11 SavardP_plen1_02-12-2011.indd

2 déc. 2011 - Goudron. ❖ Calcitriol. Antifongiques. ❖ Antifongiques. ❖ Lubrifiant doux avant et après pose du condom lorsqusindiqué lorsqu indiqué.
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Fédération des médecins omnipraticiens du Québec FORMATION CONTINUE 2011-2012

VENDREDI 2 DÉCEMBRE 2011 8h30

SÉANCE PLÉNIÈRE DE L'AVANT-MIDI

Quelques dermatoses de la région génitale masculine

Docteur Pascal Savard Dermatologue - Pédiatre Polyclinique 640

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Quelques dermatoses de la région génitale masculine

D Pascal Savard r

_____________________________________ _____________________________________ _____________________________________ ’ƒ” ƒ•…ƒŽ ƒ˜ƒ”†  † ’ƒ”ƒ•…ƒŽƒ˜ƒ”†Ǥ†Ǥ ŽǤǤ…Ǥ…Ǥǡ…Ǥ•Ǥ’Ǥ“ǤǡˆǤ”Ǥ…Ǥ’ȋ…ȌǡˆǤƒǤƒǤ†Ǥ ‡”ƒ–‘Ž‘‰—‡Ǧ±†‹ƒ–”‡ ‘‰”°•ƒ–±†‡Žƒ ‡‡‡–†‡Žǯ ‘‡  ؖ‡Ž ‘”–ƒ‰‡ ؖ‡Ž‘”–ƒ‰‡ ‡†”‡†‹Ž‡ʹ†±…‡„”‡ʹͲͳͳ

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‘‡‰±‹–ƒŽ‡ƒ•…—Ž‹‡ —Ž–‹•›„‘Ž‹“—‡ ™ ‘…‹ƒŽ‡‡–•—”‹˜‡•–‹‡ ™

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ǯƒ––‡‹–‡†‡”ƒ–‘Ž‘‰‹“—‡‡•–visible ‡”–ƒ‹‡• Ž±•‹‘• plus visibles Ž‘”•†‡ ‡”–ƒ‹‡•Ž±•‹‘•plus Ž‘”• †‡ Žǯérection Certaines dermatoses d seront absentes b ou modifiées si monsieur est déjà j circoncis

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‡‹”…‘’–‡†—’Š±‘°‡’‘••‹„Ž‡†‡ Koebner ‡šǣ’•‘”‹ƒ•‹•ǡ˜‹–‹Ž‹‰‘ǡŽ‹…Š‡’Žƒ ǯ‡“—±”‹”†‡•’”‘†—‹–•—–‹Ž‹•±•Ž‘…ƒŽ‡‡– ǯ ± † † Ž ± Ž Ž ‡šǣ•ƒ˜‘•ǡ…‘†‘•ǡŽ—„”‹ˆ‹ƒ–•ǡ‘„Œ‡–•ǡ‡–…Ǥ ǡ ǡ ǡ Œ ǡ ‡’ƒ•‘—„Ž‹‡”’‘••‹„Ž‡†‡”‹–‡†‡…‘–ƒ…– ‹””‹–ƒ–‹˜‡ ‘— allergique ‹””‹–ƒ–‹˜‡‘—allergique ‡šǣ…‘†‘•ǡ±†‹…ƒ–‹‘•Ž‘…ƒŽ‡•ǡ‡–…Ǥ

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Quelques dermatoses de la région génitale masculine

Dr Pascal Savard

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²‡‡’ƒ”Ž‡”‡–•‡ˆƒ‹”‡‡šƒ‹‡” ‡•’‡…– †— ’ƒ–‹‡– ‡•’‡…–†—’ƒ–‹‡– ––‡‹–‡†‡Žǯ‡•–‹‡†‡•‘‹ ’ƒ…–•—”Žǯ‹–‹‹–±  ‹ ƒ‹•—”Žƒ’‘‹‰±‡†‡’‘”–‡ƒ˜‡…‡šƒ‡ Ž ‹ ± † – „Ÿ…Ž±

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––‡‹–‡ƒ—–‘Ǧ‹—‡†‡•…‡ŽŽ—Ž‡•…—–ƒ±‡• ”‡•’‘•ƒ„Ž‡•†‡Žƒ’‹‰‡–ƒ–‹‘ȋ±Žƒ‘…›–‡• †±– ‹– Ȍ Š ͳ  ʹΨ † Ž †±–”—‹–•Ȍ…Š‡œͳʹΨ†‡Žƒ’‘’—Žƒ–‹‘ Ž –‹ —–”‡•ƒ––‡‹–‡•ƒ—–‘Ǧ‹—‡•ƒ••‘…‹±‡• …Ž‹‹“—‡‡– •‹‰‹ˆ‹…ƒ–‹˜‡• ȋ ‡š –Š›”‘‹†‡ …Ž‹‹“—‡‡–•‹‰‹ˆ‹…ƒ–‹˜‡•ȋ‡šǤ–Š›”‘‹†‡ǡ ’‡Žƒ†‡Ȍ’‘••‹„Ž‡•ƒ‹•’‡—ˆ”±“—‡–‡• ±•‹‘•  ”±’ƒ”–‹–‹‘ ‰±±”ƒŽ‹•±‡ ε •‡‰‡–ƒ‹”‡ ±•‹‘•”±’ƒ”–‹–‹‘‰±±”ƒŽ‹•±‡ε•‡‰‡–ƒ‹”‡ ‘—ˆ‘…ƒŽ‡ 2˜‘Ž—–‹‘ ȋ±–‡†—‡ ”ƒ’‹†‹–± 2˜‘Ž—–‹‘ȋ±–‡†—‡ǡ”ƒ’‹†‹–± †ǯƒ’’ƒ”‹–‹‘ǡƒ––‡‹–‡ ‘—‘†‡•’‘‹Ž•ǡ†‡• —“—‡—•‡•ǡ‡–…Ǥǣ’ƒ•ˆƒ…‹Ž‡‡–’”±˜‹•‹„Ž‡‡– “ ǡ ’ ’ –”°•˜ƒ”‹ƒ„Ž‡†ǯ—‡’‡”•‘‡Žǯƒ—–”‡Ȍ

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’ƒ…–•‡•–Š±–‹“—‡•‡–’•›…Š‘Ž‘‰‹“—‡• ƒ˜ƒ– –‘—– ‡– †‘– Žƒ •±˜±”‹–± ˜ƒ”‹‡ •‡Ž‘ Žƒ ƒ˜ƒ––‘—–ǡ‡–†‘–Žƒ•±˜±”‹–±˜ƒ”‹‡•‡Ž‘Žƒ …ƒ”ƒ–‹‘†‡Žƒ’‡ƒ—ǡŽƒ’‡”•‘ƒŽ‹–±†‡ „ „ƒ•‡ǡŽǯŸ‰‡†ǯƒ’’ƒ”‹–‹‘ǡ‡–…Ǥ ŽǯŸ †ǯ ‹–‹ –

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––‡‹–‡‰±‹–ƒŽ‡’‡—–ƒ˜‘‹”†‡• ”±’‡”…—••‹‘• ‹’‘”–ƒ–‡• Ǣ ‘‡„‡” ”±’‡”…—••‹‘•‹’‘”–ƒ–‡•Ǣ‘‡„‡” ’‘••‹„Ž‡Ž‘…ƒŽ‡‡–

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F O R M AT I O N C O N T I N U E F MO Q — 2 0 11- 2012 La santé des femmes et des hommes — 1er et 2 décembre 2011

Quelques dermatoses de la région génitale masculine

D Pascal Savard r

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”ƒ‹–‡‡–•†‡ͳ‡ Ž‹‰‡ǣ…‘”–‘•–±”‘‹†‡• –‘’‹“—‡• ‹Š‹„‹–‡—”• †‡ Žƒ …ƒŽ…‹‡—”‹‡ –‘’‹“—‡•ǡ‹Š‹„‹–‡—”•†‡Žƒ…ƒŽ…‹‡—”‹‡ –‘’‹“—‡ǡ’”‘–‡…–‹‘•‘Žƒ‹”‡ǡƒ“—‹ŽŽƒ‰‡ …‘””‡…–‹ˆƒ—„‡•‘‹ –‹ˆ „ ‹ ”ƒ‹–‡‡–•†‡ʹ‡ Ž‹‰‡ǣ ‰ ’Š‘–‘–Š±”ƒ’‹‡ȋȌ•›•–±‹“—‡‘— –‘’‹“—‡ǡ Žƒ•‡”ǡ ‰”‡ˆˆ‡ †‡ ±Žƒ‘…›–‡•ǡ ‡–…Ǥ –‘’‹“—‡ǡŽƒ•‡”ǡ‰”‡ˆˆ‡†‡±Žƒ‘…›–‡•ǡ‡–…Ǥ

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‡†±˜‡Ž‘’’‡–‡‰±±”ƒŽŽǯƒ†‘Ž‡•…‡…‡ ‡”‡–”‘—˜‡––›’‹“—‡‡–Žƒ…‘—”‘‡†—‰Žƒ† ‡’‡–‹–‡•’ƒ’—Ž‡•Ž‹••‡•†‡…‘—Ž‡—”…Šƒ‹”‘—”‘•±‡ǡ –‹– Ž Ž‹ † Ž Š ‹ ± ‡†‹•’‘•‹–‹‘”±‰—Ž‹°”‡ǡˆ‹Ž‹ˆ‘”‡•ǡ‡–†‹•’‘•±‡•‡ ’ ‰ —‡‘—’Ž—•‹‡—”•”ƒ‰±‡• Ǽƒ”‹ƒ–‡ǽ†‡Žƒ‘”ƒŽ‡ǡ•‡”‡–”‘—˜‡”ƒ‹‡–…Š‡œʹͲ ͶͲΨ†‡•Š‘‡• —…—”‹•“—‡…‘–ƒ‰‹‡—š‘—±‘’Žƒ•‹“—‡ǡ‡– …‘””‡•’‘†ƒ–Š‹•–‘Ž‘‰‹“—‡‡–†‡• ƒ‰‹‘ˆ‹„”‘‡• ±ƒ••—”ƒ…‡•—”Ž‡—”‘”ƒŽ‹–±ǡ‡–’ƒ•†‡ ȋ ǡ ǡ –”ƒ‹–‡‡–•ȋŽƒ•‡”ǡ±Ž‡…–”‘…ƒ—–±”‹•ƒ–‹‘ǡ‡š±”°•‡ …Š‹”—”‰‹…ƒŽ‡ Ȍ’”‘‘—˜‘‹”

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Ǽƒ”‹ƒ–‡•ǽ†‡Žƒ‘”ƒŽ‡ǡ•‡”‡–”‘—˜‡–‡‰±±”ƒŽ •—”Ž‡…‘”’•†—’±‹•ȋ’ƒ”ˆ‘‹•ƒ—‰Žƒ†‡–ƒ— •…”‘–—Ȍ ‡ ƒƒ• ’Ž—• ‘— ‘‹• ˜‹•‹„Ž‡• †‡ ’‡–‹–‡• •…”‘–—Ȍ‡ƒƒ•’Ž—•‘—‘‹•˜‹•‹„Ž‡•†‡’‡–‹–‡• ƒ…—Ž‘Ǧ’ƒ’—Ž‡•Œƒ—Ÿ–”‡•ƒ‰‰Ž‘±”±‡• ‡—˜‡–ƒ—••‹ǡ‘—–”‡Žƒ”±‰‹‘‰±‹–ƒŽ‡ǡ•‡”‡–”‘—˜‡” ǡ ‰ ‰ ǡ ƒ—‹˜‡ƒ—†‡•Ž°˜”‡•„—……ƒŽ‡• ±•‹‘•„±‹‰‡•‘…‘–ƒ‰‹‡—•‡•‡–‘ …ƒ…±”‡—•‡• ± ”ƒ‹–‡‡–•’Š›•‹“—‡•†‡•–”—…–‹ˆ•‘ ”‡…‘ƒ†±• ‘•’”‘’”‡• ƒ••‘…±•ǣ ‘”†›…‡ǯ• •’‘–•ǡ‰Žƒ†‡•†‡ › ›•‘

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F O R M AT I O N C O N T I N U E FM OQ — 2 0 1 1 -20 1 2 La santé des femmes et des hommes — 1er et 2 décembre 2011

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Quelques dermatoses de la région génitale masculine

Dr Pascal Savard

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•‘”‹ƒ•‹•†±•‘”ƒ‹•…‘•‹†±”±…‘‡—‡ǼƒŽƒ†‹‡ …—–ƒ±‘Ǧƒ”–‹…—Ž‘Ǧ•›•–±‹“—‡ǽȋ‡šǤ„‹‘Ž‘‰‹“—‡•ǡ •›†”‘‡ ±–ƒ„‘Ž‹“—‡ ˜ƒ”‹ƒ–‡• •±˜°”‡• †‡ ’•‘”‹ƒ•‹• •›†”‘‡±–ƒ„‘Ž‹“—‡ǡ˜ƒ”‹ƒ–‡••±˜°”‡•†‡’•‘”‹ƒ•‹• ƒ˜‡…ƒ––‡‹–‡•›•–±‹“—‡‰”ƒ˜‡Ȍ Ž—•‹‡—”•˜ƒ”‹ƒ–‡•…Ž‹‹“—‡• ǣ’•‘”‹ƒ•‹•˜—Ž‰ƒ‹”‡‡•–Žƒ ’Ž—•ˆ”±“—‡–‡ε’•‘”‹ƒ•‹•‹˜‡”•±ǡ’•‘”‹ƒ•‹•ƒ…”ƒŽ ’—•–—Ž‡—š ±”›–Š”‘†‡”‹“—‡ ‡–… ’—•–—Ž‡—šǡ±”›–Š”‘†‡”‹“—‡ǡ‡–…Ǥ ǯƒ––‡‹–‡‰±‹–ƒŽ‡‡•–ˆ”±“—‡–‡ǡ•—”–‘—–†ƒ•Ž‡ ‰ “ ǡ ’•‘”‹ƒ•‹•˜—Ž‰ƒ‹”‡ǡ‡–…Š‡œŽǯŠ‘‡•‡•‹–—‡”ƒ•—”–‘—–ƒ— ‹˜‡ƒ—†—‰Žƒ†ε…‘”’•†—’±‹•εεε•…”‘–—Ǥ‡’ƒ• ‘—„Ž‹‡” “—‡ Žƒ ”±‰‹‘ ˆ‡••‹°”‡ ‡•– ƒ—••‹ •‘—˜‡– ƒ––‡‹–‡ ‘—„Ž‹‡”“—‡Žƒ”±‰‹‘ˆ‡••‹°”‡‡•–ƒ—••‹•‘—˜‡–ƒ––‡‹–‡ǡ •—”–‘—–†ƒ•Žƒœ‘‡‹–‡”ˆ‡••‹°”‡Ǥ

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_____________________________________ _____________________________________ ȗȗȗ ’ƒ…–’‘–‡–‹‡ŽŽ‡‡––”°•‹’‘”–ƒ–•—” Žƒ ˜‹‡ ƒˆˆ‡…–‹˜‡ ‡– •‡š—‡ŽŽ‡ȗȗȗ Žƒ˜‹‡ƒˆˆ‡…–‹˜‡‡–•‡š—‡ŽŽ‡ h ʹ͵Ψ†‡Žƒ’‘’—Žƒ–‹‘‡•‘—ˆˆ”‡ǡ‡– ‡˜‹”‘͵ͲΨƒ—”‘–—‡ƒ”–Š”‹–‡ ’ ’•‘”‹ƒ•‹“—‡ȋ†‘–—‡˜ƒ”‹ƒ–‡ “ ȋ ’‘••‹„Ž‡‡––”°•—–‹Žƒ–‡Ȍ h Š±‘°‡†‡‘‡„‡” Š±‘°‡ †‡ ‘‡„‡” …‘•‹†±”‡”•‹  …‘•‹†±”‡” •‹ ƒ––‡‹–‡‰±‹–ƒŽ‡•‹‰‹ˆ‹…ƒ–‹˜‡ȋƒ—‰‡–ƒ–‹‘ † Ž± ‹ †‡•Ž±•‹‘•ƒ˜‡…ˆ”‘––‡‡–Ž‘…ƒŽƒ—‰‡–±Ȍ ˆ Ž Ž ±Ȍ

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”ƒ‹–‡‡–•–‘’‹“—‡•’‘••‹„Ž‡•†—’•‘”‹ƒ•‹•‰±‹–ƒŽǣ ™ ™ ™ ™ ™ ™ ™ ™ ™

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ƒ˜‘•†‘—š ‹••—•†‘—š ›†”ƒ–ƒ–‹‘”±‰—Ž‹°”‡ –±”‘Ƈ•–‘’‹“—‡•†‡…Žƒ••‡͹͸ȋˆƒ‹„Ž‡’—‹••ƒ…‡Ȍ Š‹„‹–‡—”•†‡Žƒ…ƒŽ…‹‡—”‹‡ –‘’‹“—‡•

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‘—†”‘ ƒŽ…‹–”‹‘Ž –‹ˆ‘‰‹“—‡• —„”‹ˆ‹ƒ–†‘—šƒ˜ƒ–‡–ƒ’”°•’‘•‡†—…‘†‘ Ž‘”•“— ‹†‹“—± Ž‘”•“—ǯ‹†‹“—±

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F O R M AT I O N C O N T I N U E F MO Q — 2 0 11- 2012 La santé des femmes et des hommes — 1er et 2 décembre 2011

Quelques dermatoses de la région génitale masculine

D Pascal Savard r

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Ž—•‹‡—”•–›’‡•†ǯ‡…œ±ƒ‡š‹•–‡– Ǣ—‡ƒ––‡‹–‡†‡Žƒ ”±‰‹‘‰±‹–ƒŽ‡•‡”‡–”‘—˜‡”ƒ‰±±”ƒŽ‡‡–†ƒ• Žǯ ± Žǯ‡…œ±ƒƒ–‘’‹“—‡εεεεεε•±„‘””Š‡‹“—‡ ‹ ±„ Š ‹ ”—”‹–ƒ†•±˜°”‡ ǢŽ±•‹‘••—”–‘—–•°…Š‡•ƒ† ˆ‹••—”±‡• ε•—‹–ƒ–‡•Ǥ—”‹ˆ‡…–‹‘•„ƒ…–±”‹‡‡•‡–Ȁ‘— ‹ – –  ‹ ˆ –‹ „ –± ‹ –Ȁ ˜‹”ƒŽ‡•ȋ‡šǤŠ‡”’°••‹’Ž‡šȌ’‡—˜‡–•—”˜‡‹”Ǥ—–”‡• ƒ––‡‹–‡• ƒ–‘’‹“—‡• ȋ‡šǤƒ•–Š‡ǡ”Š‹‹–‡ƒŽŽ‡”‰‹“—‡ǡ ƒ––‡‹–‡•ƒ–‘’‹“—‡• ȋ‡š ƒ•–Š‡ ”Š‹‹–‡ ƒŽŽ‡”‰‹“—‡ ‡–…ǤȌˆ”±“—‡–‡•…Š‡œŽ‡’ƒ–‹‡–‘—†ƒ••ƒˆƒ‹ŽŽ‡ ’’ ”ƒ’’”‘…Š±‡Ǥ …œ±ƒƒ–‘’‹“—‡ †±„—–‡–›’‹“—‡‡–‡„ƒ•Ÿ‰‡ǡ ƒ‹•†±„—–‘—”±…‹†‹˜‡’‘••‹„Ž‡•Žǯƒ‰‡ ƒ†—Ž–‡Ǥ

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”ƒ‹–‡‡–•†‡Žǯ‡…œ±ƒȋƒ–‘’‹“—‡ε”‡•–‡Ȍ‰±‹–ƒŽ ǣ ™

•ƒ˜‘•†‘—š

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–‹ –‹••—•†‘—š †

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Š›†”ƒ–ƒ–‹‘”±‰—Ž‹°”‡„Ǥ‹Ǥ†Ǥȋ•—”–‘—–‡•ƒ‹•‘ˆ”‘‹†‡ǡƒ‹•‹†±ƒŽ‡‡–Žǯƒ±‡ǡ ‰ ’ “ ǡ › ‹†±ƒŽ‡‡–‡…”°‡‘—‡‘‰—‡–’Ž—–Ø–“—ǯ‡Ž‘–‹‘ǡƒ˜‡…—Š›†”ƒ–ƒ– Ǽ†‡”ƒ–‘Ž‘‰‹“—‡ǽ‡–‘’ƒ•‡•–Š±–‹“—‡Ȍ

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–±”‘Ƈ•–‘’‹“—‡•†‘—šȋ…Žƒ••‡͹‘—͸Ȍǡ

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‹Š‹„‹–‡—”•†‡Žƒ…ƒŽ…‹‡—”‹‡ –‘’‹“—‡ȋ‡–”ƒ‹–‡‡–ƒ…–‹ˆ„Ǥ‹Ǥ†Ǥ‘—–‹–”‡’”±˜‡–‹ˆʹ ˆ‘‹•Ȁ•‡ƒ‹‡ƒ—šœ‘‡•‡…œ±ƒ–‡—•‡•…‘—‡•Ȍ

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‘—†”‘ –‹Ǧ’”—”‹‰‹‡—š –‘’‹“—‡•ȋ‡šǤ”ƒ‘šȌ‘—‘”ƒ—šȋ‡šǤƒ–‹Š‹•–ƒ‹‹“—‡•…‘—”–‡ ‰ ǡ ’ “ ’“ ’Ȍ ƒ…–‹‘εŽ‘‰—‡ƒ…–‹‘ǡ‡–’ƒ•†ǯƒ–‹Š‹•–ƒ‹‹“—‡•–‘’‹“—‡••Ǥ˜Ǥ’ǤȌ

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–±”‘Ƈ•‘”ƒ—š•—”…‘—”–‡†—”±‡•‹…”‹•‡•±˜°”‡

F O R M AT I O N C O N T I N U E FM OQ — 2 0 1 1 -20 1 2 La santé des femmes et des hommes — 1er et 2 décembre 2011

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Quelques dermatoses de la région génitale masculine

Dr Pascal Savard

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”‘„Ž°‡”‡…‘–”±…Š‡œŽǯŠ‘‡†ǯŸ‰‡ ‘›‡ ‡– ‘ ‘›‡‡–‘…‹”…‘…‹• ‘…‹”…‘…‹•Ǥ …‹”…‘…‹• ‘–‹‘†‡’”±’—…‡Ǽ†›•ˆ‘…–‹‘‡Žǽ ȋ”±–‡–‹‘†ǯ—”‹‡ǡŠ›‰‹°‡‹•—ˆˆ‹•ƒ–‡ǡ ‹””‹–ƒ–•…Š”‘‹“—‡•ǡ‡–…ǤȌ “ Ȍ ±•‹‘•±˜‘Ž—–‹‘‹†‘Ž‡–‡‡– ”±…‹†‹˜ƒ–‡ –‘—…Šƒ– Ž‡‰Žƒ†ǡŽ‡’”±’—…‡ ”±…‹†‹˜ƒ–‡ǡ–‘—…Šƒ– Ž‡ ‰Žƒ† Ž‡ ’”±’—…‡ ‹–‡”‡ǡ‡–’ƒ”ˆ‘‹•Žƒœ‘‡’±”‹Ǧ±ƒ–ǢŽ±•‹‘• Ǽ‹••‹‰ǽ’‘••‹„Ž‡• ‹ ‹ ‹„Ž

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±•‹‘•”‘—‰‡•ȋ”ƒ”‡‡–±”‘†±‡•ǡ •ƒ‹‰‘–ƒ–‡• ‘†—Žƒ‹”‡• ‘—‡š—„±”ƒ–‡•Ȍǡ •ƒ‹‰‘–ƒ–‡•ǡ‘†—Žƒ‹”‡• ‘— ‡š—„±”ƒ–‡•Ȍ Ž—‹•ƒ–‡•ǡŠ—‹†‡•ǡ‰±±”ƒŽ‡‡– ƒ•›’–‘ƒ–‹“—‡• – –‹ ˆ‹Ž–”ƒ–†‡”‹“—‡‡„ƒ†‡†‡’Žƒ•‘…›–‡• “ ’ › Žƒ’ƒ–Š‘Ž‘‰‹‡ ”ƒ‹–‡‡–•ǣ ‡‹ŽŽ‡—”‡ Š›‰‹°‡ •–±”‘‹†‡• ”ƒ‹–‡‡–•ǣ‡‹ŽŽ‡—”‡Š›‰‹°‡ǡ•–±”‘‹†‡• –‘’‹“—‡•’‡—˜‡–ƒ‹†‡”–”ƒ•‹–‘‹”‡‡–Ǧε     Ǩ

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157-6

‡”ƒ–‘’Š›–‘•‡ †‡Žƒ”±‰‹‘†‡•ƒ‹‡•ǡ†‹ˆˆ±”‡–‡†ǯ—‡ …ƒ†‹†‘•‡…—–ƒ±‡ ‡—– ²–”‡ –”°• –”°• ’”—”‹‰‹‡—•‡ ‡—–²–”‡–”°•–”°• 2Ž‹‹‡”†ǯƒ—–”‡•†‡”ƒ–‘’Š›–‘•‡• ƒ‹ŽŽ‡—”•ǡ‡‰±±”ƒŽ ȋ ’±†‹• ‹–‡”†‹‰‹–ƒŽ‹•Ȍ ’ ‰ Ȍ ‡–”‡Ž‡•‘”–‡‹Ž•ȋ–‹±ƒ ‹‹—‡”…‘–ƒ‰‹‘•‹–±’‘••‹„Ž‡ȋ‡šǤ•‡”˜‹‡––‡†‡„ƒ‹Ȍ ”ƒ‹–‡‡–•ǣƒ–‹ˆ‘‰‹“—‡•–‘’‹“—‡•ε•›•–±‹“—‡•Ǥ‡ ’ƒ• –‹Ž‹•‡” Žƒ  •–ƒ–‹‡ “ ‹ ‡ …‘ ”‡ ’ƒ• „‹‡ Ž‡• ’ƒ•—–‹Ž‹•‡”Žƒ›•–ƒ–‹‡“—‹‡…‘—˜”‡’ƒ•„‹‡Ž‡• †‡”ƒ–‘’Š›–‡• š †‹ˆˆ±”‡–‹‡Žǣ‡…œ±ƒǡ’•‘”‹ƒ•‹•‹˜‡”•±ǡ±”›–Š”ƒ•ƒǡ ǡ’ ǡ › ǡ ‡–…Ǥ ‹±ƒ ‹…‘‰‹–‘’‡—–²–”‡†‹ˆˆ‹…‹Ž‡”‡…‘ƒÁ–”‡

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F O R M AT I O N C O N T I N U E F MO Q — 2 0 11- 2012 La santé des femmes et des hommes — 1er et 2 décembre 2011

Quelques dermatoses de la région génitale masculine

D Pascal Savard r

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Ǽ†‘—…‡•ǽƒ‹•ƒ—–”‡• ±Ž‹‹‡” Š‡œ Žǯƒ†—Ž–‡ Š‡œŽ ƒ†—Ž–‡ǡ’”‡•“—‡–‘—Œ‘—”•†ƒ•…ƒ†”‡ ’”‡•“—‡ –‘—Œ‘—”• †ƒ• …ƒ†”‡ †ǯƒ…–‹˜‹–±••‡š—‡ŽŽ‡•ǡƒ‹•ƒ—–”‡••‹–—ƒ–‹‘• ’‘••‹„Ž‡•ȋ‡šǤ‡ˆƒ–Ǧ’ƒ”‡–•ƒ•ƒ„—• •‡š—‡Žǡ˜²–‡‡–•‡’”—–±•Ȍ ’ Ȍ ƒ•—…ƒ•†‡‰ƒŽ‡Š—ƒ‹‡ǡ‹Žˆƒ—––”ƒ‹–‡” –‘—• Ž‡• …‘–ƒ…–• •‹‰‹ˆ‹…ƒ–‹ˆ• “—ǯ‹Ž• –‘—•Ž‡•…‘–ƒ…–••‹‰‹ˆ‹…ƒ–‹ˆ•ǡ“— ‹Ž••‘‹‡– •‘‹‡– Ž±•‹‘‡Ž•Ǧ•›’–‘ƒ–‹“—‡•‘—’ƒ•

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_____________________________________ _____________________________________ ͳǤ ʹǤ

͵Ǥ

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”›–Š”‘’Žƒ•‹‡ †‡—‡›”ƒ– ȋ‰Žƒ†‡–ˆƒ…‡‹–‡”‡†—’”±’—…‡Ȍ ƒŽƒ†‹‡†‡‘™‡ȋ’‡ƒ—†‡Žƒ”±‰‹‘‰±‹–ƒŽ‡ ǢŽ±•‹‘ȋ•Ȍ†ǯƒ— ‘‹•“—‡Ž“—‡•…ǡ‰±±”ƒŽ‡‡–‹•‘Ž±‡ȌȌ ƒ’—Ž‘•‡ „‘™±‘‹†‡ȋ’‡ƒ—†‡Žƒ”±‰‹‘‰±‹–ƒŽ‡ ǢŽ±•‹‘•’Ž—• ’‡–‹–‡• ‡ „ƒ• †ǯ— ’‡–‹–‡•‡„ƒ•† —…ǡ‡–‘„”‡‘›‡˜ƒ”‹ƒ–†‡ͷͳͲ … ‡– ‘„”‡ ‘›‡ ˜ƒ”‹ƒ– †‡ ͷ  ͳͲ Ž±•‹‘•Ȍ ‹ˆˆ±”‡–‡•ˆ‘”‡•…Ž‹‹“—‡•”‡’”±•‡–ƒ–—…ƒ”…‹‘‡•’‹‘Ǧ …‡ŽŽ—Žƒ‹”‡‹•‹–— ±•‹‘•‰±±”ƒŽ‡‡–’‡—‘—’ƒ••›’–‘ƒ–‹“—‡•ǡ•‡ ‰ ’ ’ › ’ “ ǡ †±˜‡Ž‘’’ƒ–‰”ƒ†—‡ŽŽ‡‡–‡–‹•‹†‹‡—•‡‡– ‹‘’•‹‡±…‡••ƒ‹”‡’‘—”…‘ˆ‹”‡”Ž‡š

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”ƒ‹–‡‡–•’‘•••‹„Ž‡• ǣ‡š±”°•‡ …Š‹”—”‰‹…ƒŽ‡ …Š‹”—”‰‹‡ †‡ ‘Š• Žƒ•‡”ȋƒ˜‡… …Š‹”—”‰‹…ƒŽ‡ǡ…Š‹”—”‰‹‡†‡‘Š•ǡŽƒ•‡”ȋƒ˜‡… ƒ”‰‡•Žƒ”‰‡•‡–’Ž—•‹‡—”•„‹‘’•‹‡•’”±Ǧ Ž Žƒ•‡”ȌǡˆŽ—‘”‘—”ƒ…‹Ž Ȍ ˆŽ ‹Ž …”°‡ǡ‹‹“—‹‘† ° ‹ ‹ ‹ † …”°‡ǡ…”›‘…Š‹”—”‰‹‡ǡ‡–…Ǥ —‹˜‹…‘Œ‘‹–‡—”‘Ž‘‰‹‡•‹±…‡••ƒ‹”‡ —– †— –”ƒ‹–‡‡– ǣ±˜‹–‡”’”‘‰”‡••‹‘˜‡”• —–†—–”ƒ‹–‡‡– ǣ ±˜‹–‡” ’”‘‰”‡••‹‘ ˜‡”• —•’‹‘Ǧ…‡ŽŽ—Žƒ‹”‡‡˜ƒŠ‹••ƒ–ȋ±…‡••‹–ƒ– ƒŽ‘”•–”ƒ‹–‡‡–•’Ž—•†”ƒ•–‹“—‡•Ȍ Ž ‹ Ž † ‹ Ȍ

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Quelques dermatoses de la région génitale masculine

Dr Pascal Savard

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h

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‡”ƒ–‘•‡‹ˆŽƒƒ–‘‹”‡†‡…ƒ—•‡‹…‘—‡ǡ ”‡Žƒ–‹˜‡‡–ˆ”±“—‡–‡ Ǣ’Ž—•‹‡—”•˜ƒ”‹ƒ–‡• Ž±•‹‘‡ŽŽ‡• …Ž‹‹“—‡• ‡š‹•–‡– Ž±•‹‘‡ŽŽ‡•…Ž‹‹“—‡•‡š‹•–‡–

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˜‹”‘ ʹͷΨ †‡• Š‘‡• ƒ›ƒ– — Ž‹…Š‡ ’Žƒ ˜‹”‘ʹͷΨ†‡•Š‘‡•ƒ›ƒ–—Ž‹…Š‡’Žƒ …—–ƒ±ƒ—”‘–—‡ƒ––‡‹–‡‰±‹–ƒŽ‡ǡ•‡’”±•‡–ƒ– •—”–‘—–‡’ƒ’—Ž‡•„”—‡•Ǧ˜‹‘Žƒ…±‡•ǡ•‘‡–’Žƒ–ǡ •‹•‡••—”Ž‡…‘”’•’±‹‡ ‹ Ž ± ‹

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± ‹ ±•‹‘•ƒ—Žƒ‹”‡••‘–ƒ—••‹•‘—˜‡–”‡…‘–”±‡• Ž ‹ – ‹ – – ± •—”Ž‡‰Žƒ†ǽ…‘”’•’±‹‡Ǥ‡•Ž±•‹‘•±”‘•‹˜‡••‘– ’ ’‘••‹„Ž‡•Ǥ

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—”Ž‡…‘”’•ǡ†‡”ƒ–‹–‡‰±±”ƒŽ‡‡––”°• ’”—”‹‰‹‡—•‡ǡ‡–“—‹’‡—–ƒ—••‹•‘—˜‡––‘—…Š‡”Žƒ ‹ ‹ – ‹ – ‹ –– Š Ž —“—‡—•‡„—……ƒŽ‡

h

2˜‘Ž—–‹‘‡‰±±”ƒŽ˜‡”•Žƒ”±‹••‹‘ǡ“—‘‹“—‡ ’ƒ”ˆ‘‹•ƒ˜‡…’‘—••±‡•Ǧ”±‹••‹‘• ’ ’ ǢŽƒˆ‘”‡±”‘•‹˜‡ ‡•––‘—–‡ˆ‘‹•’‘–‡–‹‡ŽŽ‡‡–’Ž—•…‘’Ž‡š‡‡ –‡”‡•†‡•›’–؏‡•ƒ••‘…‹±•ǡ†‡–”ƒ‹–‡‡–•‡–†‡ ”±•‘Ž—–‹‘

h

”ƒ‹–‡‡–• Ž‘…ƒ—š •—”–‘—– ’‘—” Žƒ ˆ‘”‡ ‰±‹–ƒŽ‡ ”ƒ‹–‡‡–•Ž‘…ƒ—šǡ•—”–‘—–’‘—”Žƒˆ‘”‡‰±‹–ƒŽ‡ •–ƒ†ƒ”†ǡƒ˜‡…†‡•…‘”‹…‘•–±”‘‹†‡• –‘’‹“—‡•

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‘”–‹…‘•–±”‘Ƈ•–‘’‹“—‡•†‡ˆƒ‹„Ž‡’—‹••ƒ…‡ ±ˆ‹‡œǦ˜‘—•†‡•…‘„‹ƒ‹•‘•†±Œ’”²–‡• šǣ‘–”‹†‡”ǡ±ƒ…‘„ǡ‘˜‘„‡–ǡ‡–…Ǥ –‹Ž‹•ƒ–‹‘•‘—˜‡–ƒ˜ƒ–ƒ‰‡—•‡†‡•‹Š‹„‹–‡—”•†‡Žƒ …ƒŽ…‹‡—”‹‡ Ž ‹ ‹ –‘’‹“—‡ – ‹ šǣ”‘–‘’‹…ǡŽ‹†‡Ž •ƒ‰‡ ’Ž—• ˆ”±“—‡– †‡• ‘‰—‡–• •‹ ±…‡••ƒ‹”‡ •ƒ‰‡’Ž—•ˆ”±“—‡–†‡•‘‰—‡–••‹±…‡••ƒ‹”‡ ›†”ƒ–ƒ–‹‘Ž‘…ƒŽ‡”±‰—Ž‹°”‡•‹±…‡••ƒ‹”‡ –‹Ž‹•ƒ–‹‘ †‡ Ž—„”‹ˆ‹ƒ–• ‘— †‡ …‘†‘• ȋ –‹–”‡ –Š±”ƒ’‡—–‹“—‡Ȍ –‹Ž‹•ƒ–‹‘†‡Ž—„”‹ˆ‹ƒ–•‘—†‡…‘†‘•ȋ–‹–”‡–Š±”ƒ’‡—–‹“—‡Ȍ ’‘—”†‹‹—‡”ˆ”‹…–‹‘Ž‘…ƒŽ‡’‘–‡–‹‡ŽŽ‡‡–—‹•‹„Ž‡ ‹…‡”‘—‡Ž‡˜‡”±†‹…ƒ‡–•–‘’‹“—‡•ƒ˜ƒ–—‡”‡Žƒ–‹‘ •‡š—‡ŽŽ‡

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F O R M AT I O N C O N T I N U E F MO Q — 2 0 11- 2012 La santé des femmes et des hommes — 1er et 2 décembre 2011

Quelques dermatoses de la région génitale masculine

D Pascal Savard r

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h

h h

h h

–‹Ž‹•ƒ–‹‘†‡’”‘†—‹–•†ǯƒ˜‘‹‡•‹±…‡••ƒ‹”‡ šǣ˜‡‡‘ •ƒ…Š‡–••—”‰”ƒ•ǡŠ—‹Ž‡†‡„ƒ‹  Ž –‹Ž‹•ƒ–‹‘†—‰‘—†”‘•‹±…‡••ƒ‹”‡ † † ± šǣƒ‰‹•–”ƒŽ‡ǡŠ—‹Ž‡†‡„ƒ‹ –‹Ž‹•ƒ–‹‘ †‡• ƒ–‹Ǧ’”—”‹‰‹‡—š ‘”ƒ—š‡–Ȁ‘—–‘’‹“—‡••‹ –‹Ž‹•ƒ–‹‘†‡•ƒ–‹Ǧ’”—”‹‰‹‡—š ‘”ƒ—š ‡–Ȁ‘— –‘’‹“—‡• •‹ ±…‡••ƒ‹”‡ ƒ˜‘•†‘—š ™ ’‘—”ŽǯŠ›‰‹°‡’‡”•‘‡ŽŽ‡ ™ ’‘—”ŽƒŽ‡••‹˜‡ ƒ• †ǯƒ••‘—’Ž‹••‡—”• ƒ•† ƒ••‘—’Ž‹••‡—”•’‘—”ŽƒŽ‡••‹˜‡ ’‘—” Žƒ Ž‡••‹˜‡ ‡’ƒ•‰ƒ”†‡”•—”•‘‹†‡ˆƒ­‘’”‘Ž‘‰±‡†‡•˜²–‡‡–• ‘—‹ŽŽ±•ȋ‡šǣƒ‹ŽŽ‘–†‡„ƒ‹Ȍ

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h h

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‘—•Ǧ˜²–‡‡–• ™ ƒ•–”‘’ƒŒ—•–±• ’ Œ ™ ƒŒ‘”‹–ƒ‹”‡‡–‡…‘–‘ 2˜‹–‡” ’”‘†—‹–• Ž‘…ƒ—š ‹””‹–ƒ–• ‘— –”‘’ ’ƒ”ˆ—±• 2˜‹–‡”’”‘†—‹–•Ž‘…ƒ—š‹””‹–ƒ–•‘—–”‘’’ƒ”ˆ—±• ”ƒ‹–‡‡–•—”‘Ž‘‰‹“—‡•ǡ†‘–…‹”…‘…‹•‹‘ǡ•‹ ±…‡••ƒ‹”‡ ‹‡•‡š—‡ŽŽ‡ƒŒ—•–‡”ƒ—„‡•‘‹•‡Ž‘±–ƒ– †‡”ƒ–‘Ž‘‰‹“—‡ ‰±‹–ƒŽ ‡ …‘—”• †‡”ƒ–‘Ž‘‰‹“—‡‰±‹–ƒŽ‡…‘—”•

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