{"id":19,"date":"2022-11-03T18:34:19","date_gmt":"2022-11-03T18:34:19","guid":{"rendered":"https:\/\/achdsehcp-dev-001.azurewebsites.net\/en-us\/achondroplasia\/?page_id=19"},"modified":"2024-04-10T14:47:56","modified_gmt":"2024-04-10T14:47:56","slug":"impact","status":"publish","type":"page","link":"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/impact\/","title":{"rendered":"Impact"},"content":{"rendered":"<div id=\"overall-impact\" class=\"hero hero-no-overlay\">\n            <div class=\"hero-background-image hero-background-image-desktop\" style=\"background-image: url(https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2022\/11\/impact_hero@2x-2000x800.jpg);\"><\/div>\n\t    <div class=\"hero-background-image hero-background-image-mobile\" style=\"background-image: url(https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2022\/11\/impact_hero@2x-2000x800.jpg);\"><\/div>\n    \t<div class=\"overlay\"><\/div>\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"hero-content\">\n\t\t\t    \t\t\t\t\t\t\t\t\t\t\t\t    <h1>Complications de l&rsquo;achondroplasie\n<\/h1>\n\t\t\t\t\t\t\t\t\t\t\t\t    <p><span class=\"TextRun SCXP85421313 BCX0\"><span class=\"NormalTextRun SCXP85421313 BCX0\">Bien que les complications puissent dispara\u00eetre avec le temps, une prise en charge pr\u00e9ventive peut aider \u00e0 att\u00e9nuer des cons\u00e9quences graves, sinon inattendues, sur la sant\u00e9. Explorez les implications possibles de l&rsquo;achondroplasie ci-dessous.<\/span><\/span><span class=\"EOP SCXP85421313 BCX0\">\u200b<\/span><\/p>\n\t\t\t\t\t\t\t\t\n                <p class=\"inline-buttons\">\n                                                        <\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n<div id=\"overall-impact\" class=\"block wrapped-content\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db994d2a\" class=\"block-wysiwyg\">\n            <h2>Quelles sont les fonctions et organes touch\u00e9s ?<\/h2>\n<p>La petite taille est une caract\u00e9ristique mesurable de l&rsquo;achondroplasie, et des complications peuvent se d\u00e9velopper \u00e0 la suite d&rsquo;une croissance osseuse alt\u00e9r\u00e9e. Cela inclut des implications plus larges pour la sant\u00e9 telles que le d\u00e9veloppement moteur retard\u00e9, l&rsquo;otite moyenne chronique et les troubles respiratoires du sommeil dans l&rsquo;enfance, ainsi que la st\u00e9nose vert\u00e9brale, la douleur chronique et les probl\u00e8mes de mobilit\u00e9 chez les adultes, pour n&rsquo;en nommer que quelques-uns.<\/p>\n    <\/div>\n\n<figure id=\"acf-block-64255db994d42\">\n    <div class=\"image image-align-left\">\n                    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2023\/08\/Group-250-1900x860.png\" alt=\"Caract\u00e9ristique mesurable de l&#039;achondroplasie\" \/>            <\/div>\n    <\/figure>\n\n<div id=\"acf-block-64255db994d57\" class=\"block-wysiwyg\">\n            <p>Leurs fonctions cognitives ne sont pas touch\u00e9es, mais les enfants achondroplases sont confront\u00e9s \u00e0 des complications\u00a0<strong>musculosquelettiques<\/strong>,\u00a0<strong>ORL<\/strong>,\u00a0<strong>neurologiques<\/strong>\u00a0et\u00a0<strong>rachidiennes<\/strong>, dont certaines peuvent n\u00e9cessiter une correction chirurgicale.<sup>1-3<\/sup><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994d79\" class=\"block call-to-action\">\n    <div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"box\" style=\"\">\n\t\t\t\t<div class=\"overlay\"><\/div>\n\t\t\t\t<div class=\"cta-content\">\n\t\t\t\t    \t\t\t\t\t<div class=\"cta-content-main\">\n                        <div class=\"content-block\">\n\t\t\t\t\t        \t\t\t\t\t        \t\t\t\t\t\t        <h2 class=\"h3\">Soyez pr\u00e9par\u00e9\u00b7e\n<\/h2>\n\t\t\t\t\t\t    \t\t\t\t\t\t    \t\t\t\t\t\t        <p>Une prise en charge optimale de l\u2019achondroplasie implique d\u2019anticiper les complications sp\u00e9cifiques \u00e0 chaque \u00e9tape du d\u00e9veloppement.<\/p>\n\t\t\t\t\t\t    \t\t\t\t\t    <\/div>\n\t\t\t\t\t                                <div class=\"content-block\">\n                                <p><a class=\"button button-ghost button-arrow\" href=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/ressources\/\" target=\"_self\">\u00c9coutez des sp\u00e9cialistes<\/a><\/p>\n                            <\/div>\n\t\t\t\t\t                        <\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"complications\" class=\"block wrapped-content block-zero-bottom\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db994da0\" class=\"block-wysiwyg\">\n            <h2>Complications couramment observ\u00e9es chez les patients au fil du temps<\/h2>\n<p>Gardez bien ces complications \u00e0 l\u2019esprit pour aider les familles \u00e0 avoir une vision globale des signes \u00e0 surveiller:<sup>2-9<\/sup><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994db6\" class=\"block cards cards-3-col block-zero-top block-zero-bottom\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"cards-title\">\n\t\t\t    \t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"cards-wrapper\">\n\t\t\t    \n<div id=\"acf-block-64255db994dca\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Troubles respiratoires du sommeil\n<\/h4>\n        \n                                                                                                            <p>Touchent &gt; 50 % des personnes achondroplases<\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994dde\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Genu varum (jambes arqu\u00e9es)\n<\/h4>\n        \n                                                                                                            \n\n<p>Peut affecter la marche et la course<\/p>\n\n\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994df0\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>St\u00e9nose spinale symptomatique\n<\/h4>\n        \n                                                                                                            <p>Peut entra\u00eener une faiblesse des jambes, une incontinence et des douleurs chroniques<\/p>\n                                                                                    <\/div>\n<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994e02\" class=\"block cards cards-3-col block-zero-top block-zero-bottom\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"cards-title\">\n\t\t\t    \t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"cards-wrapper\">\n\t\t\t    \n<div id=\"acf-block-64255db994e15\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Douleurs chroniques\n<\/h4>\n        \n                                                                                                            <p>Peuvent entra\u00eener une perte de mobilit\u00e9<\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994e27\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Hyperlordose lombaire\n<\/h4>\n        \n                                                                                                            <p>N\u00e9cessite parfois une kin\u00e9sith\u00e9rapie<\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994e38\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Otites moyennes\n<\/h4>\n        \n                                                                                                            <p>Touchent jusqu\u2019\u00e0 70 % des enfants<\/p>\n                                                                                    <\/div>\n<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994e4a\" class=\"block cards cards-3-col block-zero-top block-zero-bottom\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"cards-title\">\n\t\t\t    \t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"cards-wrapper\">\n\t\t\t    \n<div id=\"acf-block-64255db994e5e\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Probl\u00e8mes dentaires\n<\/h4>\n        \n                                                                                                            <p>Un encombrement dentaire et un palais \u00e9troit peuvent entra\u00eener une malocclusion<\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994e70\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Rigidit\u00e9 au niveau des coudes\n<\/h4>\n        \n                                                                                                            <p>Limite l\u2019amplitude des mouvements<\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994e82\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Ob\u00e9sit\u00e9\n<\/h4>\n        \n                                                                                                            <p>Peut entra\u00eener une hypertension ou des cardiopathies<\/p>\n                                                                                    <\/div>\n<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"infants\" class=\"block wrapped-content block-tight-top\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db994eb0\" class=\"block-wysiwyg\">\n            <h2>Complications de l&rsquo;achondroplasie au cours de la vie<\/h2>\n<p>Bien que les complications puissent dispara\u00eetre avec le temps, une prise en charge pr\u00e9ventive peut aider \u00e0 att\u00e9nuer des cons\u00e9quences graves, sinon inattendues, sur la sant\u00e9. Explorez les pr\u00e9parations ci-dessous qui pourraient \u00eatre faites pour combattre les effets de l&rsquo;achondroplasie.<\/p>\n<h3>Nourrissons<\/h3>\n<p>L\u2019alt\u00e9ration du d\u00e9veloppement osseux a un impact sur le corps entier, et ses cons\u00e9quences sur la taille et la morphologie du trou occipital peuvent entra\u00eener une compression m\u00e9dullaire cervicale. En raison du risque de mort subite, une surveillance r\u00e9guli\u00e8re, une prise en charge ad\u00e9quate et une orientation en temps opportun vers des sp\u00e9cialistes sont essentielles chez le nourrisson.<sup>2,3,7,10-16<\/sup><\/p>\n<p><strong>Il est important de surveiller les complications car elles sont susceptibles d\u2019\u00e9voluer rapidement et \u00e0 bas bruit.<\/strong><\/p>\n<p><a href=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2024\/02\/French-HCP-DSE-Website-Downloadable-resource-1.pdf?v=0.57\" target=\"_blank\" rel=\"noopener\">T\u00e9l\u00e9charger la ressource de chronologie des complications<\/a><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994ee7\" class=\"block split-content equal-bias bottom-border\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2022\/12\/infants_icons.svg\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <ul>\n<li><strong>Apn\u00e9e centrale du sommeil<\/strong><br \/>\nPeut contribuer \u00e0 un retard d\u2019apprentissage et de d\u00e9veloppement<\/li>\n<li><strong>Retard des \u00e9tapes du d\u00e9veloppement<\/strong><br \/>\nRetard de la motricit\u00e9 globale d\u00fb \u00e0 une hypotonie, et retard de langage cons\u00e9cutif \u00e0 des otites moyennes aigu\u00ebs et chroniques<\/li>\n<li><strong>Obstruction des voies respiratoires sup\u00e9rieures<\/strong><br \/>\nUne intervention chirurgicale peut s\u2019av\u00e9rer n\u00e9cessaire chez un tiers des enfants<\/li>\n<li><strong>Hypotonie<\/strong><br \/>\nPeut retarder le d\u00e9veloppement moteur<\/li>\n<li><strong>Otites moyennes r\u00e9currentes<\/strong><br \/>\nUne hypoplasie de la partie moyenne du visage, des trompes d\u2019Eustache plus courtes et un pharynx \u00e9troit sont parfois observ\u00e9s d\u00e8s la petite enfance et peuvent entra\u00eener une perte auditive de transmission durant la premi\u00e8re ann\u00e9e de vie<\/li>\n<li><strong>St\u00e9nose du trou occipital<\/strong><br \/>\nL\u2019\u00e9troitesse de la base du cr\u00e2ne et la compression du tronc c\u00e9r\u00e9bral inf\u00e9rieur\/de la moelle cervicale sup\u00e9rieure qui en r\u00e9sulte peuvent entra\u00eener des complications soudaines et d\u2019issue fatale (compression m\u00e9dullaire cervicale)<\/li>\n<\/ul>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"toddlers\" class=\"block wrapped-content\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db994f16\" class=\"block-wysiwyg\">\n            <h3>Tout-petits<\/h3>\n<p>En plus des risques permanents de mort subite dus \u00e0 la compression m\u00e9dullaire cervicale, les tout-petits peuvent pr\u00e9senter un retard de d\u00e9veloppement et d\u2019autres complications qui doivent \u00eatre anticip\u00e9es avec la famille et n\u00e9cessitent parfois une intervention chirurgicale.<sup>2,5,7,11-14,17-20<\/sup><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994f45\" class=\"block split-content equal-bias bottom-border\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2022\/12\/toddlers_icons.svg\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <ul>\n<li><strong>Obstruction des voies respiratoires sup\u00e9rieures<\/strong><br \/>\nUne intervention chirurgicale peut s\u2019av\u00e9rer n\u00e9cessaire chez un tiers des enfants<\/li>\n<li><strong>Cyphose<\/strong><br \/>\nExag\u00e9ration de la convexit\u00e9 de la colonne vert\u00e9brale \u2014 n\u00e9cessite de faire particuli\u00e8rement attention \u00e0 la posture en position assise<\/li>\n<li><strong>Genu varum<\/strong><br \/>\nLa croissance disproportionn\u00e9e des tibias et des p\u00e9ron\u00e9s peut entra\u00eener une torsion tibiale souvent d\u2019installation progressive<\/li>\n<li><strong>Troubles du langage<\/strong><br \/>\nUn retard de langage et une mauvaise articulation sont observ\u00e9s chez respectivement 20 % et 11 % des enfants achondroplases<\/li>\n<li><strong>Otites moyennes r\u00e9currentes<\/strong><br \/>\nUne hypoplasie de la partie moyenne du visage, des trompes d\u2019Eustache plus courtes et un pharynx \u00e9troit sont parfois observ\u00e9s d\u00e8s la petite enfance et peuvent \u00eatre \u00e0 l\u2019origine d\u2019une perte auditive de transmission<\/li>\n<li><strong>St\u00e9nose du trou occipital<\/strong><br \/>\nL\u2019\u00e9troitesse de la base du cr\u00e2ne et la compression du tronc c\u00e9r\u00e9bral inf\u00e9rieur\/de la moelle cervicale sup\u00e9rieure qui en r\u00e9sulte peuvent entra\u00eener des complications soudaines et d\u2019issue fatale (compression m\u00e9dullaire cervicale)<\/li>\n<\/ul>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"children\" class=\"block wrapped-content\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db994f7d\" class=\"block-wysiwyg\">\n            <h3>Enfants<\/h3>\n<p>Il est important de surveiller, tout au long de l\u2019enfance, l\u2019apparition de troubles ORL, respiratoires et orthop\u00e9diques qui pourraient contribuer \u00e0 un retard de d\u00e9veloppement en l\u2019absence de traitement. Les fonctions cognitives ne sont pas alt\u00e9r\u00e9es.<sup>2,7,13,19,20-24<\/sup><\/p>\n<p><strong>\u00c0 cette p\u00e9riode de la vie, l\u2019impact psychosocial de l\u2019achondroplasie (d\u00e9pression, anxi\u00e9t\u00e9, isolement) peut commencer \u00e0 affecter les r\u00e9sultats scolaires et les interactions sociales.<sup>20,25<\/sup><\/strong><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994fb3\" class=\"block split-content equal-bias bottom-border\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2022\/12\/Children_Icons.svg\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <ul>\n<li><strong>Impact psychosocial<\/strong><br \/>\nEn savoir plus sur l\u2019impact \u00e9motionnel de l\u2019achondroplasie<\/li>\n<li><strong>Probl\u00e8mes orthodontiques<\/strong><br \/>\nL\u2019alt\u00e9ration de la croissance au niveau de la base du cr\u00e2ne peut donner lieu \u00e0 des probl\u00e8mes orthodontiques. Un encombrement dentaire et un palais \u00e9troit peuvent entra\u00eener une malocclusion<\/li>\n<li><strong>Hyperlordose lombaire<\/strong><br \/>\nUne exag\u00e9ration de la courbure de la colonne lombaire peut appara\u00eetre avant l\u2019\u00e2ge de 5 ans<\/li>\n<li><strong>Ob\u00e9sit\u00e9<\/strong><br \/>\nPeut \u00eatre directement associ\u00e9e \u00e0 l\u2019apparition ult\u00e9rieure d\u2019une apn\u00e9e du sommeil ou de maladies cardiovasculaires<\/li>\n<li><strong>Difficult\u00e9s fonctionnelles<\/strong><br \/>\nEn savoir plus sur les difficult\u00e9s fonctionnelles li\u00e9es \u00e0 l\u2019achondroplasie<\/li>\n<li><strong>Genu varum<\/strong><br \/>\nUne croissance disproportionn\u00e9e des tibias et des p\u00e9ron\u00e9s peut entra\u00eener une torsion tibiale souvent d\u2019installation progressive durant l\u2019enfance, qui dispara\u00eet parfois avec la maturit\u00e9 du squelette. Une correction chirurgicale est souvent pratiqu\u00e9e durant l\u2019enfance, mais 40 % des adultes achondroplases pr\u00e9sentent toujours des tibias tr\u00e8s arqu\u00e9s, ce qui peut contribuer aux douleurs<\/li>\n<li><strong>Force musculaire r\u00e9duite<\/strong><br \/>\nLa force des extenseurs du poignet, des fl\u00e9chisseurs de la hanche, des extenseurs du genou et des fl\u00e9chisseurs du pied peut \u00eatre significativement r\u00e9duite<\/li>\n<li><strong>Troubles respiratoires du sommeil<\/strong><br \/>\nL\u2019apn\u00e9e obstructive du sommeil est le trouble respiratoire le plus fr\u00e9quemment observ\u00e9 chez les enfants achondroplases<\/li>\n<li><strong>Otites moyennes r\u00e9currentes<\/strong><br \/>\nUne hypoplasie de la partie moyenne du visage, des trompes d\u2019Eustache plus courtes et un pharynx \u00e9troit sont parfois observ\u00e9s d\u00e8s la petite enfance et peuvent \u00eatre \u00e0 l\u2019origine d\u2019une perte auditive de transmission<\/li>\n<\/ul>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"teenagers\" class=\"block wrapped-content\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db994fe6\" class=\"block-wysiwyg\">\n            <h3>Adolescents<\/h3>\n<p>L\u2019adolescence est, pour tout un chacun, l\u2019\u00e2ge des grandes transitions. Si certaines complications m\u00e9dicales de l\u2019achondroplasie peuvent persister, l\u2019impact fonctionnel et \u00e9motionnel peut \u00e9galement se faire davantage ressentir. Il est essentiel de travailler avec le patient, ses parents et ses aidants pour traiter de mani\u00e8re globale toutes les difficult\u00e9s rencontr\u00e9es \u00e0 l\u2019adolescence et ainsi aider le patient \u00e0 d\u00e9velopper son ind\u00e9pendance et \u00e0 renforcer son estime de soi.<sup>2,5,7,25<\/sup><\/p>\n<p><strong>La prise en charge de l\u2019impact psychosocial et des difficult\u00e9s fonctionnelles li\u00e9s \u00e0 l\u2019achondroplasie permet de faciliter la transition vers l\u2019\u00e2ge adulte, en favorisant notamment la poursuite des \u00e9tudes et la cr\u00e9ation de liens sociaux \u00e9quilibr\u00e9s.<\/strong><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db995011\" class=\"block split-content equal-bias bottom-border\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                                                                                                \n                                    \n                                    <figure>\n                                        <div class=\"image image-rounded\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2022\/12\/Teenagers_Icons.svg\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <ul>\n<li><strong>Impact psychosocial<\/strong><br \/>\nEn savoir plus sur l\u2019impact \u00e9motionnel de l\u2019achondroplasie<\/li>\n<li><strong>St\u00e9nose du rachis lombaire<\/strong><br \/>\nLa plupart des personnes achondroplases pr\u00e9sentent une st\u00e9nose lombaire plus ou moins prononc\u00e9e, qui ne n\u00e9cessite pas toujours une intervention chirurgicale<\/li>\n<li><strong>Douleurs chroniques<\/strong><br \/>\nCes douleurs peuvent entraver la participation aux activit\u00e9s sociales, la poursuite de la scolarit\u00e9 et l\u2019ex\u00e9cution des t\u00e2ches de la vie quotidienne<\/li>\n<li><strong>Difficult\u00e9s fonctionnelles<\/strong><br \/>\nEn savoir plus sur les difficult\u00e9s fonctionnelles li\u00e9es \u00e0 l\u2019achondroplasie<\/li>\n<li><strong>Troubles du langage<\/strong><br \/>\nLe retard de langage et les probl\u00e8mes d\u2019articulation persistent durant l\u2019adolescence<\/li>\n<li><strong>Troubles de l&rsquo;audition<\/strong><br \/>\nEnviron 25 % des enfants achondroplases de moins de 18 ans pr\u00e9sentent une perte auditive<\/li>\n<\/ul>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"adults\" class=\"block wrapped-content\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db99503c\" class=\"block-wysiwyg\">\n            <h3>Adultes<\/h3>\n<p>Certaines complications m\u00e9dicales li\u00e9es \u00e0 l\u2019achondroplasie disparaissent \u00e0 l\u2019\u00e2ge adulte. Mais beaucoup d\u2019autres peuvent prendre de l\u2019ampleur et s\u2019aggraver au point parfois de menacer le pronostic vital. Faciliter les relations entre le patient et les autres sp\u00e9cialistes de son \u00e9quipe de soins constitue un \u00e9l\u00e9ment essentiel de la prise en charge car anticiper les cons\u00e9quences de ces complications tout au long de la vie peut contribuer \u00e0 limiter leur s\u00e9v\u00e9rit\u00e9.<sup>2,3,7-9,17,26,27<\/sup><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db995065\" class=\"block split-content equal-bias block-zero-top block-tight-bottom\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                                                                                                \n                                    \n                                    <figure>\n                                        <div class=\"image image-rounded\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2022\/12\/Adult_Icons.svg\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <ul>\n<li><strong>Impact psychosocial<\/strong><br \/>\nEn savoir plus sur l\u2019impact \u00e9motionnel de l\u2019achondroplasie<\/li>\n<li><strong>St\u00e9nose du rachis lombaire<\/strong><br \/>\nLa plupart des personnes achondroplases pr\u00e9sentent une st\u00e9nose lombaire plus ou moins prononc\u00e9e, qui ne n\u00e9cessite pas toujours une intervention chirurgicale<\/li>\n<li><strong>Mortalit\u00e9<\/strong><br \/>\nAvec le temps, des complications cardiovasculaires peuvent diminuer l\u2019esp\u00e9rance de vie<\/li>\n<li><strong>Ost\u00e9oporose<\/strong><br \/>\nUn manque d\u2019activit\u00e9 physique peut contribuer \u00e0 une perte de densit\u00e9 min\u00e9rale osseuse<\/li>\n<li><strong>Ob\u00e9sit\u00e9<\/strong><br \/>\nL\u2019un des aspects les plus courants et les plus pr\u00e9occupants chez l\u2019adulte est l\u2019ob\u00e9sit\u00e9, qui est directement li\u00e9e \u00e0 l\u2019apn\u00e9e du sommeil et aux maladies cardiovasculaires<\/li>\n<li><strong>Difficult\u00e9s fonctionnelles<\/strong><br \/>\nEn savoir plus sur les difficult\u00e9s fonctionnelles li\u00e9es \u00e0 l\u2019achondroplasie<\/li>\n<\/ul>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db9950be\" class=\"block split-content equal-bias bg-band block-zero-top block-zero-bottom block-remove-bottom-padding\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                <h2>Pour \u00eatre globale, la prise en charge doit \u00e9galement tenir compte des difficult\u00e9s fonctionnelles et de l&rsquo;impact psychosocial<\/h2>\n<p>Les enfants achondroplases sont parfois confront\u00e9s \u00e0 des difficult\u00e9s fonctionnelles et psychosociales, en particulier au d\u00e9but de la scolarit\u00e9 et au moment de la pubert\u00e9. Anticiper ces difficult\u00e9s permettra aux parents d\u2019\u00eatre mieux arm\u00e9s pour r\u00e9pondre aux besoins de leur enfant.<sup>2,18,20<\/sup><\/p>\n<ul>\n<li>Le <strong>d\u00e9veloppement de la communication<\/strong> (mots, phrases), l\u2019apprentissage et les r\u00e9sultats scolaires peuvent \u00eatre affect\u00e9s par un retard de langage d\u00fb \u00e0 une perte auditive (otites moyennes) ou aux r\u00e9percussions d\u2019une apn\u00e9e du sommeil<sup>3,16<\/sup><\/li>\n<li>Les\u00a0<strong>\u00e9tapes de d\u00e9veloppement<\/strong> de la motricit\u00e9 globale et de la motricit\u00e9 fine peuvent \u00eatre retard\u00e9es du fait de la longueur des doigts ou de la morphologie des mains en trident<sup>3,30<\/sup><\/li>\n<li>Les <strong>troubles fonctionnels<\/strong> peuvent limiter la mobilit\u00e9 et l\u2019autonomie<sup>18<\/sup><\/li>\n<li>La\u00a0<strong>difficult\u00e9 \u00e0 atteindre certaines parties du corps<\/strong> peut compliquer la toilette et les soins d\u2019hygi\u00e8ne corporelle<sup>18,20<\/sup><\/li>\n<li>La\u00a0<strong>participation sociale<\/strong> est parfois frein\u00e9e par un sentiment d\u2019anxi\u00e9t\u00e9 ou un manque d\u2019estime de soi, ce qui favorise l\u2019isolement<sup>25<\/sup><\/li>\n<li>Les\u00a0<strong>difficult\u00e9s fonctionnelles<\/strong> peuvent souvent \u00eatre compens\u00e9es par des adaptations de l\u2019environnement et des outils sp\u00e9ciaux (par exemple, rehausses de p\u00e9dales pour la conduite)<sup>2<\/sup><\/li>\n<\/ul>\n<p>Les complications li\u00e9es \u00e0 l\u2019achondroplasie n\u2019affectent pas les capacit\u00e9s cognitives<sup>13,21<\/sup><\/p>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2022\/11\/kid-doing-homework.png?v=0.122\" alt=\"A young boy with Achondroplasia sitting at a table doing homework\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db9950eb\" class=\"block call-to-action\">\n    <div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"box\" style=\"\">\n\t\t\t\t<div class=\"overlay\"><\/div>\n\t\t\t\t<div class=\"cta-content\">\n\t\t\t\t    \t\t\t\t\t<div class=\"cta-content-main\">\n                        <div class=\"content-block\">\n\t\t\t\t\t        \t\t\t\t\t        \t\t\t\t\t\t        <h2 class=\"h3\">Comprendre la prise en charge tout au long de la vie du patient\n<\/h2>\n\t\t\t\t\t\t    \t\t\t\t\t\t    \t\t\t\t\t\t        <p>Le poids de l\u2019achondroplasie peut \u00eatre \u00e9crasant si les complications pr\u00e9visibles ne sont pas correctement anticip\u00e9es. Une prise en charge proactive des complications est primordiale pour faire en sorte que le patient re\u00e7oive les soins dont il a besoin.<sup>2,4<\/sup><\/p>\n\t\t\t\t\t\t    \t\t\t\t\t    <\/div>\n\t\t\t\t\t                                <div class=\"content-block\">\n                                <p><a class=\"button button-ghost button-download\" href=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2024\/02\/French-HCP-DSE-Website-Downloadable-resource-2.pdf?v=0.57\" target=\"_blank\">T\u00e9l\u00e9chargez la feuille de travail de l&rsquo;\u00e9quipe de soins<\/a><\/p>\n                            <\/div>\n\t\t\t\t\t                        <\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db995101\" class=\"block cards cards-2-col\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"cards-title\">\n\t\t\t    \t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"cards-wrapper\">\n\t\t\t    \n<div id=\"acf-block-64255db99511b\" class=\"card card-fixed-button\" data-muted-autoplay=\"false\">\n    \t    \n\n                    <img decoding=\"async\" class=\"card-image\" src=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2022\/11\/mother-with-child.jpg?v=0.122\" alt=\"mother sat reading with child with Achodroplasia\" \/>        \n\t    <div class=\"card-content\">\n                            <h4>G\u00e9rer l&rsquo;achondroplasie\n<\/h4>\n        \n                                                                                                            <p>Le sp\u00e9cialiste qui est au c\u0153ur des soins du patient peut aider \u00e0 coordonner la prise en charge pluridisciplinaire<\/p>\n                                                                                                                                                                                                                                                                        \n                                                                                        <\/div>\n                                <div class=\"card-actions\">\n                            \n                            <p><a class=\"button button-text button-arrow\" href=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/prise-en-charge\/\" target=\"_self\">En savoir plus sur la gestion de l&rsquo;achondroplasie<\/a><\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db995137\" class=\"card card-fixed-button\" data-muted-autoplay=\"false\">\n    \t    \n\n                    <img decoding=\"async\" class=\"card-image\" src=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2023\/08\/Care-Team-1900x1250.png\" alt=\"\" \/>        \n\t    <div class=\"card-content\">\n                            <h4>Feuille de travail de votre \u00e9quipe de soins\n<\/h4>\n        \n                                                                                                            <p>Il est important de coordonner les soins avec une \u00e9quipe multidisciplinaire de sp\u00e9cialistes qui g\u00e8re de mani\u00e8re proactive les complications<sup>2,4<\/sup><\/p>\n                                                                                                                                                                                                                                                                        \n                                                                                        <\/div>\n                                <div class=\"card-actions\">\n                            \n                            <p><a class=\"button button-text\" href=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2023\/08\/HCP-DSE-Care-Team-Resource-France.pdf?v=0.40\" target=\"_blank\">T\u00e9l\u00e9chargez la feuille de travail de l&rsquo;\u00e9quipe de soins<\/a><\/p>\n                                                                                    <\/div>\n<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db996cd3\" class=\"block boxed-content quiz block-tight-top block-tight-bottom\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n            <div class=\"box\">\n\t\t\t\t<div class=\"quiz-question\">\n                    \t\t\t\t\t    <h2>Testez vos connaissances\n<\/h2>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t    <p>L&rsquo;orientation des patients vers un professionnel de sant\u00e9 n&rsquo;est probablement pas n\u00e9cessaire avant l&rsquo;\u00e2ge adulte.<\/p>\n\t\t\t\t\t\n                                            <div class=\"quiz-question-responses\">\n                                                                                                                                                            <a class=\"button button-ghost\" href=\"#\" data-correct-answer=\"false\">\n                                    Vrai\n                                <\/a>\n                                                                                                                                                            <a class=\"button button-ghost\" href=\"#\" data-correct-answer=\"true\">\n                                    Faux\n                                <\/a>\n                                                    <\/div>\n\t\t\t\t\t\n                                            <div class=\"quiz-question-submit\">\n                            <p><a class=\"button\" href=\"#\">Soumettre<\/a><\/p>\n                        <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"quiz-answer\" style=\"display:none;\">\n\t\t\t\t    \t\t\t\t        \t\t\t\t\t    <p class=\"quiz-answer-choice\">Votre choix: %choice%\n<\/p>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t    <div class=\"split-content\">\n                            <div class=\"wrapper\">\n                                <div class=\"inner-wrapper\">\n                                    <div class=\"content-block\">\n                                                                                    <h2 class=\"correct\" style=\"display:none;\">C&rsquo;est exact !\n<\/h2>\n                                        \n                                                                                    <h2 class=\"incorrect\" style=\"display:none;\">Incorrect &#8211; La bonne r\u00e9ponse est %answer%\n<\/h2>\n                                        \n                                                                                    <p>En plus de traiter les complications physiques, les patients doivent \u00eatre r\u00e9f\u00e9r\u00e9s \u00e0 un professionnel de sant\u00e9, le cas \u00e9ch\u00e9ant, \u00e0 tout \u00e2ge.<sup>1,2<\/sup><\/p>\n                                                                            <\/div>\n                                    <div class=\"content-block\">\n                                                                                    <figure>\n                                                <div class=\"image\">\n                                                    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/fr-fr\/achondroplasia\/wp-content\/uploads\/sites\/3\/2023\/03\/Screenshot_2023-03-30_at_10.55.52-removebg-preview.png?v=0.122\" alt=\"\" \/>                                                <\/div>\n                                            <\/figure>\n                                                                            <\/div>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n\t\t\t\t\t\n\t\t\t\t\t                        <p class=\"references\">\n                            <a class=\"quiz-references-modal\" href=\"#quiz-references-modal\">R\u00e9f\u00e9rences<\/a>\n                        <\/p>\n                        <div id=\"quiz-references-modal\" class=\"quiz-references white-popup-block mfp-hide\">\n                            <div class=\"box references\">\n                                <p><a class=\"modal-close\" href=\"#\">Fermer les r\u00e9f\u00e9rences<\/a><\/p>\n                                                                    <h2>R\u00e9f\u00e9rences :\n<\/h2>\n                                                                <ol>\n                                                                                                                                                                                                        <li><span>Unger S, Bonaf\u00e9 L, Gouze E. Current Care and Investigational Therapies in Achondroplasia.\u202fCurr Osteoporos Rep. 2017;15(2):53-60. doi:10.1007\/s11914-017-0347-2.\n<\/span><\/li>\n                                                                                                                                                                                                                                                <li><span>Nishimura N, Hanaki K. Psychosocial profiles of children with achondroplasia in terms of their short stature-related stress: a nationwide survey in Japan.\u202fJ Clin Nurs. 2014;23(21-22):3045-3056. doi:10.1111\/jocn.12531.\n<\/span><\/li>\n                                                                                                            <\/ol>\n                            <\/div>\n                        <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db996d79\" class=\"block references\">\n    <div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t    \t\t\t    <h4>R\u00e9f\u00e9rences :\n<\/h4>\n\t\t\t\t\t\t                <ol>\n                                                                                                                        <li><span>Ireland PJ, Pacey V, Zankl A, Edwards P, Johnston LM, Savarirayan R. Optimal management of complications associated with achondroplasia. <em>Appl Clin Genet<\/em>. 2014;7:117-125. Published online June 24, 2014.\n<\/span><\/li>\n                                                                                                                                                <li><span>Hoover-Fong J, Scott CI, Jones MC; Committee on Genetics. Health supervision for people with achondroplasia. <em>Pediatrics<\/em>. 2020;145(6):e20201010.\n<\/span><\/li>\n                                                                                                                                                <li><span>Pauli RM. Achondroplasia: a comprehensive clinical review. <em>Orphanet J Rare Dis<\/em>. 2019;14(1):1.\n<\/span><\/li>\n                                                                                                                                                <li><span>Unger S, Bonaf\u00e9 L, Gouze E. Current care and investigational therapies in achondroplasia. <em>Curr Osteoporos Rep<\/em>. 2017;15(2):53-60.\n<\/span><\/li>\n                                                                                                                                                <li><span>Shirley ED, Ain MC. Achondroplasia: manifestations and treatment. <em>J Am Acad Orthop Surg<\/em>. 2009;17(4):231-241.\n<\/span><\/li>\n                                                                                                                                                <li><span>Ain MC, Abdullah MA, Ting BL, <em>et al<\/em>. Progression of low back and lower extremity pain in a cohort of patients with achondroplasia. <em>J Neurosurg Spine<\/em>. 2010;13(3):335-340.\n<\/span><\/li>\n                                                                                                                                                <li><span>Hunter AG, Bankier A, Rogers JG, Sillence D, Scott CI Jr. Medical complications of achondroplasia: a multicentre patient review. <em>J Med Genet<\/em>. 1998;35(9):705-712.\n<\/span><\/li>\n                                                                                                                                                <li><span>Hecht JT, Hood OJ, Schwartz RJ, Hennessey JC, Bernhardt BA, Horton WA. Obesity in achondroplasia. <em>Am J Med Genet<\/em>. 1988;31(3):597-602.\n<\/span><\/li>\n                                                                                                                                                <li><span>Fredwall SO, Maanum G, Johansen H, Snekkevik H, Savarirayan R, Lidal IB. Current knowledge of medical complications in adults with achondroplasia: a scoping review. Clin Genet. 2020;97(1):179-197.\n<\/span><\/li>\n                                                                                                                                                <li><span>Ednick M, Tinkle BT, Phromchairak J, Egelhoff J, Amin R, Simakajornboon N. Sleep-related respiratory abnormalities and arousal pattern in achondroplasia during early infancy. <em>J Pediatr<\/em>. 2009;155(4):510-515.\n<\/span><\/li>\n                                                                                                                                                <li><span>Hecht JT, Horton WA, Reid CS, Pyeritz RE, Chakraborty R. Growth of the foramen magnum in achondroplasia. <em>Am J Med Genet<\/em>. 1989;32(4):528-535.\n<\/span><\/li>\n                                                                                                                                                <li><span>Julliand S, Boul\u00e9 M, Baujat G, <em>et al<\/em>. Lung function, diagnosis, and treatment of sleep-disordered breathing in children with achondroplasia. <em>Am J Med Genet A<\/em>. 2012;158A(8):1987-1993.\n<\/span><\/li>\n                                                                                                                                                <li><span>Brinkmann G, Schlitt H, Zorowka P, Spranger J. Cognitive skills in achondroplasia. <em>Am J Med Genet<\/em>. 1993;47(5):800-804.\n<\/span><\/li>\n                                                                                                                                                <li><span>Tunkel D, Alade Y, Kerbavaz R, Smith B, Rose-Hardison D, Hoover-Fong J. Hearing loss in skeletal dysplasia patients. <em>Am J Med Genet A<\/em>. 2012;158A(7):1551-1555.\n<\/span><\/li>\n                                                                                                                                                <li><span>Horton WA, Hall JG, Hecht JT. 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October 12, 1998 [Updated August 6, 2020]. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK1152.\n<\/span><\/li>\n                                                            <\/ol>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db996f5e\" class=\"block print-page\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n            <p><a class=\"button button-print\" href=\"#\">Imprimer cette page<\/a><\/p>\n        <\/div>\n    <\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-19","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Complications de l&#039;achondroplasie | 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