{"id":51432,"date":"2019-08-28T04:35:52","date_gmt":"2019-08-28T09:35:52","guid":{"rendered":"https:\/\/www.erdheim-chester.org\/ressources-en-endocrinologie\/"},"modified":"2026-05-05T22:16:25","modified_gmt":"2026-05-06T03:16:25","slug":"ressources-en-endocrinologie","status":"publish","type":"page","link":"https:\/\/www.erdheim-chester.org\/fr\/ressources-en-endocrinologie\/","title":{"rendered":"Ressources en endocrinologie"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/www.erdheim-chester.org\/wp-content\/uploads\/2024\/12\/Untitled-design-96-1.png\u00a0\u00bb background_position=\u00a0\u00bbbottom_center\u00a0\u00bb background_vertical_offset=\u00a0\u00bb20%\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb background_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb background_position_tablet=\u00a0\u00bbbottom_right\u00a0\u00bb background_position_phone=\u00a0\u00bbcenter_right\u00a0\u00bb global_module=\u00a0\u00bb28071&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_dmb_breadcrumbs _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb body_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb body_font_size=\u00a0\u00bb12px\u00a0\u00bb link_text_color=\u00a0\u00bb#35A4BB\u00a0\u00bb custom_margin=\u00a0\u00bb||5px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb12px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb10px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_dmb_breadcrumbs][et_pb_heading title=\u00a0\u00bb@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF90aXRsZSIsInNldHRpbmdzIjp7ImJlZm9yZSI6IiIsImFmdGVyIjoiIn19@\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _dynamic_attributes=\u00a0\u00bbtitle\u00a0\u00bb _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_font=\u00a0\u00bb&#8211;et_global_heading_font|300|||||||\u00a0\u00bb title_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb title_font_size=\u00a0\u00bb40px\u00a0\u00bb custom_margin=\u00a0\u00bb||3px|||\u00a0\u00bb title_font_size_tablet=\u00a0\u00bb\u00a0\u00bb title_font_size_phone=\u00a0\u00bb25px\u00a0\u00bb title_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_heading][et_pb_button button_url=\u00a0\u00bbhttps:\/\/www.erdheim-chester.org\/fr\/contactez-nous\/\u00a0\u00bb button_text=\u00a0\u00bbContactez nous\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_size=\u00a0\u00bb15px\u00a0\u00bb button_text_color=\u00a0\u00bb#C02E43&Prime; button_bg_color=\u00a0\u00bbrgba(10,22,64,0.53)\u00a0\u00bb button_border_width=\u00a0\u00bb0px\u00a0\u00bb button_icon=\u00a0\u00bb&#xe60f;||divi||400&Prime; button_icon_color=\u00a0\u00bb#C02E43&Prime; button_icon_placement=\u00a0\u00bbleft\u00a0\u00bb button_on_hover=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb filter_opacity__hover_enabled=\u00a0\u00bbon|hover\u00a0\u00bb filter_opacity__hover=\u00a0\u00bb70%\u00a0\u00bb][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbsection\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrang\u00e9e\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbText\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>La maladie d&rsquo;Erdheim-Chester (ECD) est un type de cancer h\u00e9matologique ultra-rare, difficile \u00e0 diagnostiquer et pouvant se manifester de diverses mani\u00e8res complexes. L&rsquo;ECD \u00e9tant consid\u00e9r\u00e9e comme sous-diagnostiqu\u00e9e, il est imp\u00e9ratif de sensibiliser le monde entier, en particulier la communaut\u00e9 m\u00e9dicale. Les h\u00e9matologues, ainsi que d&rsquo;autres cliniciens, pathologistes et radiologues, jouent un r\u00f4le essentiel dans l&rsquo;identification de l&rsquo;ECD. Si les m\u00e9decins peuvent reconna\u00eetre l&rsquo;ECD avec pr\u00e9cision et rapidit\u00e9 chez un patient, il existe des traitements viables approuv\u00e9s par la FDA et hors AMM pour am\u00e9liorer la qualit\u00e9 de vie, ralentir la progression de cette maladie potentiellement mortelle et, dans certains cas, m\u00eame potentiellement inverser les dommages caus\u00e9s par le trouble. La cl\u00e9 d&rsquo;un r\u00e9sultat positif ou plus favorable est un diagnostic pr\u00e9coce.<\/p>\n<p>[\/et_pb_text][et_pb_video src=\u00a0\u00bbhttps:\/\/youtu.be\/TiI3jHqepDI\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb50%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_video][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2>Points cl\u00e9s pour les endocrinologues<\/h2>\n<ul>\n<li>Aucun des changements pathologiques n&rsquo;est propre \u00e0 l&rsquo;ECD \u2013 <strong>les caract\u00e9ristiques cliniques et radiographiques sont essentielles au diagnostic.<\/strong><\/li>\n<li>Un indice de suspicion \u00e9lev\u00e9 d&rsquo;ECD chez les patients pr\u00e9sentant un \u00ab rein chevelu \u00bb typique, une atteinte r\u00e9trop\u00e9riton\u00e9ale ou osseuse, surtout en cas de diab\u00e8te insipide concomitant.<\/li>\n<li>Le diab\u00e8te insipide et\/ou l&rsquo;hypogonadisme peuvent pr\u00e9c\u00e9der le diagnostic de la maladie de plusieurs ann\u00e9es.<\/li>\n<li>L&rsquo;encapsulement\/infiltration surr\u00e9nalien(ne) n&rsquo;entra\u00eene g\u00e9n\u00e9ralement pas d&rsquo;insuffisance surr\u00e9nale primaire ; l&rsquo;insuffisance surr\u00e9nale centrale est rare mais doit \u00eatre envisag\u00e9e.<\/li>\n<li>Toutes les glandes centrales et p\u00e9riph\u00e9riques peuvent \u00eatre infiltr\u00e9es, mais les perturbations hormonales sont plus fr\u00e9quentes que les anomalies morphologiques visibles.<\/li>\n<li>Les d\u00e9ficits hormonaux peuvent appara\u00eetre des ann\u00e9es apr\u00e8s le diagnostic ; par cons\u00e9quent, ils doivent \u00eatre r\u00e9\u00e9valu\u00e9s annuellement.<\/li>\n<li>Les hommes sont \u00e0 risque d&rsquo;infertilit\u00e9 et devraient recevoir des informations sur la conservation du sperme.<\/li>\n<li>Le syndrome m\u00e9tabolique dans l&rsquo;ECD n&rsquo;est pas bien \u00e9tudi\u00e9 ; l&rsquo;ob\u00e9sit\u00e9, la dyslipid\u00e9mie, l&rsquo;hypertension et la dysglyc\u00e9mie doivent \u00eatre prises en charge.<\/li>\n<li>Il est tr\u00e8s important de r\u00e9aliser un PET-CT du sommet du cr\u00e2ne aux orteils (corps entier) pour d\u00e9tecter l&rsquo;atteinte diam\u00e9taphysaire autour de l&rsquo;articulation du genou et rechercher une atteinte multi-organique.<\/li>\n<li>L&rsquo;ECD peut coexister avec l&rsquo;histiocytose \u00e0 cellules de Langerhans (HCL) ou une n\u00e9oplasie my\u00e9lo\u00efde.<\/li>\n<li>Les \u00e9tudes mol\u00e9culaires jouent un r\u00f4le croissant dans le diagnostic et la prise en charge.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.27.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<h2>Contacter un endocrinologue exp\u00e9riment\u00e9 en ECD<\/h2>\n<h5>Fady Hannah-Shmouni, MD, DABIM, FRCPC<\/h5>\n<p>Courriel : <a href=\"mailto:fady.hannah-shmouni@nih.gov\">fady.hannah-shmouni@nih.gov<\/a><\/p>\n<h5>Carine Courtillot, MD<\/h5>\n<p>Courriel : <a href=\"mailto:carine.courtillot@aphp.fr\">carine.courtillot@aphp.fr<\/a><\/p>\n<h5>Skand Shekhar, MD<\/h5>\n<p>T\u00e9l\u00e9phone : <a href=\"tel:301-451-1866\">301-451-1866<\/a><\/p>\n<p><strong>Contacter le navigateur de patients de l&rsquo;ECDGA<\/strong><\/p>\n<p><a href=\"mailto:Belinda.Cobb@erdheim-chester.org\">Belinda Cobb<\/a><\/p>\n<p>Si vous souhaitez utiliser ces documents \u00e0 des fins de sensibilisation et d&rsquo;\u00e9ducation, veuillez <a href=\"https:\/\/www.erdheim-chester.org\/fr\/contactez-nous\/\">nous contacter<\/a>.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_dmb_breadcrumbs _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb body_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb body_font_size=\u00a0\u00bb12px\u00a0\u00bb link_text_color=\u00a0\u00bb#35A4BB\u00a0\u00bb custom_margin=\u00a0\u00bb||5px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb12px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb10px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_dmb_breadcrumbs]La maladie d&rsquo;Erdheim-Chester (ECD) est un type de cancer h\u00e9matologique ultra-rare, difficile \u00e0 diagnostiquer et pouvant se manifester de [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":51436,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_wds_title":"","_wds_metadesc":"","_wds_focus-keywords":"","_wds_meta-robots-adv":"","_wds_meta-robots-noindex":false,"_wds_meta-robots-nofollow":false,"_wds_meta-robots-index":false,"_wds_meta-robots-follow":false,"_wds_autolinks-exclude":false,"_wds_canonical":"","_wds_redirect":"","_wds_opengraph":[],"_wds_twitter":[],"cybocfi_hide_featured_image":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-51432","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/pages\/51432","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/comments?post=51432"}],"version-history":[{"count":7,"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/pages\/51432\/revisions"}],"predecessor-version":[{"id":130328,"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/pages\/51432\/revisions\/130328"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/media\/51436"}],"wp:attachment":[{"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/media?parent=51432"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}