/* IPP 3.2.136 — patient reading layout. */
.ipp-patient-breadcrumb{max-width:1380px;margin:16px auto 0;padding:0 36px;font:13px/1.6 Inter,system-ui,sans-serif;color:#526975}
.ipp-patient-breadcrumb ol{display:flex;flex-wrap:wrap;gap:4px 10px;margin:0;padding:0;list-style:none}
.ipp-patient-breadcrumb li{min-width:0;overflow-wrap:anywhere}
.ipp-patient-breadcrumb li+li:before{content:"/";margin-right:10px;color:#698089}
.ipp-patient-breadcrumb a{color:#087b80;text-decoration:underline;text-underline-offset:3px}
.ipp-patient-redesign{--ipp-ink:#203a45;--ipp-muted:#526975;--ipp-line:#dce6e8;--ipp-teal:#087b80;--ipp-tint:#eaf7f5;--ipp-deep:#075b62;max-width:1380px;padding:20px 36px 50px;color:var(--ipp-ink);background:#fff;font-family:Inter,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",sans-serif;line-height:1.7}
.ipp-patient-redesign,.ipp-patient-redesign *{box-sizing:border-box}
.ipp-patient-redesign [hidden]{display:none!important}
.ipp-patient-redesign [id]{scroll-margin-top:24px}
.ipp-patient-redesign .ipp-detail-top{margin:0 0 24px}
.ipp-patient-redesign .ipp-back{padding:8px 0;margin:0;background:transparent;border-radius:0;font-size:13px;font-weight:500;color:var(--ipp-teal);min-height:44px;display:inline-flex;align-items:center}
.ipp-patient-redesign .ipp-detail-hero{text-align:left;background:#fff;border:0;border-bottom:1px solid var(--ipp-line);border-radius:0;box-shadow:none;padding:0 0 28px}
.ipp-patient-redesign .ipp-detail-hero>.ipp-reading-eyebrow{padding:0;border:0;border-radius:0;font-size:12px;letter-spacing:1px;line-height:1.6;font-weight:650;text-transform:uppercase;color:var(--ipp-teal)}
.ipp-patient-redesign .ipp-detail-hero h1{max-width:none;margin:13px 0 15px;font-size:clamp(32px,3.5vw,46px);font-weight:700;line-height:1.18;letter-spacing:-1.4px;color:var(--ipp-ink);overflow-wrap:anywhere}
.ipp-patient-redesign .ipp-detail-hero>.ipp-reading-pathology{font-size:23px;font-weight:500;line-height:1.45;color:var(--ipp-ink);margin:0 0 4px}
.ipp-patient-redesign .ipp-detail-hero>.ipp-reading-stage{font-size:16px;line-height:1.6;color:var(--ipp-muted);margin:0}
.ipp-patient-redesign .ipp-detail-hero>.ipp-reading-hero-actions{display:flex;align-items:center;justify-content:space-between;gap:18px;flex-wrap:wrap;max-width:none;margin:24px 0 0;padding:0;background:transparent;border:0;border-radius:0}
.ipp-patient-redesign .ipp-reading-updated{font-size:13px;color:var(--ipp-muted);margin:0}
.ipp-patient-redesign .ipp-reading-pdf-button{display:inline-flex;align-items:center;justify-content:center;gap:16px;min-height:48px;padding:10px 18px;border-radius:8px;background:var(--ipp-deep);color:#fff;font-size:15px;font-weight:600;text-decoration:none}
.ipp-patient-redesign .ipp-reading-pdf-button:hover{background:#054b51}
.ipp-patient-redesign .ipp-detail-layout{display:grid;grid-template-columns:215px minmax(0,1fr);gap:38px;margin-top:32px;align-items:start}
.ipp-patient-redesign .ipp-detail-layout>main,.ipp-patient-redesign .ipp-reading-sidebar{min-width:0}
.ipp-patient-redesign .ipp-reading-sidebar nav{position:static;display:block;top:auto;padding:0;border:0;border-radius:0;box-shadow:none;white-space:normal;background:transparent;overflow:visible}
.ipp-patient-redesign .ipp-reading-toc>b{display:block;margin:0 0 10px;font-size:13px;color:var(--ipp-muted);font-weight:650}
.ipp-patient-redesign .ipp-reading-toc ol{list-style:none;margin:0;padding:0}
.ipp-patient-redesign .ipp-reading-toc li{margin:0;padding:0}
.ipp-patient-redesign .ipp-reading-toc a{display:flex;gap:10px;align-items:center;min-height:44px;padding:8px 0;border:0;border-radius:0;color:var(--ipp-ink);font-size:14px;font-weight:450;line-height:1.5}
.ipp-patient-redesign .ipp-reading-toc a span{display:inline;width:auto;height:auto;border:0;border-radius:0;background:transparent;color:var(--ipp-teal);font-size:11px;flex:none}
.ipp-patient-redesign .ipp-reading-toc a:hover{background:transparent;color:var(--ipp-teal);text-decoration:underline;text-underline-offset:3px}
.ipp-patient-redesign .ipp-reading-tools{margin-top:26px;border-top:1px solid var(--ipp-line);padding-top:10px}
.ipp-patient-redesign .ipp-reading-tools>summary{min-height:44px;color:var(--ipp-muted);font-size:13px;font-weight:650}
.ipp-patient-redesign .ipp-reading-tools nav{display:grid;gap:4px;margin-top:8px}
.ipp-patient-redesign .ipp-reading-tools nav a{display:flex;align-items:center;gap:9px;min-height:46px;min-width:0;padding:10px 11px;border:0;border-radius:8px;font-size:14px;font-weight:500;color:var(--ipp-muted);line-height:1.5}
.ipp-patient-redesign .ipp-reading-tools nav a[aria-selected=true]{background:var(--ipp-tint);color:var(--ipp-deep);box-shadow:none;font-weight:650}
.ipp-patient-redesign .ipp-reading-tools nav a>span{width:22px;height:22px;display:grid;place-items:center;flex:none;border:0;border-radius:0;background:transparent;color:var(--ipp-teal);font-size:18px}
.ipp-patient-redesign .ipp-reading-tools nav a>b{font-size:14px;font-weight:500;margin:0;white-space:normal}
.ipp-patient-redesign .ipp-reading-tools nav a>small{display:none}
.ipp-patient-redesign .ipp-support-nav-title{display:block;margin:12px 11px 0;color:var(--ipp-teal);font-size:11px;letter-spacing:.6px;text-transform:uppercase;font-weight:650}
.ipp-patient-redesign .ipp-detail-layout>main>#synthese{padding:0;margin:0;border:0;border-radius:0;box-shadow:none;background:#fff;animation:none}
.ipp-patient-redesign #fiche-structuree{padding:0;margin:0;border:0;box-shadow:none;border-radius:0;overflow:visible;background:transparent}
.ipp-patient-redesign #synthese .ipp-reading-section{padding:30px 0;margin:0;border:0;border-top:1px solid var(--ipp-line);border-radius:0;box-shadow:none;background:transparent}
.ipp-patient-redesign #fiche-structuree>.ipp-reading-section:first-child,.ipp-patient-redesign #synthese>.ipp-reading-section:first-child{border-top:0;padding-top:0}
.ipp-patient-redesign .ipp-reading-section-heading{display:flex;gap:12px;align-items:baseline;margin:0 0 18px}
.ipp-patient-redesign .ipp-reading-section-heading>span{color:var(--ipp-teal);font-size:11px;font-weight:650;flex:none}
.ipp-patient-redesign .ipp-reading-section-heading h2{font-size:24px;line-height:1.4;letter-spacing:-.5px;font-weight:650;margin:0;color:var(--ipp-ink)}
.ipp-patient-redesign #synthese p{font-size:17px;line-height:1.8;color:var(--ipp-ink);margin:0 0 17px;white-space:normal;overflow-wrap:anywhere}
.ipp-patient-redesign #synthese p:last-child{margin-bottom:0}
.ipp-patient-redesign #synthese h3{font-size:18px;font-weight:650;line-height:1.5;color:var(--ipp-ink);margin:20px 0 10px}
.ipp-patient-redesign .ipp-reading-text-block{display:flow-root;margin:0 0 20px}
.ipp-patient-redesign .ipp-reading-text-block:last-child{margin-bottom:0}
.ipp-patient-redesign .ipp-reading-text-block:first-child h3{margin-top:0}
.ipp-patient-redesign .ipp-reading-illustration{width:64px;height:64px;object-fit:contain;float:right;margin:3px 0 12px 17px;border:0;background:transparent;padding:0;border-radius:0;box-shadow:none}
.ipp-patient-redesign summary{display:flex;align-items:center;justify-content:space-between;gap:12px;min-height:56px;padding:14px 0;font-size:16px;font-weight:550;line-height:1.6;list-style:none;cursor:pointer}
.ipp-patient-redesign summary::-webkit-details-marker{display:none}
.ipp-patient-redesign .ipp-reading-chevron{display:block;flex:none;width:9px;height:9px;margin:0 4px 5px 3px;border-right:1.7px solid var(--ipp-teal);border-bottom:1.7px solid var(--ipp-teal);transform:rotate(45deg)}
.ipp-patient-redesign details[open]>summary>.ipp-reading-chevron{transform:rotate(225deg);margin-bottom:0;margin-top:5px}
.ipp-patient-redesign .ipp-reading-details-body{padding:0 0 18px;display:flow-root}
.ipp-patient-redesign .ipp-reading-indication{background:#f5f8f8;border-radius:8px;padding:0 16px;margin:22px 0 0}
.ipp-patient-redesign .ipp-reading-indication-title{display:block;margin:0;padding:15px 0;font-size:14px;line-height:20px;font-weight:650;color:var(--ipp-ink)}
.ipp-patient-redesign .ipp-reading-indication .ipp-reading-status{color:var(--ipp-muted);font-size:14px;margin-top:14px}
.ipp-patient-redesign .ipp-reading-practical-list{border-bottom:1px solid var(--ipp-line);margin-top:25px}
.ipp-patient-redesign .ipp-reading-practical{border-top:1px solid var(--ipp-line)}
.ipp-patient-redesign .ipp-reading-cycle{background:var(--ipp-tint);border-radius:12px;padding:22px 24px;margin:20px 0 26px;color:var(--ipp-ink)}
.ipp-patient-redesign .ipp-reading-cycle-title{display:flex;align-items:center;justify-content:space-between;gap:14px;flex-wrap:wrap;padding:0 0 18px;border-bottom:1px solid #c7dedc;font-size:14px;color:var(--ipp-deep)}
.ipp-patient-redesign .ipp-reading-cycle-title strong{font-size:21px;font-weight:650}
.ipp-patient-redesign .ipp-reading-cycle-steps{display:grid;grid-template-columns:repeat(auto-fit,minmax(min(100%,210px),1fr));gap:22px;list-style:none;padding:0;margin:22px 0 0}
.ipp-patient-redesign .ipp-reading-cycle-steps li{display:flex;align-items:flex-start;gap:13px;min-width:0;line-height:1.6;margin:0;overflow-wrap:anywhere}
.ipp-patient-redesign .ipp-reading-day{display:inline-flex;align-items:center;justify-content:center;flex:none;max-width:105px;min-width:42px;min-height:42px;padding:9px;border-radius:22px;background:var(--ipp-deep);color:#fff;font-size:13px;font-weight:600;text-align:center;line-height:1.5}
.ipp-patient-redesign .ipp-reading-cycle-steps li>span{font-size:16px;font-weight:550;padding-top:8px}
.ipp-patient-redesign .ipp-reading-next-cycle .ipp-reading-day{color:var(--ipp-teal);background:#fff}
.ipp-patient-redesign .ipp-reading-next-cycle small{display:block;font-size:13px;font-weight:400;color:var(--ipp-muted);margin-top:3px}
.ipp-patient-redesign .ipp-reading-effects-toolbar{display:flex;align-items:center;justify-content:space-between;gap:12px;flex-wrap:wrap;margin:23px 0 9px;font-size:13px;color:var(--ipp-muted)}
.ipp-patient-redesign [data-ipp-effects-toggle]{min-height:44px;padding:7px 0;border:0;border-radius:0;box-shadow:none;background:transparent;color:var(--ipp-teal);font:600 14px/1.5 Inter,system-ui,sans-serif;cursor:pointer}
.ipp-patient-redesign .ipp-reading-effects{border-bottom:1px solid var(--ipp-line)}
.ipp-patient-redesign .ipp-reading-effect{border-top:1px solid var(--ipp-line)}
.ipp-patient-redesign #synthese .ipp-reading-effect summary h3{font-size:17px;line-height:1.5;font-weight:550;margin:0}
.ipp-patient-redesign .ipp-reading-effect[open]{background:#f5f8f8;padding:0 16px;border-radius:8px;border-top-color:transparent;margin-bottom:9px}
.ipp-patient-redesign #synthese .ipp-reading-effect[open] summary h3{color:var(--ipp-teal)}
.ipp-patient-redesign #synthese .ipp-reading-medical-note{font-size:15px;line-height:1.7;padding:17px 19px;border-radius:8px;background:var(--ipp-tint);margin:24px 0 0}
.ipp-patient-redesign .ipp-disclaimer{padding:18px 20px;background:#fbf7ec;border:0;border-radius:8px;margin:4px 0 30px}
.ipp-patient-redesign .ipp-disclaimer>strong{font-size:14px;color:var(--ipp-ink);margin:0 0 5px}
.ipp-patient-redesign #synthese .ipp-disclaimer p{font-size:14px;line-height:1.75}
.ipp-patient-redesign .ipp-patient-editorial{border-top:1px solid var(--ipp-line);padding-top:30px;margin-top:0}
.ipp-patient-redesign .ipp-patient-editorial ul{list-style:none;padding:0;margin:0}
.ipp-patient-redesign .ipp-patient-editorial li{padding:0;margin:0;border-bottom:1px solid var(--ipp-line)}
.ipp-patient-redesign .ipp-patient-editorial a{display:block;min-height:48px;padding:12px 0;font-size:15px;color:var(--ipp-teal);text-decoration:none;overflow-wrap:anywhere}
.ipp-patient-redesign .ipp-patient-editorial a>span{float:right}
.ipp-patient-redesign #synthese .ipp-reading-publication{font-size:13px;color:var(--ipp-muted);margin:20px 0 0}
.ipp-patient-redesign .ipp-reading-back-top{display:inline-flex;align-items:center;min-height:44px;margin-top:22px;padding:8px 0;color:var(--ipp-teal);font-size:14px}
.ipp-patient-redesign a:focus-visible,.ipp-patient-redesign button:focus-visible,.ipp-patient-redesign summary:focus-visible,.ipp-patient-redesign input:focus-visible,.ipp-patient-redesign select:focus-visible{outline:3px solid #087b80;outline-offset:4px}
.ipp-patient-redesign .ipp-reading-text-link,.ipp-patient-redesign .ipp-reading-status a{color:var(--ipp-teal);text-decoration:underline;text-underline-offset:3px}
.ipp-patient-redesign .ipp-generated-pdf iframe,.ipp-patient-redesign .ipp-generated-booklet iframe{max-width:100%}
@media(max-width:900px){
 .ipp-patient-breadcrumb{padding:0 24px}
 .ipp-patient-redesign{padding:18px 24px 35px}
 .ipp-patient-redesign .ipp-detail-layout{grid-template-columns:minmax(0,1fr);gap:26px;margin-top:24px}
 .ipp-patient-redesign .ipp-reading-sidebar{padding-bottom:23px;border-bottom:1px solid var(--ipp-line)}
 .ipp-patient-redesign .ipp-reading-toc ol{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:0 16px}
 .ipp-patient-redesign .ipp-reading-tools{margin-top:14px;padding-top:6px}
 .ipp-patient-redesign .ipp-reading-tools nav{grid-template-columns:repeat(2,minmax(0,1fr));gap:7px}
 .ipp-patient-redesign .ipp-support-nav-title{grid-column:1/-1;margin:9px 11px 0}
 .ipp-patient-redesign .ipp-document-head,.ipp-patient-redesign .ipp-document-tools,.ipp-patient-redesign .ipp-pdf-actions{min-width:0;max-width:100%}
 .ipp-patient-redesign .ipp-pdf-actions{display:flex;flex-wrap:wrap;gap:10px}
 .ipp-patient-redesign .ipp-pdf-actions a{display:inline-flex;align-items:center;justify-content:center;min-height:48px;padding:12px 16px;white-space:normal;text-align:center;line-height:1.35}
 .ipp-patient-redesign input,.ipp-patient-redesign select,.ipp-patient-redesign textarea{font-size:16px}
}
@media(max-width:600px){
 .ipp-patient-breadcrumb{font-size:12px;padding:0 20px}
 .ipp-patient-breadcrumb li:last-child{display:none}
 .ipp-patient-redesign{padding:12px 20px 30px}
 .ipp-patient-redesign .ipp-detail-top{margin-bottom:16px}
 .ipp-patient-redesign .ipp-detail-hero{padding:0 0 24px}
 .ipp-patient-redesign .ipp-detail-hero h1{font-size:33px;line-height:1.2;letter-spacing:-1.1px;margin:12px 0 16px}
 .ipp-patient-redesign .ipp-detail-hero>.ipp-reading-pathology{font-size:20px}
 .ipp-patient-redesign .ipp-detail-hero>.ipp-reading-stage{font-size:15px}
 .ipp-patient-redesign .ipp-detail-hero>.ipp-reading-hero-actions{display:grid;grid-template-columns:minmax(0,1fr);justify-content:stretch;gap:18px;width:100%;margin-top:20px}
 .ipp-patient-redesign .ipp-reading-pdf-button{width:100%}
 .ipp-patient-redesign .ipp-reading-toc a{font-size:13px}
 .ipp-patient-redesign .ipp-reading-section-heading{gap:9px}
 .ipp-patient-redesign .ipp-reading-section-heading h2{font-size:22px}
 .ipp-patient-redesign #synthese p{font-size:16px;line-height:1.8}
 .ipp-patient-redesign #synthese h3{font-size:17px}
 .ipp-patient-redesign .ipp-reading-cycle{padding:18px 17px}
 .ipp-patient-redesign .ipp-reading-cycle-steps{grid-template-columns:minmax(0,1fr);gap:19px}
 .ipp-patient-redesign .ipp-reading-cycle-title strong{font-size:20px}
 .ipp-patient-redesign .ipp-reading-effect[open]{padding:0 12px}
 .ipp-patient-redesign .ipp-detail-layout>main>[data-ipp-tab-panel]:not(#synthese){padding:18px 14px;border-radius:12px}
 .ipp-patient-redesign .ipp-document-head{display:block;padding:18px 14px}
 .ipp-patient-redesign .ipp-document-tools{display:block;width:100%}
 .ipp-patient-redesign .ipp-pdf-actions a{flex:1 1 145px;margin:0}
 .ipp-patient-redesign .ipp-generated-pdf iframe,.ipp-patient-redesign .ipp-generated-booklet iframe{width:100%;height:65vh;min-height:360px}
 .ipp-patient-redesign .ipp-pdf-viewer{min-height:200px}
 .ipp-patient-redesign .ipp-translate-control{max-width:100%;flex-wrap:wrap}
 .ipp-patient-redesign .ipp-qr-stage{max-width:100%;transform:none;margin:0}
 .ipp-patient-redesign .ipp-support-hero{padding:16px;gap:12px}
 .ipp-patient-redesign .ipp-support-section{padding:16px}
}
@media(prefers-reduced-motion:reduce){.ipp-patient-redesign *{scroll-behavior:auto!important;animation-duration:.01ms!important;transition-duration:.01ms!important}}
@media print{
 .ipp-patient-breadcrumb,.ipp-patient-redesign .ipp-reading-sidebar,.ipp-patient-redesign .ipp-patient-related,.ipp-patient-redesign .ipp-reading-back-top,.ipp-patient-redesign [data-ipp-effects-toggle]{display:none!important}
 .ipp-patient-redesign .ipp-detail-layout{display:block!important}
 .ipp-patient-redesign .ipp-detail-layout>main>#synthese.is-active{display:block!important}
 .ipp-patient-redesign #fiche-structuree{display:block!important}
 .ipp-patient-redesign .ipp-reading-section,.ipp-patient-redesign .ipp-reading-effect{break-inside:avoid}
 .ipp-patient-redesign details::details-content{display:block!important;content-visibility:visible!important}
}

/* 3.2.135: indication below the clinical context, above the update date. */
.ipp-patient-redesign .ipp-detail-hero>.ipp-reading-indication{display:block;float:none;width:100%;max-width:none;margin:20px 0 0;text-align:left}
.ipp-patient-redesign .ipp-reading-indication .ipp-reading-details-body>p{display:block;width:100%;max-width:none;margin:0 0 14px;font-size:16px;line-height:1.8;white-space:normal;overflow-wrap:anywhere;color:var(--ipp-ink)}
.ipp-patient-redesign .ipp-reading-indication .ipp-reading-details-body>p:last-child{margin-bottom:0}
.ipp-patient-redesign .ipp-reading-indication .ipp-reading-details-body>.ipp-reading-status{font-size:14px;color:var(--ipp-muted);margin-top:14px}
.ipp-patient-redesign .ipp-reading-indication a{color:var(--ipp-teal);text-decoration:underline;text-underline-offset:3px}
.ipp-patient-redesign .ipp-generated-pdf,.ipp-patient-redesign .ipp-generated-booklet{min-height:0}
@media print{
 .ipp-patient-redesign:has(#synthese.is-active) .ipp-detail-hero{display:block!important}
 .ipp-patient-redesign .ipp-reading-hero-actions{display:none!important}
}

/* 3.2.136: slightly wider desktop canvas; the clinical indication is a static
 * section, not an accordion. Its content is present without JavaScript. */
.ipp-patient-redesign .ipp-reading-indication{cursor:auto}
.ipp-patient-redesign .ipp-translate-control[aria-busy="true"] [data-ipp-translate-button]{cursor:wait;opacity:.75}
.ipp-patient-redesign .ipp-translate-control [data-ipp-translate-status]:empty{display:none}

/* 3.2.139 — Introduction humaine, identique à la description SEO. */
.ipp-patient-redesign .ipp-detail-hero .ipp-seo-intro { max-width:none; margin:1rem 0; font-size:1.05rem; line-height:1.65; }
.ipp-patient-redesign .ipp-detail-hero h1 { overflow-wrap:anywhere; text-wrap:balance; }