Différences entre versions de « Spondylarthopathies »
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* Synonyme: maladie de Bechterew | * Synonyme: maladie de Bechterew | ||
Ankylosing spondylitis is a chronic inflammatory disease affecting the axial skeleton (including sacroiliac joints), entheses, and peripheral joints; HLA-B27 is present in up to 95% of patients. | Ankylosing spondylitis is a chronic inflammatory disease affecting the axial skeleton (including sacroiliac joints), entheses, and peripheral joints; HLA-B27 is present in up to 95% of patients. | ||
+ | * <u>Traitement:</u> Several studies suggest that, in contrast to most forms of arthritis, continuous use of NSAIDs may help slow disease progression in ankylosing spondylitis | ||
== Arthrite psoriasique == | == Arthrite psoriasique == |
Version du 30 mai 2020 à 12:30
Caractéristiques communes
- Enthésite (inflammation de l'insertion tendineuse), spondylite (inflammation du rachis), spondylarthrite (inflammation des articulations intervertébrales), sacro-ilite, arthrite asymétrique des articulations périphériques
- En cas d'enthésite située au niveau des doigts, on parle de dactylite ou de doigts en saucisse
- Association avec HLA-B27 positif et facteur rhumatoïde (FR) négatif (d'où la terminologie de spondylarthopathies séronégatives)
Bilan
Radiography of the sacroiliac joints is essential in patients with suspected spondyloarthritis; radiographic evidence of sacroiliitis includes pseudo-widening of the joints, erosions, sclerosis, and ankylosis.
Spondylite ankylosante
- Synonyme: maladie de Bechterew
Ankylosing spondylitis is a chronic inflammatory disease affecting the axial skeleton (including sacroiliac joints), entheses, and peripheral joints; HLA-B27 is present in up to 95% of patients.
- Traitement: Several studies suggest that, in contrast to most forms of arthritis, continuous use of NSAIDs may help slow disease progression in ankylosing spondylitis
Arthrite psoriasique
Psoriatic arthritis is an inflammatory joint disease associated with psoriasis, multiple possible joint patterns, enthesitis, tenosynovitis, and dactylitis.
Arthropathies associées aux maladies inflammatoires intestinales
Inflammatory bowel disease–associated arthritis occurs in three patterns: sacroiliitis/spondylitis, acute polyarticular peripheral arthritis, and chronic polyarticular peripheral arthritis; only the acute polyarticular form is related to flares of bowel disease.
Arthrite réactionnelle
- Can't see, can't pee, can't climb a tree
Reactive arthritis can occur 2 to 3 weeks following specific gastrointestinal and genitourinary infections; an asymmetric monoarticular or oligoarticular arthritis, dactylitis, and enthesitis can occur.
Spondylarthrite juvénile
Références
- MKSAP 2018