{"id":2290,"date":"2019-12-31T19:32:06","date_gmt":"2019-12-31T18:32:06","guid":{"rendered":"https:\/\/angh.net\/abstracts\/un-ictere-de-retour-dalgerie\/"},"modified":"2019-12-31T19:32:06","modified_gmt":"2019-12-31T18:32:06","slug":"un-ictere-de-retour-dalgerie","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/un-ictere-de-retour-dalgerie\/","title":{"rendered":"Un ict\u00e8re de retour d\u2019Alg\u00e9rie."},"content":{"rendered":"<p><strong>2019<\/strong><\/p>\n<p><em>Honor\u00e9 Zougmor\u00e91, Jean Francois Cadranel1, Ratmony Heng1, Mourad Medmoun1, Dalila Bouraya2, Philippe Pulvermacher1, Allaoua Smail3, Alain Cazier4, Armand Garioud1.<br \/>\n1. Service d\u2019h\u00e9pato-gastroent\u00e9rologie d\u2019Alcoologie et nutrition \u2013 GHPSO \u2013 Creil (60)<br \/>\n2. Service de m\u00e9decine polyvalente<br \/>\n3. Service de chirurgie digestive \u2013 GHPSO \u2013 Creil (60)<br \/>\n4. Service d\u2019anatomopathologie \u2013 GHPSO \u2013 Creil (60)<\/em><\/p>\n<p><strong>H\u00e9patologie <\/strong>&#8211; \u00a02019-05-11 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Mme N., 80 ans, sans ant\u00e9c\u00e9dent notable, a \u00e9t\u00e9 hospitalis\u00e9e par les Urgences le 20 f\u00e9vrier 2019 pour l\u2019exploration d\u2019un ict\u00e8re cutan\u00e9omuqueux. Elle venait juste d\u2019arriver d\u2019Alg\u00e9rie o\u00f9 elle a pr\u00e9sent\u00e9 depuis une semaine un ict\u00e8re avec pour signes associ\u00e9s un prurit tr\u00e8s intense avec des l\u00e9sions de grattage diffuses, des urines fonc\u00e9es et des selles d\u00e9color\u00e9es et une asth\u00e9nie importante. A l\u2019interrogatoire, il n\u2019y avait pas de consommation d\u2019alcool ou de prise de m\u00e9dicament h\u00e9patotoxique. En revanche, elle avait consult\u00e9 son m\u00e9decin traitement quinze jours auparavant en raison d\u2019une toux f\u00e9brile avec frissons.<br \/>\nA l\u2019examen clinique, la tension art\u00e9rielle \u00e9tait \u00e0 110\/60 mmHg avec un pouls \u00e0 72\/mn. Elle pesait 51 kg pour une taille de 151 cm (IMC=22,4 kg\/m2). L\u2019ict\u00e8re \u00e9tait flamboyant et la palpation abdominale \u00e9tait souple, d\u00e9pressible, indolore sans h\u00e9pato-spl\u00e9nom\u00e9galie.<br \/>\nLe bilan biologique montrait un taux de leucocytes \u00e0 4660\/mm3, une h\u00e9moglobine \u00e0 14 g\/dl et des plaquettes \u00e0 344.000\/mm3. Le bilan h\u00e9patique \u00e9tait le suivant : ASAT=37 UI\/L (<35), ALAT=38 UI (N<35) ; PAL=254 UI\/L (N<105) ; GGT=97 UI (N<42) ; bilirubin\u00e9mie totale (BT)=????265 mol\/l (N<15) \u00e0 pr\u00e9dominance conjugu\u00e9e (BC) \u00e0 224 ????mol\/l. Le TP \u00e9tait \u00e0 133% et il n\u2019y avait pas d\u2019insuffisance r\u00e9nale (ur\u00e9mie = 6,3 mmol\/L ; cr\u00e9atinin\u00e9mie = 66,7????mol\/L).\nSur le plan morphologique, l\u2019\u00e9chographie abdominale ne mettait pas en \u00e9vidence de dilatation des voies biliaires intra et\/ou extra-h\u00e9patiques avec un foie de morphologie normale et une v\u00e9sicule biliaire lithiasique sans signe de chol\u00e9cystite. L\u2019IRM du foie et des voies biliaires \u00e9tait normale. \nSur les examens \u00e0 vis\u00e9e \u00e9tiologique, les s\u00e9rologies des h\u00e9patites virale A (IgG\/IgM), B (Ag HBs, IgM-HBc), C (Ac anti-VHC) ; E (IgM) ; CMV (IgG) ; EBV (IgM) \u00e9taient n\u00e9gatives de m\u00eame que les s\u00e9rologies VIH 1 et 2. Le taux d\u2019immunoglobulines totales \u00e9tait \u00e0 6 g\/l avec des anticorps antinucl\u00e9aires < 1\/80\u00e8 et la recherche des anticorps anti-tissus \u00e9tait n\u00e9gative. \n\nQuelles sont vos hypoth\u00e8ses diagnostiques ?\nUne ponction-biopsie h\u00e9patique par voie transpari\u00e9tale a \u00e9t\u00e9 r\u00e9alis\u00e9e sans complication.\nLes r\u00e9sultats de l\u2019examen anatomopathologique et le diagnostic vous seront pr\u00e9sent\u00e9s lors du congr\u00e8s.\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2019 Honor\u00e9 Zougmor\u00e91, Jean Francois Cadranel1, Ratmony Heng1, Mourad Medmoun1, Dalila Bouraya2, Philippe Pulvermacher1, Allaoua Smail3, Alain Cazier4, Armand Garioud1. 1. Service d\u2019h\u00e9pato-gastroent\u00e9rologie d\u2019Alcoologie et nutrition \u2013 GHPSO \u2013 Creil (60) 2. Service de m\u00e9decine polyvalente 3. Service de chirurgie digestive \u2013 GHPSO \u2013 Creil (60) 4. Service d\u2019anatomopathologie \u2013 GHPSO \u2013 Creil (60) H\u00e9patologie [&hellip;]<\/p>\n","protected":false},"author":1,"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":[30],"class_list":["post-2290","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-30"],"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 retour d\u2019Alg\u00e9rie. - 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-retour-dalgerie\/\" \/>\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 retour d\u2019Alg\u00e9rie. - 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