{"id":2048,"date":"2016-10-01T01:00:00","date_gmt":"2016-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/un-ictere-de-cause-hematologique\/"},"modified":"2018-10-20T18:40:22","modified_gmt":"2018-10-20T16:40:22","slug":"un-ictere-de-cause-hematologique","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/un-ictere-de-cause-hematologique\/","title":{"rendered":"Un ict\u00e8re de cause h\u00e9matologique"},"content":{"rendered":"<p><strong>2016<\/strong><\/p>\n<p><em>C.Bazin, S.Hommel, M.Picon, S.Elinger, T.Allegre<\/em><\/p>\n<p><strong>H\u00e9patologie <\/strong>&#8211; \u00a02016-05-01 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Nous rapportons le cas d&rsquo;une jeune fille de 18 ans hospitalis\u00e9e dans notre service pour la prise en charge d&rsquo;un ict\u00e8re f\u00e9brile.<br \/>\nCette jeune femme sans ant\u00e9c\u00e9dent particulier en dehors d&rsquo;un hallux valgus op\u00e9r\u00e9 a \u00e9t\u00e9 admise pour un ict\u00e8re \u00e9voluant depuis 1 semaine avec urines fonc\u00e9es, selles d\u00e9color\u00e9es et associ\u00e9 \u00e0 une fi\u00e8vre jusqu&rsquo;\u00e0 38\u00b05 sans frissons et \u00e0 une \u00e9ruption cutan\u00e9e par la suite.<br \/>\nL&rsquo;examen clinique \u00e9tait sans particularit\u00e9 en dehors d&rsquo;une \u00e9ruption maculeuse violac\u00e9e localis\u00e9e au niveau du visage, du thorax et des bras et membres inf\u00e9rieurs.<br \/>\nLe bilan initial retrouvait une Bili T \u00e0 210 micromol\/l dont 12 de conjugu\u00e9e, des TGO \u00e0 53 UI\/l, des TGP \u00e0 131 UI\/ avec GGT et PAL normaux. Il \u00e9tait not\u00e9 une an\u00e9mie et lymphop\u00e9nie avec CRP \u00e0 59 mg\/l.<br \/>\nEtait \u00e9voqu\u00e9 en 1\u00b0 lieu une h\u00e9patite infectieuse: les s\u00e9rologies VHA, VHB, VHC, VHE revenaient n\u00e9gatives. Dans l&rsquo;hypoth\u00e8se d&rsquo;une cause infectieuse ou d&rsquo;une obstacle biliaire, une antibioth\u00e9rapie par G3G et FLAGYL \u00e9tait instaur\u00e9e permettant  la r\u00e9gression de la CRP et de la fi\u00e8vre..<br \/>\nLe bilan \u00e9tait compl\u00e9t\u00e9 par une \u00e9chographie abdominale puis un scanner sans particularit\u00e9 avec un tronc porte et des VSH perm\u00e9ables. Les s\u00e9rologies compl\u00e9mentaires: EBV, CMV Parvo B19, Leptospire, L\u00e9gionnelle \u00e9taient n\u00e9gatives. Une biopsie de peau \u00e9tait r\u00e9alis\u00e9e mais non contributive.<br \/>\nDevant le majoration des aggravations des test h\u00e9patiques et l&rsquo;apparition dune pancytop\u00e9nie \u00e9tait \u00e9voqu\u00e9e la possibilit\u00e9 d&rsquo;une syndrome d&rsquo;activation macrophagique secondaire \u00e0 une h\u00e9patite infectieuse.<br \/>\nIL \u00e9tait alors d\u00e9cid\u00e9 d&rsquo;effecuer un my\u00e9logramme. Celui-ci ne retenait pas la diagnostic de SAM mais r\u00e9v\u00e9lait une h\u00e9mopathie.<br \/>\nLa patient \u00e9tait alors transf\u00e9r\u00e9e en h\u00e9matologie pour la suite de la prise en charge.<br \/>\nLes anomalies h\u00e9patiques ont par la suite r\u00e9gress\u00e9, une fois la mise en place d&rsquo;un traitement adapt\u00e9.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2016 C.Bazin, S.Hommel, M.Picon, S.Elinger, T.Allegre H\u00e9patologie &#8211; \u00a02016-05-01 &#8211;\u00a0CO &#8211; ________________________________ Nous rapportons le cas d&rsquo;une jeune fille de 18 ans hospitalis\u00e9e dans notre service pour la prise en charge d&rsquo;un ict\u00e8re f\u00e9brile. Cette jeune femme sans ant\u00e9c\u00e9dent particulier en dehors d&rsquo;un hallux valgus op\u00e9r\u00e9 a \u00e9t\u00e9 admise pour un ict\u00e8re \u00e9voluant depuis 1 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[27],"class_list":["post-2048","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-27"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Un ict\u00e8re de cause h\u00e9matologique - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/un-ictere-de-cause-hematologique\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Un ict\u00e8re de cause h\u00e9matologique - 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