{"id":615,"date":"2024-09-25T04:00:49","date_gmt":"2024-09-25T04:00:49","guid":{"rendered":"https:\/\/dev-dechra-derma.pantheonsite.io\/?page_id=615"},"modified":"2025-08-21T16:14:29","modified_gmt":"2025-08-21T16:14:29","slug":"topical-therapy-and-skin-anatomy","status":"publish","type":"page","link":"https:\/\/dechraderm.ca\/fr\/dogs\/pruritus\/partial-or-no-response\/topical-therapy-and-skin-anatomy\/","title":{"rendered":"Th\u00e9rapie topique et anatomie de la peau"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"615\" class=\"elementor elementor-615\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-02d7a23 e-con-full e-flex e-con e-parent\" data-id=\"02d7a23\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-70079ba e-transform elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"70079ba\" data-element_type=\"widget\" data-settings=\"{&quot;_transform_scaleX_effect&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1.2,&quot;sizes&quot;:[]},&quot;_transform_scaleX_effect_widescreen&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_scaleX_effect_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_scaleX_effect_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_scaleX_effect_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_scaleY_effect&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_scaleY_effect_widescreen&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_scaleY_effect_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_scaleY_effect_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_scaleY_effect_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\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<div class=\"elementor-element elementor-element-3c038afb e-flex e-con-boxed e-con e-parent\" data-id=\"3c038afb\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5819ea2f elementor-widget elementor-widget-heading\" data-id=\"5819ea2f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><a style=\"text-decoration: none;\" href=\"https:\/\/dechraderm.ca\/fr\/\">Accueil<\/a> \/ <a style=\"text-decoration: none;\" href=\"https:\/\/dechraderm.ca\/fr\/dogs\/\">Chiens<\/a> \/ <a style=\"text-decoration: none;\" href=\"https:\/\/dechraderm.ca\/fr\/dogs\/pruritus\/\"> Prurit <\/a> \/ <a style=\"text-decoration: none;\" href=\"https:\/\/dechraderm.ca\/fr\/dogs\/pruritus\/partial-or-no-response\/\">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<div class=\"elementor-element elementor-element-5c301b83 elementor-widget elementor-widget-heading\" data-id=\"5c301b83\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">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<div class=\"elementor-element elementor-element-59fa03b9 e-flex e-con-boxed e-con e-parent\" data-id=\"59fa03b9\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4237e6d3 e-con-full e-flex e-con e-child\" data-id=\"4237e6d3\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-39e8d8c3 elementor-widget elementor-widget-button\" data-id=\"39e8d8c3\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/dechraderm.ca\/fr\/dogs\/pruritus\/partial-or-no-response\/adjunctive-therapy\/#adjunctive_therapy\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Th\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<div class=\"elementor-element elementor-element-3613b258 elementor-widget elementor-widget-button\" data-id=\"3613b258\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/dechraderm.ca\/fr\/dogs\/pruritus\/partial-or-no-response\/anti-inflammatory-therapy\/#anti_inflammatory\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Th\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<div class=\"elementor-element elementor-element-295ecb37 elementor-widget elementor-widget-button\" data-id=\"295ecb37\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-size-sm\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Th\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<div class=\"elementor-element elementor-element-52705b7b elementor-widget elementor-widget-button\" data-id=\"52705b7b\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/dechraderm.ca\/fr\/dogs\/pruritus\/partial-or-no-response\/allergen-specific-immunotherapy\/#allergen_specific\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Immunoth\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<div class=\"elementor-element elementor-element-2f68fe91 e-con-full e-flex e-con e-child\" data-id=\"2f68fe91\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-67edebfa e-transform elementor-widget elementor-widget-spacer\" data-id=\"67edebfa\" data-element_type=\"widget\" data-settings=\"{&quot;_transform_rotateZ_effect&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:90,&quot;sizes&quot;:[]},&quot;_transform_rotateZ_effect_widescreen&quot;:{&quot;unit&quot;:&quot;deg&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_rotateZ_effect_laptop&quot;:{&quot;unit&quot;:&quot;deg&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_rotateZ_effect_tablet&quot;:{&quot;unit&quot;:&quot;deg&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_rotateZ_effect_mobile&quot;:{&quot;unit&quot;:&quot;deg&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/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<div class=\"elementor-element elementor-element-6a63cbfa e-con-full e-flex e-con e-child\" data-id=\"6a63cbfa\" data-element_type=\"container\" id=\"topical_therapy\">\n\t\t\t\t<div class=\"elementor-element elementor-element-42ba28c elementor-widget elementor-widget-heading\" data-id=\"42ba28c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Th\u00e9rapie topique et anatomie de la peau<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6417c518 elementor-widget elementor-widget-heading\" data-id=\"6417c518\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Bref aper\u00e7u de l\u2019anatomie de la peau <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f8ee361 elementor-widget elementor-widget-text-editor\" data-id=\"5f8ee361\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\nUne bonne connaissance de l\u2019anatomie de la peau est essentielle pour d\u00e9terminer la meilleure approche dans le traitement des conditions touchant cet organe essentiel. La peau est divis\u00e9e en trois couches distinctes: l'hypoderme (sous-cutan\u00e9), le derme et l'\u00e9piderme.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45db711 elementor-widget elementor-widget-text-editor\" data-id=\"45db711\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\nL'hypoderme est la couche isolante et se compose principalement de graisse, de vaisseaux et de glandes. Le derme comprend les follicules pileux et les glandes s\u00e9bac\u00e9es. Il fait partie int\u00e9grante du syst\u00e8me de tissu conjonctif et assure l\u2019int\u00e9grit\u00e9 et l'\u00e9lasticit\u00e9 de la peau. La croissance, la prolif\u00e9ration, l'adh\u00e9sion, la migration et la cicatrisation des cellules commencent dans le derme.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-59e2fc9 elementor-widget elementor-widget-text-editor\" data-id=\"59e2fc9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tL'\u00e9piderme est la couche la plus externe. Il est compos\u00e9 de plusieurs couches de cellules d\u00e9finies par leur position et leur morphologie. Dans cette couche, 85 % des cellules sont des k\u00e9ratinocytes (corn\u00e9ocytes). L'\u00e9piderme est en contact avec l'environnement et se compose de quatre couches distinctes: la couche basale (la plus profonde), la couche \u00e9pineuse, la couche granuleuse et la couche corn\u00e9e (la plus superficielle)..<a style=\"text-decoration: none;\" href=\"https:\/\/dev-dechra-derma.pantheonsite.io\/references\/\" target=\"_blank\" rel=\"noopener\"><sup><color style=\"color: black\"><span style=\"font-size: xx-small;\">21<\/span><\/sup><\/a>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-02401bd elementor-widget elementor-widget-text-editor\" data-id=\"02401bd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tLa couche corn\u00e9e est essentielle pour la fonction de barri\u00e8re. Structurellement, il s'agit d'une couche de k\u00e9ratinocytes cornifi\u00e9s (corn\u00e9ocytes) li\u00e9s entre eux par une matrice lipidique extracellulaire compos\u00e9e d'acides gras libres, de cholest\u00e9rol et de c\u00e9ramides. Les k\u00e9ratinocytes et la matrice lipidique extracellulaire forment un syst\u00e8me de \u00ab briques et mortier \u00bb qui maintient la barri\u00e8re cutan\u00e9e, emp\u00eachant l'invasion des allerg\u00e8nes et des agents infectieux.<a style=\"text-decoration: none;\" href=\"https:\/\/dev-dechra-derma.pantheonsite.io\/references\/\" target=\"_blank\" rel=\"noopener\"><sup><color style=\"color: black\"><span style=\"font-size: xx-small;\">18,21 <\/span><\/sup><\/a>Les c\u00e9ramides, en particulier, jouent un r\u00f4le crucial dans cette barri\u00e8re, repr\u00e9sentant 50 % des lipides de la couche corn\u00e9e. Elles sont compos\u00e9es d'un acide gras et d'une base sphingo\u00efde. Un type de base sphingo\u00efde est la phytosphingosine.<a style=\"text-decoration: none;\" href=\"https:\/\/dev-dechra-derma.pantheonsite.io\/references\/\" target=\"_blank\" rel=\"noopener\"><sup><color style=\"color: black\"><span style=\"font-size: xx-small;\">9<\/span><\/sup><\/a> Lorsque la couche corn\u00e9e est compromise, les allerg\u00e8nes, les bact\u00e9ries et les levures p\u00e9n\u00e8trent dans la barri\u00e8re endommag\u00e9e et provoquent une inflammation et une irritation de la peau.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-970fd45 elementor-widget elementor-widget-text-editor\" data-id=\"970fd45\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tDeux \u00e9tudes en microscopie \u00e9lectronique rapportent des r\u00e9sultats similaires concernant la barri\u00e8re lipidique \u00e9pidermique d\u00e9fectueuse chez les chiens atopiques<a style=\"text-decoration: none;\" href=\"https:\/\/dev-dechra-derma.pantheonsite.io\/references\/\" target=\"_blank\" rel=\"noopener\"><sup><color style=\"color: black\"><span style=\"font-size: xx-small;\">8,16<\/span><\/sup><\/a> Chez les chiens atopiques, le d\u00e9p\u00f4t de lipides est plus h\u00e9t\u00e9rog\u00e8ne dans la couche corn\u00e9e que chez les t\u00e9moins sains. De nombreuses zones dans les espaces intercorn\u00e9ocytaires manquent de lipides ou pr\u00e9sentent souvent une structure lipidique anormale. Dans la couche corn\u00e9e canine saine, les lipides sont bien dispos\u00e9s en strates compactes et remplissent l'espace entre les couches cellulaires.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f1e5825 elementor-widget elementor-widget-image\" data-id=\"f1e5825\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"322\" height=\"254\" src=\"https:\/\/dechraderm.ca\/wp-content\/uploads\/2024\/10\/figure-brick-new.png\" class=\"attachment-large size-large wp-image-7762\" alt=\"\" srcset=\"https:\/\/dechraderm.ca\/wp-content\/uploads\/2024\/10\/figure-brick-new.png 322w, https:\/\/dechraderm.ca\/wp-content\/uploads\/2024\/10\/figure-brick-new-300x237.png 300w, https:\/\/dechraderm.ca\/wp-content\/uploads\/2024\/10\/figure-brick-new-15x12.png 15w\" sizes=\"(max-width: 322px) 100vw, 322px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e342c3 elementor-widget elementor-widget-text-editor\" data-id=\"6e342c3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\n<strong>Illustration<\/strong>. La barri\u00e8re \u00e9pidermique normale d'un chien. Le diagramme montre les corn\u00e9ocytes et les lipides travaillant ensemble pour former une barri\u00e8re de \u00ab briques et mortier.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eff8a41 elementor-widget elementor-widget-heading\" data-id=\"eff8a41\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Avantages de la th\u00e9rapie topique<a style=\"text-decoration: none;\" href=\"https:\/\/dev-dechra-derma.pantheonsite.io\/references\/\" target=\"_blank\"><sup><font size=\"2\" >19<\/font><\/sup><\/a><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-46c1161 e-grid e-con-full e-con e-child\" data-id=\"46c1161\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-29a07fff elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"29a07fff\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewbox=\"0 0 16 16\"><circle id=\"Elipse_1\" data-name=\"Elipse 1\" cx=\"8\" cy=\"8\" r=\"8\" fill=\"#67e6bb\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">\u00c9limine les allerg\u00e8nes du pelage\/de la peau<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewbox=\"0 0 16 16\"><circle id=\"Elipse_1\" data-name=\"Elipse 1\" cx=\"8\" cy=\"8\" r=\"8\" fill=\"#67e6bb\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">R\u00e9pare la fonction de barri\u00e8re<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewbox=\"0 0 16 16\"><circle id=\"Elipse_1\" data-name=\"Elipse 1\" cx=\"8\" cy=\"8\" r=\"8\" fill=\"#67e6bb\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Effets secondaires minimes <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewbox=\"0 0 16 16\"><circle id=\"Elipse_1\" data-name=\"Elipse 1\" cx=\"8\" cy=\"8\" r=\"8\" fill=\"#67e6bb\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Acc\u00e8s facile \u00e0 la peau  <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewbox=\"0 0 16 16\"><circle id=\"Elipse_1\" data-name=\"Elipse 1\" cx=\"8\" cy=\"8\" r=\"8\" fill=\"#67e6bb\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Soulagement imm\u00e9diat <\/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 class=\"elementor-element elementor-element-11eb9322 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"11eb9322\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewbox=\"0 0 16 16\"><circle id=\"Elipse_1\" data-name=\"Elipse 1\" cx=\"8\" cy=\"8\" r=\"8\" fill=\"#67e6bb\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Aide \u00e0 r\u00e9duire la n\u00e9cessit\u00e9 d'un traitement syst\u00e9mique<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewbox=\"0 0 16 16\"><circle id=\"Elipse_1\" data-name=\"Elipse 1\" cx=\"8\" cy=\"8\" r=\"8\" fill=\"#67e6bb\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Hydrate<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewbox=\"0 0 16 16\"><circle id=\"Elipse_1\" data-name=\"Elipse 1\" cx=\"8\" cy=\"8\" r=\"8\" fill=\"#67e6bb\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">\u00c9limine les d\u00e9bris<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewbox=\"0 0 16 16\"><circle id=\"Elipse_1\" data-name=\"Elipse 1\" cx=\"8\" cy=\"8\" r=\"8\" fill=\"#67e6bb\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">\u00c9limine les m\u00e9diateurs inflammatoires et les agents pathog\u00e8nes<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewbox=\"0 0 16 16\"><circle id=\"Elipse_1\" data-name=\"Elipse 1\" cx=\"8\" cy=\"8\" r=\"8\" fill=\"#67e6bb\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">R\u00e9duit la r\u00e9currence de la maladie lorsqu'elle est utilis\u00e9e comme traitement d'entretien   <\/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<div class=\"elementor-element elementor-element-24877d82 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"24877d82\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewbox=\"0 0 16 16\"><circle id=\"Elipse_1\" data-name=\"Elipse 1\" cx=\"8\" cy=\"8\" r=\"8\" fill=\"#67e6bb\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">L'utilisation d'une th\u00e9rapie topique de routine avec des agents hydratants (c'est-\u00e0-dire des acides gras, de l'avoine, des c\u00e9ramides et des lipides) comme th\u00e9rapie adjuvante dans le cadre d\u2019une approche multimodale peut aider \u00e0 r\u00e9parer la fonction barri\u00e8re<a style=\"text-decoration: none;\" href=\"https:\/\/dev-dechra-derma.pantheonsite.io\/references\/\" target=\"_blank\"><sup><color style=\"color: black\"><font size=\"1\" >12<\/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<div class=\"elementor-element elementor-element-5232e6b0 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"5232e6b0\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10\" height=\"10\" viewbox=\"0 0 10 10\"><circle id=\"Elipse_3\" data-name=\"Elipse 3\" cx=\"5\" cy=\"5\" r=\"5\" fill=\"#00366d\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Il a \u00e9t\u00e9 d\u00e9montr\u00e9 qu'un complexe topique de lipides cutan\u00e9s contenant des c\u00e9ramides, du cholest\u00e9rol et des acides gras essentiels r\u00e9tablit les anomalies de la structure lipidique dans l'espace intercellulaire de l'\u00e9piderme. En outre, il a \u00e9t\u00e9 d\u00e9montr\u00e9 que ce complexe lipidique am\u00e9liorait les signes cliniques de la dermatite atopique, tels que le score CADESI, l'\u00e9ryth\u00e8me, l'excoriation et l'alop\u00e9cie<a style=\"text-decoration: none;\" href=\"https:\/\/dev-dechra-derma.pantheonsite.io\/references\/\" target=\"_blank\"><sup><color style=\"color: black\"><font size=\"1\" >16,23<\/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<div class=\"elementor-element elementor-element-471e111 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"471e111\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10\" height=\"10\" viewbox=\"0 0 10 10\"><circle id=\"Elipse_3\" data-name=\"Elipse 3\" cx=\"5\" cy=\"5\" r=\"5\" fill=\"#00366d\"><\/circle><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Protocole sugg\u00e9r\u00e9:<\/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 class=\"elementor-element elementor-element-c1367df elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"c1367df\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item translation-block\"><p><img src=\"https:\/\/dev-dechra-derma.pantheonsite.io\/wp-content\/uploads\/2024\/09\/dot-icone2.svg\" width=\"8\" height=\"8\"><\/p>\n\n\u00a0&nbsp;<span class=\"elementor-icon-list-text\">Vaporisateur DermAllay<sup>\u00ae<\/sup> tous les 3 jours ou environ 2 fois par semaine.<a style=\"text-decoration: none\" href=\"https:\/\/dev-dechra-derma.pantheonsite.io\/references\/\" target=\"_blank\"><sup><font color=\"\u201cwhite\u201d\"><font size=\"1\">16<\/font><\/sup><\/a><\/span><font size=\"1\"><\/font><\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item translation-block\"><p><img src=\"https:\/\/dev-dechra-derma.pantheonsite.io\/wp-content\/uploads\/2024\/09\/dot-icone2.svg\" width=\"8\" height=\"8\"><\/p>\n\n\u00a0\u00a0<span class=\"elementor-icon-list-text\">Shampooing DermAllay<sup>\u00ae<\/sup>\/DermaLyte<sup>\u00ae<\/sup> 1x\/semaine et Vaporisateur DermAllay<sup>\u00ae<\/sup> 2x\/semaine.<a style=\"text-decoration: none\" href=\"https:\/\/dev-dechra-derma.pantheonsite.io\/references\/\" target=\"_blank\"><sup><font color=\"\u201cwhite\u201d\"><font size=\"1\">1 <\/font><\/sup><\/a><\/span><font size=\"1\">\n\t\t\t\t\t\t\t\t\t<\/font><\/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 class=\"elementor-element elementor-element-388cd2b elementor-widget elementor-widget-text-editor\" data-id=\"388cd2b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\n<em>Ces protocoles ont \u00e9t\u00e9 sugg\u00e9r\u00e9s sur la base de la litt\u00e9rature fournie et ne sont pas cens\u00e9s \u00eatre \u00ab universels \u00bb. Ils doivent \u00eatre adapt\u00e9s aux besoins individuels de chaque patient.<\/em>\t\t\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<div class=\"elementor-element elementor-element-0d01605 e-flex e-con-boxed e-con e-parent\" data-id=\"0d01605\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0700b9b elementor-widget elementor-widget-spacer\" data-id=\"0700b9b\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/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":"<p>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 Topical Therapy and Skin Anatomy A Brief Review of Skin Anatomy Familiarity with basic dermal anatomy aids in understanding how to best treat conditions involving this [&hellip;]<\/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-615","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dechraderm.ca\/fr\/wp-json\/wp\/v2\/pages\/615","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=615"}],"version-history":[{"count":88,"href":"https:\/\/dechraderm.ca\/fr\/wp-json\/wp\/v2\/pages\/615\/revisions"}],"predecessor-version":[{"id":10243,"href":"https:\/\/dechraderm.ca\/fr\/wp-json\/wp\/v2\/pages\/615\/revisions\/10243"}],"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=615"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}