralement apr\u00e8s la pubert\u00e9. Sa pr\u00e9valence est de 1 \u00e0 4% avec un sex-ratio de 3 femmes pour un homme.<\/p>\n\n\n\n

Sa physiopathologie est discut\u00e9e. Il semblerait que les patients souffrant d\u2019une hidrad\u00e9nite suppur\u00e9e aient un d\u00e9ficit des d\u00e9fenses immunitaires de la peau, ce qui faciliterait la multiplication des germes notamment des les zones de transpiration (zone des glandes sudoripares) riches de mani\u00e8re naturelle en germes. Une composante g\u00e9n\u00e9tique est retrouv\u00e9e dans 30-40 % des cas. Le tabagisme et la surcharge pond\u00e9rale semblent \u00eatre des facteurs favorisants. Le diab\u00e8te, la prise d\u2019anti-inflammatoires non st\u00e9ro\u00efdiens et de cortisone semblent \u00eatre des facteurs aggravants.<\/p>\n\n\n\n

\n
\n

La l\u00e9sion primaire est un nodule hypodermique. Il est ench\u00e2ss\u00e9 dans le derme, recouvert d’un \u00e9piderme violac\u00e9, mobile sur le plan profond, indolore spontan\u00e9ment et peu douloureux \u00e0 la palpation, sauf dans les p\u00e9riodes de r\u00e9tention abc\u00e9d\u00e9e. L\u2019alternance de p\u00e9riodes de pouss\u00e9e et de r\u00e9mission est responsable de la formation de l\u00e9sions d\u2019\u00e2ge diff\u00e9rent, \u00e0 la fois r\u00e9centes, suppurantes mais aussi anciennes, cicatricielles, r\u00e9tractiles en \u00ab pinces de crabe \u00bb, formant des tunnels communiquant sous la peau et r\u00e9alisant au stade ultime, un aspect de \u00ab terrier de lapin \u00bb.<\/p>\n\n\n\n

Le diagnostic repose sur l\u2019anamn\u00e8se, l\u2019aspect clinique et la mise en \u00e9vidence d\u2019autres localisations. En effet, la pr\u00e9sence concomitante d\u2019une atteinte p\u00e9rin\u00e9ale, inguinale, p\u00e9ri-mamelonnaire, axillaire et\/ou r\u00e9tro-auriculaire (territoires des glandes sudoripares) est tr\u00e8s \u00e9vocatrice du diagnostic.<\/p>\n<\/div>\n\n\n\n

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\"verneuil\"<\/a><\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\n

L\u2019incision est la r\u00e8gle en cas d\u2019abc\u00e8s douloureux. Le traitement est de plus en plus m\u00e9dico-chirurgical associant antibioth\u00e9rapie, voire anti-TNF, et excision des l\u00e9sions cutan\u00e9es apparentes, en les d\u00e9collant du plan profond comme \u00ab on p\u00e8lerait une orange \u00bb. La cicatrisation est longue. Il n\u2019y a pas de r\u00e9cidive au niveau des l\u00e9sions excis\u00e9es, mais d’autres localisations peuvent appara\u00eetre proches ou \u00e0 distance.<\/p>\n\n\n\n

Nadia FATHALLAH<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Hidran\u00e9dite suppur\u00e9e ou maladie de verneuil L\u2019hidrad\u00e9nite suppur\u00e9e ou hidrosad\u00e9nite suppur\u00e9e ou acn\u00e9 invers\u00e9e ou encore maladie de Verneuil est une affection dermatologique rare non contagieuse, chronique, suppurante et handicapante qui se d\u00e9veloppe au d\u00e9pend des follicules pileux dans le territoire des glandes sudoripares apocrines. Elle se r\u00e9v\u00e8le g\u00e9n\u00e9ralement apr\u00e8s la pubert\u00e9. Sa pr\u00e9valence est […]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":22646,"menu_order":3,"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-23242","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 40 min","modified":"Mise \u00e0 jour le 3 mai 2022 10 h 25 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\/23242","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\/23242\/revisions"}],"predecessor-version":[{"id":23349,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23242\/revisions\/23349"}],"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=23242"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=23242"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=23242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}