{"id":603,"date":"2024-09-25T03:07:43","date_gmt":"2024-09-25T03:07:43","guid":{"rendered":"https:\/\/dev-dechra-derma.pantheonsite.io\/?page_id=603"},"modified":"2025-08-21T16:48:52","modified_gmt":"2025-08-21T16:48:52","slug":"anti-inflammatory-therapy","status":"publish","type":"page","link":"https:\/\/dechraderm.ca\/fr\/dogs\/pruritus\/partial-or-no-response\/anti-inflammatory-therapy\/","title":{"rendered":"Th\u00e9rapie anti-inflammatoires"},"content":{"rendered":"
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Accueil<\/a> \/ Chiens<\/a> \/ Prurit <\/a> \/ Aucune r\u00e9ponse ou r\u00e9ponse partielle<\/a> \/ Les 4 piliers du traitement de l\u2019atopie<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Les 4 piliers du traitement de l\u2019atopie<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tTh\u00e9rapie adjuvante <\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tTh\u00e9rapie anti-inflammatoires <\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tTh\u00e9rapie topique <\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tImmunoth\u00e9rapie sp\u00e9cifique aux allerg\u00e8nes<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Th\u00e9rapie anti-inflammatoires<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Le traitement envisag\u00e9 d\u00e9pendra des signes cliniques sp\u00e9cifiques15<\/font><\/sup><\/a><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Phase I:
Il faut viser l'induction d'une r\u00e9mission et envisager des m\u00e9dicaments \u00e0 action rapide<\/strong> et \u00e0 large spectre:<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tInflammation cutan\u00e9e s\u00e9v\u00e8re : glucocortico\u00efdes oraux +\/\u2013 topiques. Les glucocortico\u00efdes topiques sont id\u00e9aux pour traiter les l\u00e9sions cutan\u00e9es localis\u00e9es inflammatoires ou lich\u00e9nifi\u00e9es.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tInflammation cutan\u00e9e l\u00e9g\u00e8re : oclacitinib ou ilunocitinib.24<\/font><\/sup><\/a><\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tEnvisager une transition des glucocortico\u00efdes vers l\u2019oclacitinib ou l\u2019ilunocitinib une fois que l\u2019inflammation cutan\u00e9e est pass\u00e9e de s\u00e9v\u00e8re \u00e0 l\u00e9g\u00e8re.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
      • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tEnvisager de combiner l\u2019oclacitinib ou l\u2019ilunocitinib avec un glucocortico\u00efde topique si les l\u00e9sions sont l\u00e9g\u00e8res.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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        Phase II:
        L\u2019objectif est de pr\u00e9venir la r\u00e9cidive des pouss\u00e9es.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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        • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tM\u00e9dicaments topiques:<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
        • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tUn traitement topique proactif par glucocortico\u00efdes deux fois par semaine sur les zones auparavant touch\u00e9es peut aider \u00e0 pr\u00e9venir les pouss\u00e9es allergiques.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
        • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tL\u2019utilisation proactive de shampooings, mousses et lingettes antiseptiques (par exemple \u00e0 la chlorhexidine) peut aider \u00e0 pr\u00e9venir la prolif\u00e9ration de levures et de bact\u00e9ries.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
        • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tM\u00e9dicaments oraux:<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
        • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tChez les patients allergiques pr\u00e9sentant une inflammation s\u00e9v\u00e8re et un \u00e9paississement cutan\u00e9:<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
        • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tEnvisager la ciclosporine ou des cures courtes de glucocortico\u00efdes oraux.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
        • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tChez les patients allergiques pr\u00e9sentant une inflammation et un \u00e9paississement cutan\u00e9 minimes:<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
        • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tEnvisager le lokivetmab, l\u2019oclacitinib ou l\u2019ilunocitinib.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
        • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tL\u2019immunoth\u00e9rapie est le seul traitement capable de r\u00e9\u00e9duquer le syst\u00e8me immunitaire et de r\u00e9duire, \u00e0 long terme, la quantit\u00e9 de m\u00e9dicaments n\u00e9cessaire.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
        • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tL'\u00e9viction des allerg\u00e8nes peut \u00eatre tent\u00e9e.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
        • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tLes strat\u00e9gies th\u00e9rapeutiques peuvent \u00eatre r\u00e9\u00e9valu\u00e9es p\u00e9riodiquement.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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          <\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

          Home \/ Dogs \/ Pruritus \/ Partial or No Response \/ 4 Pillars of Atopy Treatment 4 Pillars of Atopy Treatment Adjunctive Therapy Anti-inflammatory Therapy Topical Therapy Allergen-Specific Immunotherapy Anti-inflammatory Therapy Treatment consideration will depend on specific clinical signs.15 Phase I:To aim for induction of remission, consider rapid-acting and broad-targeting drugs: Severe cutaneous inflammation: Oral […]<\/p>","protected":false},"author":1,"featured_media":0,"parent":564,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"footnotes":""},"class_list":["post-603","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dechraderm.ca\/fr\/wp-json\/wp\/v2\/pages\/603","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dechraderm.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dechraderm.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dechraderm.ca\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dechraderm.ca\/fr\/wp-json\/wp\/v2\/comments?post=603"}],"version-history":[{"count":76,"href":"https:\/\/dechraderm.ca\/fr\/wp-json\/wp\/v2\/pages\/603\/revisions"}],"predecessor-version":[{"id":10274,"href":"https:\/\/dechraderm.ca\/fr\/wp-json\/wp\/v2\/pages\/603\/revisions\/10274"}],"up":[{"embeddable":true,"href":"https:\/\/dechraderm.ca\/fr\/wp-json\/wp\/v2\/pages\/564"}],"wp:attachment":[{"href":"https:\/\/dechraderm.ca\/fr\/wp-json\/wp\/v2\/media?parent=603"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}