{"id":2430,"date":"2023-01-24T13:46:53","date_gmt":"2023-01-24T12:46:53","guid":{"rendered":"https:\/\/angh.net\/abstracts\/la-dermite-anale-qui-maimait\/"},"modified":"2023-01-24T13:46:53","modified_gmt":"2023-01-24T12:46:53","slug":"la-dermite-anale-qui-maimait","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/la-dermite-anale-qui-maimait\/","title":{"rendered":"La dermite anale qui m\u2019aimait\u2026"},"content":{"rendered":"<p><strong>2022<\/strong><\/p>\n<p><em>Amine Alam (1), Erwan Vo Quang (1), Micha\u00ebl Levy (2), Vincent de Parades (1)<br \/>\n(1)\tService de proctologie, Groupe Hospitalier Paris Saint-Joseph, Paris<br \/>\n(2)\tService de gastro-ent\u00e9rologie, CHU Henri-Mondor, Cr\u00e9teil<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02022-05-10 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>En 2007, un gastroent\u00e9rologue pose le diagnostic de maladie de Crohn pancolique s\u00e9v\u00e8re chez madame B, 28 ans. Un traitement par cortico\u00efdes est introduit rapidement mais, devant l\u2019absence de r\u00e9mission clinique, il est remplac\u00e9 par de l\u2019infliximab 5mg\/kg. Un an plus tard, la maladie de Crohn est en r\u00e9mission clinique et biologique mais l\u2019apparition d\u2019effets secondaires (paresth\u00e9sies, polyarthralgies) motive l\u2019arr\u00eat du traitement par anti-TNFa. Un traitement par azathioprine est donc instaur\u00e9 en 2009 mais arr\u00eat\u00e9 en 2010 en l\u2019absence de contr\u00f4le de la maladie. Finalement, en f\u00e9vrier 2010, un traitement par adalimumab est d\u00e9but\u00e9 \u00e0 raison de 40mg\/14 jours, puis \u00e0 40mg\/7 jours en d\u00e9cembre 2011 en raison du contr\u00f4le insuffisant de la maladie.<br \/>\nD\u00e9sormais en r\u00e9mission clinique de sa maladie luminale, la patiente se plaint d\u2019une \u00ab boule \u00bb anale apparue en octobre 2010. Un traitement par AINS per os s\u2019est av\u00e9r\u00e9 inefficace en novembre 2011. Elle nous est adress\u00e9e en avril 2013 pour la persistance de cette \u00ab boule \u00bb, devenue douloureuse et r\u00e9cemment associ\u00e9e \u00e0 une dermite p\u00e9ri-anale g\u00eanante. A noter que la patiente a \u00e9galement des l\u00e9sions du cuir chevelu et de la peau des membres sup\u00e9rieurs. Les pr\u00e9l\u00e8vements \u00e0 vis\u00e9e infectieuse n\u2019ont rien montr\u00e9 de notable et les biopsies cutan\u00e9es ont conclu \u00e0 des l\u00e9sions \u00ab\u00a0ecz\u00e9matiformes\u00a0\u00bb non sp\u00e9cifiques. Enfin, une corticoth\u00e9rapie per os (60 mg pendant 15 jours puis d\u00e9croissance) s\u2019est av\u00e9r\u00e9e inefficace sur la dermite ainsi que sur la \u00ab boule \u00bb.<br \/>\nQuel est ou quels sont vos diagnostics ?<br \/>\nDiagnostiquer peut attendre \u00e0 Avignon 2022 !<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2022 Amine Alam (1), Erwan Vo Quang (1), Micha\u00ebl Levy (2), Vincent de Parades (1) (1) Service de proctologie, Groupe Hospitalier Paris Saint-Joseph, Paris (2) Service de gastro-ent\u00e9rologie, CHU Henri-Mondor, Cr\u00e9teil Gastroent\u00e9rologie &#8211; \u00a02022-05-10 &#8211;\u00a0CC &#8211; ________________________________ En 2007, un gastroent\u00e9rologue pose le diagnostic de maladie de Crohn pancolique s\u00e9v\u00e8re chez madame B, 28 ans. [&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":[4],"tags":[35],"class_list":["post-2430","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-35"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>La dermite anale qui m\u2019aimait\u2026 - 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\/la-dermite-anale-qui-maimait\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La dermite anale qui m\u2019aimait\u2026 - 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