{"id":2077,"date":"2017-10-01T01:00:00","date_gmt":"2017-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/douleurs-abdominales-de-cause-inhabituelle\/"},"modified":"2018-10-20T18:40:25","modified_gmt":"2018-10-20T16:40:25","slug":"douleurs-abdominales-de-cause-inhabituelle","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/douleurs-abdominales-de-cause-inhabituelle\/","title":{"rendered":"Douleurs abdominales de cause inhabituelle"},"content":{"rendered":"<p><strong>2017<\/strong><\/p>\n<p><em>Charlotte Mouliade, Cl\u00e9mence Horaist, Mehdi Belhassan, Vincent Jouannaud, St\u00e9phane Nahon<br \/>\nGroupe Hospitalier Intercommunal Le Raincy-Montfermeil<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02017-05-09 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Un patient de 34 ans consulte aux urgences le 01\/02\/2017 pour \u00e9ruption cutan\u00e9e d\u2019allure purpurique. Il n\u2019a pas d\u2019ant\u00e9c\u00e9dent, ne prend aucun traitement et n\u2019a pas voyag\u00e9 r\u00e9cemment. Il d\u00e9clare une consommation occasionnelle de coca\u00efne.<br \/>\nLe 18\/01\/2017\u00a0: apparition d\u2019une fi\u00e8vre \u00e0 38.5\u00b0 isol\u00e9e. Le lendemain\u00a0: l\u00e9sions \u00e9ryth\u00e9mato-papuleuses non prurigineuses au niveau des mains et des pieds s\u2019\u00e9tendant progressivement sur le tronc. Am\u00e9lioration spontan\u00e9e de l\u2019\u00e9ruption pendant quelques jours. Le 22\/01, apparition d\u2019une nouvelle \u00e9ruption associ\u00e9e \u00e0 une toux et une odynophagie. Le 01\/02, consultation aux urgences pour persistance des l\u00e9sions cutan\u00e9es avec apparition de douleurs d\u2019allure inflammatoire des articulations inter-phalangiennes proximales des deuxi\u00e8me et troisi\u00e8me doigts de la main droite. Par ailleurs, apparition de douleurs \u00e9pigastriques intenses major\u00e9es par la prise alimentaire associ\u00e9s \u00e0 des vomissements. Pas de point d\u2019appel infectieux, pas d\u2019alt\u00e9ration de l\u2019\u00e9tat g\u00e9n\u00e9ral.<br \/>\nAu bilan biologique\u00a0: GB 9.9 G\/L, Hb 12, 9 g\/dL, Plaquettes 534 G\/L, CRP 52 mg\/L, cr\u00e9atinine 78 \u00b5mol\/L, bilan h\u00e9patique normal, lipase normale.<br \/>\nLa TDM abdomino-pelvienne\u00a0montre un \u00e9paississement et une prise de contraste du j\u00e9junum proximal sur 10cm, associ\u00e9s \u00e0 une infiltration du m\u00e9sent\u00e8re et la pr\u00e9sence de ganglions m\u00e9sent\u00e9riques et d\u2019un \u00e9panchement pelvien. Les vaisseaux sont perm\u00e9ables. <\/p>\n<p>Quel(s) diagnostic(s) \u00e9voquez-vous\u00a0?<br \/>\nQuel traitement proposez-vous\u00a0?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2017 Charlotte Mouliade, Cl\u00e9mence Horaist, Mehdi Belhassan, Vincent Jouannaud, St\u00e9phane Nahon Groupe Hospitalier Intercommunal Le Raincy-Montfermeil Gastroent\u00e9rologie &#8211; \u00a02017-05-09 &#8211;\u00a0CC &#8211; ________________________________ Un patient de 34 ans consulte aux urgences le 01\/02\/2017 pour \u00e9ruption cutan\u00e9e d\u2019allure purpurique. Il n\u2019a pas d\u2019ant\u00e9c\u00e9dent, ne prend aucun traitement et n\u2019a pas voyag\u00e9 r\u00e9cemment. Il d\u00e9clare une consommation occasionnelle [&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":[4],"tags":[28],"class_list":["post-2077","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-28"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Douleurs abdominales de cause inhabituelle - 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\/douleurs-abdominales-de-cause-inhabituelle\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Douleurs abdominales de cause inhabituelle - 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