{"id":6363,"date":"2023-06-01T11:31:31","date_gmt":"2023-06-01T11:31:31","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/overview-of-spondyloarthropathies-fr\/"},"modified":"2023-06-01T12:06:49","modified_gmt":"2023-06-01T12:06:49","slug":"overview-of-spondyloarthropathies-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/overview-of-spondyloarthropathies-fr\/","title":{"rendered":"Un aper\u00e7u des spondylarthropathies"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>\u00c9ditrice originale <\/b>&#8211;  <a href=\"\/User:Jess_Bell\" title=\"User:Jess Bell\">Jess Bell<\/a> <b>Principaux contributeurs<\/b>  &#8211;  <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a>,  <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a>,  <a href=\"\/User:Ewa_Jaraczewska\" class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a>,  <a href=\"\/User:Tarina_van_der_Stockt\" class=\"mw-userlink\" title=\"User:Tarina van der Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a> et <a href=\"\/User:Lucinda_hampton\" class=\"mw-userlink\" title=\"User:Lucinda hampton\"><bdi>Lucinda Hampton<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Epidemiology_\/_Aetiology\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">\u00c9pid\u00e9miologie \/ \u00e9tiologie<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Characteristics_\/_Clinical_Presentation\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Caract\u00e9ristiques \/ Pr\u00e9sentation clinique<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Axial_Spondyloarthritis\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Spondylarthrite axiale<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Psoriatic_Arthritis\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Arthrite psoriasique<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Enteropathic_Arthritis\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Arthrite ent\u00e9ropathique<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Reactive_Arthritis\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Arthrite r\u00e9active<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Undifferentiated_Spondyloarthritis\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Spondylite indiff\u00e9renci\u00e9e<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Summary\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">R\u00e9sum\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#References\"><span class=\"tocnumber\">10<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La spondylarthropathie (ou spondylarthrite) est un terme g\u00e9n\u00e9rique d\u00e9signant un groupe de maladies rhumatismales inflammatoires. <sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-:1_2-0\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> Les spondylarthropathies sont progressives et douloureuses. Elles touchent souvent le squelette axial (c&rsquo;est-\u00e0-dire la colonne vert\u00e9brale et les articulations sacro-iliaques), mais elles peuvent \u00e9galement affecter le squelette p\u00e9riph\u00e9rique.<sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Elles sont associ\u00e9es \u00e0 l&rsquo;enth\u00e9site (inflammation de l&rsquo;endroit o\u00f9 les tendons \/ ligaments s&rsquo;ins\u00e8rent dans l&rsquo;os) <sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup> et \u00e0 la dactylite (gonflement diffus des doigts) <sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup>. Les autres zones touch\u00e9es sont le <a href=\"\/Anatomy_of_the_Human_Heart\" title=\"Anatomy of the Human Heart\">c\u0153ur<\/a>, les yeux, les <a href=\"\/Lung_Anatomy\" title=\"Lung Anatomy\">poumons<\/a>, la <a href=\"\/Skin\" title=\"Peau\">peau<\/a>, les intestins et les voies g\u00e9nito-urinaires. <sup id=\"cite_ref-:1_2-1\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<p>Il existe cinq types de spondylarthrite : <sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>Spondylarthrite axiale (\u00e9galement appel\u00e9e <a href=\"\/Ankylosing_Spondylitis_(Axial_Spondyloarthritis)\" title=\"Ankylosing Spondylitis (Axial Spondyloarthritis)\">spondylarthrite ankylosante<\/a>) <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/li>\n<li><a href=\"\/Psoriatic_Arthritis\" title=\"Psoriatic Arthritis\">Arthrite psoriasique<\/a> (\u00e9galement connue sous le nom de spondylarthrite p\u00e9riph\u00e9rique) <sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/li>\n<li><a href=\"\/Reactive_Arthritis\" title=\"Reactive Arthritis\">Arthrite r\u00e9active<\/a> (anciennement appel\u00e9 syndrome de Reiter) <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/li>\n<li><a href=\"\/Enteropathic_Spondylitis\" title=\"Enteropathic Spondylitis\">Arthrite ent\u00e9ropathique<\/a><\/li>\n<li>Spondylarthrite indiff\u00e9renci\u00e9e<\/li>\n<\/ul>\n<h2><span id=\"Epidemiology_.2F_Aetiology\"><\/span><span class=\"mw-headline\" id=\"Epidemiology_\/_Aetiology\">\u00c9pid\u00e9miologie \/ \u00c9tiologie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Epidemiology \/ Aetiology\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;action=edit&amp;section=2\" title=\"Edit section: Epidemiology \/ Aetiology\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les sympt\u00f4mes associ\u00e9s \u00e0 la spondylarthropathie apparaissent g\u00e9n\u00e9ralement avant l&rsquo;\u00e2ge de 45 ans.<sup id=\"cite_ref-:0_1-3\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Elles touchent presque autant les hommes que les femmes, avec un ratio de 1,1:1 (homme\/femme), bien que les hommes aient tendance \u00e0 \u00eatre plus jeunes que les femmes au moment du diagnostic.<sup id=\"cite_ref-:0_1-4\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup> Avec un taux de pr\u00e9valence de 0,5 \u00e0 1,9 %, elles font partie des maladies rhumatismales les plus courantes &#8211; aussi courantes que la <a href=\"\/Rheumatoid_Arthritis\" title=\"Rheumatoid Arthritis\">polyarthrite rhumato\u00efde<\/a>.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup> Cependant, contrairement aux autres maladies rhumatismales, les spondylarthropathies sont s\u00e9ron\u00e9gatives aux facteurs rhumato\u00efdes.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/p>\n<p>L&rsquo;\u00e9tiologie et la pathog\u00e9nie des spondylarthropathies sont complexes et ne sont pas enti\u00e8rement comprises. Une r\u00e9ponse inflammatoire syst\u00e9mique initiale \u00e0 une source connue ou inconnue provoque des modifications tissulaires locales. Ces changements peuvent \u00eatre durables dans l&rsquo;environnement articulaire local, et l&rsquo;inflammation persistante provoque un cycle de remodelage osseux d\u00e9s\u00e9quilibr\u00e9 et de perte <a href=\"\/Bone\" title=\"L'os\">osseuse<\/a> axiale. <sup id=\"cite_ref-:10_11-0\" class=\"reference\"><a href=\"#cite_note-:10-11\">(11)<\/a><\/sup><\/p>\n<p>Bien que la cause de la spondylarthropathie ne soit pas connue, la recherche sugg\u00e8re qu&rsquo;il existe des d\u00e9clencheurs environnementaux et g\u00e9n\u00e9tiques. <sup id=\"cite_ref-:1_2-2\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> En particulier, on a constat\u00e9 que les spondylarthropathies ont des liens g\u00e9n\u00e9tiques avec le g\u00e8ne HLA-B27. <sup id=\"cite_ref-:0_1-5\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup> 90 % des patients atteints de spondylarthrite axiale poss\u00e8dent ce g\u00e8ne. Cependant, la pr\u00e9sence de ce g\u00e8ne ne permet pas en soi de diagnostiquer une spondylarthropathie, car cinq \u00e0 dix pour cent des patients porteurs du g\u00e8ne HLA-B27 ne d\u00e9veloppent aucune de ces affections.<sup id=\"cite_ref-:0_1-6\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/1Fgi7whO7NQ?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/p>\n<h2><span id=\"Characteristics_.2F_Clinical_Presentation\"><\/span><span class=\"mw-headline\" id=\"Characteristics_\/_Clinical_Presentation\">Caract\u00e9ristiques \/ Pr\u00e9sentation clinique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Characteristics \/ Clinical Presentation\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;action=edit&amp;section=3\" title=\"Edit section: Characteristics \/ Clinical Presentation\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le <a href=\"\/Low_Back_Pain\" title=\"Low Back Pain\">mal de dos<\/a> est extr\u00eamement r\u00e9pandu. <sup id=\"cite_ref-:4_14-0\" class=\"reference\"><a href=\"#cite_note-:4-14\">(14)<\/a><\/sup> L&rsquo;apparition de douleurs dorsales durant trois mois ou plus et avant l&rsquo;\u00e2ge de 45 ans constitue le point de d\u00e9part du diagnostic de spondylarthrite.<sup id=\"cite_ref-:4_14-1\" class=\"reference\"><a href=\"#cite_note-:4-14\">(14)<\/a><\/sup> Il est important de pouvoir diff\u00e9rencier les diff\u00e9rents types de maux de dos (<a href=\"\/Differentiating_Inflammatory_and_Mechanical_Back_Pain\" title=\"Differentiating Inflammatory and Mechanical Back Pain\">m\u00e9caniques ou inflammatoires<\/a>) et les diff\u00e9rents types de spondylarthropathie. Les caract\u00e9ristiques sp\u00e9cifiques de chaque type de spondylarthropathie sont d\u00e9crites ci-dessous.<\/p>\n<h2><span class=\"mw-headline\" id=\"Axial_Spondyloarthritis\">Spondylarthrite axiale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Axial Spondyloarthritis\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;action=edit&amp;section=4\" title=\"Edit section: Axial Spondyloarthritis\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La spondylarthrite axiale concerne les patients qui pr\u00e9sentent une spondylarthrite axiale radiographique et non radiographique. La spondylarthrite axiale radiographique est \u00e9galement appel\u00e9e <a href=\"\/Ankylosing_Spondylitis_(Axial_Spondyloarthritis)\" title=\"Ankylosing Spondylitis (Axial Spondyloarthritis)\">spondylarthrite ankylosante<\/a>. <sup id=\"cite_ref-:3_15-0\" class=\"reference\"><a href=\"#cite_note-:3-15\">(15)<\/a><\/sup> La spondylarthrite axiale non radiographique n&rsquo;appara\u00eet pas \u00e0 la radiographie, mais elle pr\u00e9sente des changements \u00e0 l&rsquo;IRM. <sup id=\"cite_ref-:0_1-7\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<p>La spondylarthrite axiale se manifeste g\u00e9n\u00e9ralement vers l&rsquo;\u00e2ge de 20 ans. Le rapport hommes\/femmes est de 2:1 pour la spondylarthrite axiale radiographique et de 1:1 pour la spondylarthrite axiale non radiographique.<sup id=\"cite_ref-:3_15-1\" class=\"reference\"><a href=\"#cite_note-:3-15\">(15)<\/a><\/sup><\/p>\n<p>La spondylarthrite axiale affecte principalement la colonne vert\u00e9brale, les changements inflammatoires provoquant des douleurs, des raideurs et une perte de mouvement au niveau du dos. <sup id=\"cite_ref-:0_1-8\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-:2_16-0\" class=\"reference\"><a href=\"#cite_note-:2-16\">(16)<\/a><\/sup> Les patients pr\u00e9sentent souvent une alt\u00e9ration des mouvements de la colonne vert\u00e9brale, une <a href=\"\/Posture\" title=\"Posture\">posture<\/a> anormale, des douleurs au niveau des fesses et des hanches, une arthrite p\u00e9riph\u00e9rique, une enth\u00e9site et une dactylite. <sup id=\"cite_ref-:2_16-1\" class=\"reference\"><a href=\"#cite_note-:2-16\">(16)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/iN2EiKKKJss?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/p>\n<p>On estime que la spondylarthrite axiale est h\u00e9r\u00e9ditaire \u00e0 90 %, le g\u00e8ne HLA-B27 \u00e9tant le facteur g\u00e9n\u00e9tique le plus important.<sup id=\"cite_ref-:3_15-2\" class=\"reference\"><a href=\"#cite_note-:3-15\">(15) <\/a><\/sup><sup id=\"cite_ref-:2_16-2\" class=\"reference\"><a href=\"#cite_note-:2-16\">(16) <\/a><\/sup><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup> Le r\u00f4le r\u00e9el du g\u00e8ne HLA-B27 dans la pathogen\u00e8se de la spondylarthrite axiale n&rsquo;est pas clair, mais des preuves sugg\u00e8rent que les <a href=\"\/Cytokines\" title=\"Cytokines\">cytokines<\/a>, le facteur de n\u00e9crose tumorale (TNF)-\u03b1 et l&rsquo;interleukine-17 sont impliqu\u00e9es.<sup id=\"cite_ref-:3_15-3\" class=\"reference\"><a href=\"#cite_note-:3-15\">(15)<\/a><\/sup><\/p>\n<p>La spondylarthrite axiale radiographique a \u00e9galement \u00e9t\u00e9 associ\u00e9e \u00e0 un risque accru de maladie cardiovasculaire en raison de l&rsquo;inflammation syst\u00e9mique associ\u00e9e \u00e0 cette pathologie. Parce qu&rsquo;elle entra\u00eene une diminution de l&rsquo;expansion de la paroi thoracique et une r\u00e9duction de la mobilit\u00e9 de la colonne vert\u00e9brale, elle peut conduire \u00e0 un sch\u00e9ma pulmonaire restrictif chez les personnes atteintes de la pathologie. Ces personnes sont \u00e9galement plus sujettes aux <a href=\"\/Insufficiency_Fracture\" title=\"Insufficiency Fracture\">fractures de fragilit\u00e9<\/a> vert\u00e9brale, \u00e0 la subluxation <a href=\"\/Atlantoaxial_Osteoarthritis\" title=\"Atlantoaxial Osteoarthritis\">atlanto-axiale<\/a>, aux <a href=\"\/Spinal_Cord_Injury\" title=\"Spinal Cord Injury\">l\u00e9sions de la moelle \u00e9pini\u00e8re<\/a> et, parfois, au <a href=\"\/Cauda_Equina_Syndrome\" title=\"Syndrome de la queue de cheval\">syndrome de la queud de cheval<\/a>. <sup id=\"cite_ref-:2_16-3\" class=\"reference\"><a href=\"#cite_note-:2-16\">(16)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/a23A3nAaO0E?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/p>\n<p>Pour plus d&rsquo;informations sur la spondylarthrite axiale, <a href=\"\/Ankylosing_Spondylitis_(Axial_Spondyloarthritis)\" title=\"Ankylosing Spondylitis (Axial Spondyloarthritis)\">cliquez ici<\/a>.<\/p>\n<h2><span class=\"mw-headline\" id=\"Psoriatic_Arthritis\">Arthrite psoriasique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Psoriatic Arthritis\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;action=edit&amp;section=5\" title=\"Edit section: Psoriatic Arthritis\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;arthrite psoriasique (PsA) est une maladie articulaire inflammatoire chronique \u00e0 m\u00e9diation immunitaire associ\u00e9e au psoriasis. <sup id=\"cite_ref-:5_20-0\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup> Les personnes atteintes pr\u00e9sentent une inflammation des articulations et des enth\u00e8ses \u00e0 la fois dans le squelette axial et dans les articulations p\u00e9riph\u00e9riques. Elle affecte plusieurs organes, dont la peau, et est associ\u00e9e \u00e0 un risque accru de mortalit\u00e9 par maladie cardiovasculaire. <sup id=\"cite_ref-:5_20-1\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20) <\/a><\/sup><sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/p>\n<p>L&rsquo;incidence annuelle de l&rsquo;arthrite psoriasique est tr\u00e8s variable, allant de 0,1 \u00e0 23,1 cas pour 100 000. Les taux de pr\u00e9valence varient \u00e9galement d&rsquo;un pays \u00e0 l&rsquo;autre, tout comme l&rsquo;\u00e2ge moyen au moment du diagnostic (40,7 \u00e0 52,0 ans).<sup id=\"cite_ref-:6_22-0\" class=\"reference\"><a href=\"#cite_note-:6-22\">(22)<\/a><\/sup><\/p>\n<p>Les caract\u00e9ristiques principales de l&rsquo;arthrite psoriasique sont les suivantes <sup id=\"cite_ref-:6_22-1\" class=\"reference\"><a href=\"#cite_note-:6-22\">(22)<\/a><\/sup><\/p>\n<ul>\n<li>La pr\u00e9sence de psoriasis<\/li>\n<li>La pr\u00e9sence d&rsquo;arthrite inflammatoire<\/li>\n<li>L&rsquo;absence de <a href=\"\/Blood_Tests\" title=\"Blood Tests\">tests s\u00e9rologiques<\/a> positif pour la polyarthrite rhumato\u00efde<\/li>\n<\/ul>\n<p>Entre 60 et 70 % des patients d\u00e9velopperont un psoriasis avant l&rsquo;arthrite psoriasique. Cependant, chez 15 \u00e0 20 % des patients, les sympt\u00f4mes de l&rsquo;arthrite apparaissent en premier. Pour 15 \u00e0 20 % des personnes, le psoriasis et l&rsquo;arthrite apparaissent dans l&rsquo;espace d&rsquo;un an.<sup id=\"cite_ref-:6_22-2\" class=\"reference\"><a href=\"#cite_note-:6-22\">(22)<\/a><\/sup><\/p>\n<p>Pour plus d&rsquo;informations sur l&rsquo;arthrite psoriasique, <a href=\"\/Psoriatic_Arthritis\" title=\"Psoriatic Arthritis\">cliquez ici<\/a>.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/fQCU7rQbovk?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Enteropathic_Arthritis\">Arthrite ent\u00e9ropathique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Enteropathic Arthritis\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;action=edit&amp;section=6\" title=\"Edit section: Enteropathic Arthritis\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;arthrite ent\u00e9ropathique (AEn) est une spondylarthropathie qui survient chez les patients souffrant en plus d&rsquo;une <a href=\"\/Irritable_Bowel_Syndrome\" title=\"Irritable Bowel Syndrome\">maladie inflammatoire de l&rsquo;intestin<\/a> telles que la colite ulc\u00e9reuse et la <a href=\"\/Crohn%27s_Disease\" title=\"Crohn's Disease\">maladie de Crohn<\/a> et\/ou d&rsquo;autres maladies gastro-intestinales. <sup id=\"cite_ref-:7_24-0\" class=\"reference\"><a href=\"#cite_note-:7-24\">(24)<\/a><\/sup><\/p>\n<p>Il n&rsquo;existe pas de test de r\u00e9f\u00e9rence pour l&rsquo;arthrite ent\u00e9ropathique, le diagnostic repose donc g\u00e9n\u00e9ralement sur les ant\u00e9c\u00e9dents m\u00e9dicaux et l&rsquo;examen physique.<sup id=\"cite_ref-:7_24-1\" class=\"reference\"><a href=\"#cite_note-:7-24\">(24)<\/a><\/sup> En r\u00e8gle g\u00e9n\u00e9rale, les patients atteints de maladie inflammatoire de l&rsquo;intestin qui d\u00e9veloppent ensuite des douleurs dorsales inflammatoires et\/ou une synovite (principalement dans les membres inf\u00e9rieurs) sont diagnostiqu\u00e9s comme souffrant d&rsquo;une spondylarthropathie.<sup id=\"cite_ref-:7_24-2\" class=\"reference\"><a href=\"#cite_note-:7-24\">(24)<\/a><\/sup> Les femmes sont plus susceptibles de pr\u00e9senter une atteinte des articulations p\u00e9riph\u00e9riques, tandis que les hommes sont plus susceptibles de pr\u00e9senter des sympt\u00f4mes au niveau du squelette axial.<sup id=\"cite_ref-:7_24-3\" class=\"reference\"><a href=\"#cite_note-:7-24\">(24)<\/a><\/sup><\/p>\n<p>Entre 17 et 39 % des patients atteints de maladie inflammatoire de l&rsquo;intestin d\u00e9veloppent des manifestations rhumatismales. Entre 2 et 16 % des patients atteints de maladie inflammatoire de l&rsquo;intestin d\u00e9veloppent une arthrite ent\u00e9ropathique dans le squelette axial. La pr\u00e9valence de la sacro-iliite dans cette population se situe entre 12 et 20 % des patients.<sup id=\"cite_ref-:7_24-4\" class=\"reference\"><a href=\"#cite_note-:7-24\">(24)<\/a><\/sup><\/p>\n<p>Comme pour les autres spondylarthropathies, il existe une association avec le g\u00e8ne HLA-B27, allant de 3,9 \u00e0 18,9 %, mais la pathogen\u00e8se n&rsquo;est pas enti\u00e8rement comprise. <sup id=\"cite_ref-:7_24-5\" class=\"reference\"><a href=\"#cite_note-:7-24\">(24)<\/a><\/sup> Cependant, on a observ\u00e9 que l&rsquo;inflammation des articulations se produit chez les patients g\u00e9n\u00e9tiquement pr\u00e9dispos\u00e9s et souffrant d&rsquo;infections bact\u00e9riennes de l&rsquo;intestin. Cela sugg\u00e8re donc qu&rsquo;il existe un lien entre l&rsquo;inflammation de la muqueuse intestinale et l&rsquo;arthrite.<sup id=\"cite_ref-:7_24-6\" class=\"reference\"><a href=\"#cite_note-:7-24\">(24)<\/a><\/sup><\/p>\n<p>Pour plus d&rsquo;informations sur l&rsquo;arthrite ent\u00e9ropathique, <a href=\"\/Enteropathic_Spondylitis\" title=\"Enteropathic Spondylitis\">cliquez ici<\/a>.<\/p>\n<h2><span class=\"mw-headline\" id=\"Reactive_Arthritis\">Arthrite r\u00e9active <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Reactive Arthritis\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;action=edit&amp;section=7\" title=\"Edit section: Reactive Arthritis\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;arthrite r\u00e9active (AR) est une spondylarthropathie s\u00e9ron\u00e9gative qui survient apr\u00e8s une <a href=\"\/Infectious_Disease\" class=\"mw-redirect\" title=\"Infectious Disease\">infection<\/a> extra-articulaire (g\u00e9n\u00e9ralement du tractus gastro-intestinal ou <a href=\"\/Urinary_Tract_Infection\" title=\"Urinary Tract Infection\">tractus g\u00e9nito-urinaire<\/a>).<sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25) <\/a><\/sup><sup id=\"cite_ref-:8_26-0\" class=\"reference\"><a href=\"#cite_note-:8-26\">(26)<\/a><\/sup> Elle est associ\u00e9e \u00e0 des douleurs dorsales inflammatoires, \u00e0 une oligoarthrite et \u00e0 des sympt\u00f4mes extra-articulaires.<sup id=\"cite_ref-:8_26-1\" class=\"reference\"><a href=\"#cite_note-:8-26\">(26)<\/a><\/sup> Elle tend \u00e0 se d\u00e9velopper entre une et six semaines apr\u00e8s une infection urog\u00e9nitale ou gastro-intestinale.<sup id=\"cite_ref-:8_26-2\" class=\"reference\"><a href=\"#cite_note-:8-26\">(26) <\/a><\/sup><sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/p>\n<p>Une triade classique de sympt\u00f4mes a \u00e9t\u00e9 identifi\u00e9e : <sup id=\"cite_ref-:9_28-0\" class=\"reference\"><a href=\"#cite_note-:9-28\">(28)<\/a><\/sup><\/p>\n<ul>\n<li><a href=\"\/Arthritis\" title=\"Arthrite\">Arthrite<\/a><\/li>\n<li>Ur\u00e9thrite<\/li>\n<li>Conjonctivite<\/li>\n<\/ul>\n<p>Des manifestations dermatologiques (telles qu&rsquo;une k\u00e9ratodermie blennorragique, balanite circin\u00e9e, une vulvite ulc\u00e9reuse, des modifications des ongles et des l\u00e9sions buccales) peuvent survenir. <sup id=\"cite_ref-:9_28-1\" class=\"reference\"><a href=\"#cite_note-:9-28\">(28)<\/a><\/sup> Elle peut \u00e9galement affecter le c\u0153ur et les yeux, par contre, la gravit\u00e9 des sympt\u00f4mes est variable. <sup id=\"cite_ref-:8_26-3\" class=\"reference\"><a href=\"#cite_note-:8-26\">(26)<\/a><\/sup><\/p>\n<p>L&rsquo;arthrite r\u00e9active est plus fr\u00e9quente chez les hommes <sup id=\"cite_ref-:9_28-2\" class=\"reference\"><a href=\"#cite_note-:9-28\">(28)<\/a><\/sup> et touche g\u00e9n\u00e9ralement les jeunes adultes. <sup id=\"cite_ref-:8_26-4\" class=\"reference\"><a href=\"#cite_note-:8-26\">(26)<\/a><\/sup> Sa physiopathologie exacte n&rsquo;est pas encore comprise, mais il semble probable que des facteurs infectieux et <a href=\"\/Immune_System\" title=\"Immune System\">immunitaires<\/a> soient impliqu\u00e9s. <sup id=\"cite_ref-:9_28-3\" class=\"reference\"><a href=\"#cite_note-:9-28\">(28)<\/a><\/sup> L\u00e0 encore, les personnes touch\u00e9es sont plus susceptibles d&rsquo;\u00eatre porteuses du g\u00e8ne HLA-B27. <sup id=\"cite_ref-:8_26-5\" class=\"reference\"><a href=\"#cite_note-:8-26\">(26)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/snjGL2x6Eus?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup><\/p>\n<p>Les sympt\u00f4mes cliniques peuvent \u00eatre distingu\u00e9s de l&rsquo;<a href=\"\/Septic_(Infectious)_Arthritis\" title=\"Septic (Infectious) Arthritis\">arthrite septique<\/a>. Les signes cl\u00e9s de l&rsquo;<a href=\"\/Septic_(Infectious)_Arthritis\" title=\"Septic (Infectious) Arthritis\">arthrite septique<\/a> \u00e9tant : <sup id=\"cite_ref-:8_26-6\" class=\"reference\"><a href=\"#cite_note-:8-26\">(26)<\/a><\/sup><\/p>\n<ul>\n<li>Fi\u00e8vre<\/li>\n<li>Signes syst\u00e9miques d&rsquo;infection<\/li>\n<li>Monoarthrite<\/li>\n<\/ul>\n<p>Pour plus d&rsquo;informations sur l&rsquo;arthrite r\u00e9active, <a href=\"\/Reactive_Arthritis\" title=\"Reactive Arthritis\">cliquez ici<\/a>.<\/p>\n<h2><span class=\"mw-headline\" id=\"Undifferentiated_Spondyloarthritis\">Spondylarthrite indiff\u00e9renci\u00e9e <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Undifferentiated Spondyloarthritis\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;action=edit&amp;section=8\" title=\"Edit section: Undifferentiated Spondyloarthritis\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le diagnostic de spondylarthropathie indiff\u00e9renci\u00e9e est utilis\u00e9 dans les situations o\u00f9 les individus pr\u00e9sentent des caract\u00e9ristiques de spondylarthropathie mais ne correspondent \u00e0 aucune des conditions discut\u00e9es ci-dessus. <sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup> Elle survient g\u00e9n\u00e9ralement dans moins de cinq articulations, mais inclut g\u00e9n\u00e9ralement l&rsquo;articulation du genou. <sup id=\"cite_ref-31\" class=\"reference\"><a href=\"#cite_note-31\">(31)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Summary\">R\u00e9sum\u00e9<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Summary\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;action=edit&amp;section=9\" title=\"Edit section: Summary\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La spondylarthropathie est un terme g\u00e9n\u00e9rique qui englobe cinq maladies rhumatismales inflammatoires. Ces affections peuvent toucher plusieurs parties du corps, notamment les articulations et les enth\u00e8ses, ainsi que d&rsquo;autres organes.<\/p>\n<p>Bien que l&rsquo;\u00e9tiologie sp\u00e9cifique reste inconnue, les recherches actuelles sugg\u00e8rent une forte composante <a href=\"\/Genetic_Disorders\" title=\"Genetic Disorders\">g\u00e9n\u00e9tique<\/a> et des d\u00e9clencheurs environnementaux sp\u00e9cifiques.<\/p>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Overview_of_Spondyloarthropathies&amp;action=edit&amp;section=10\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-:0-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-2\">1.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-3\">1.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-4\">1.4<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-5\">1.5<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-6\">1.6<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-7\">1.7<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-8\">1.8<\/a><\/sup><\/span> <span class=\"reference-text\">Martey C. 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Nat Rev Rheumatol. 2017; 13: 731\u2013741.<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Girolimetto N, Giovannini I, Crepaldi G, De Marco G, Tinazzi I, Possemato N, Macchioni P, McConnell R, McGonagle D, Iagnocco A, Zabotti A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.mdpi.com\/2077-0383\/10\/12\/2604\/htm\">Psoriatic Dactylitis: Current perspectives and new insights in ultrasonography and magnetic resonance imaging.<\/a> Journal of Clinical Medicine. 2021 Jun 12;10(12):2604.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Fragoulis GE, Siebert S. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/academic.oup.com\/rheumatology\/article\/59\/Supplement_4\/iv79\/5923433\">Treatment strategies in axial spondyloarthritis: what, when and how?<\/a>. Rheumatology. 2020 Oct;59(Supplement_4):iv79-89.<\/span><\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Ogdie A, Coates LC, Gladman DD. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/academic.oup.com\/rheumatology\/article\/59\/Supplement_1\/i37\/5802853\">Treatment guidelines in psoriatic arthritis<\/a>. Rheumatology. 2020 Mar 1;59(Supplement_1):i37-46.<\/span><\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Bentaleb I, Abdelghani KB, Rostom S, Amine B, Laatar A, Bahiri R. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40588-020-00152-6.pdf\">Reactive arthritis: update. Current clinical microbiology reports<\/a>. 2020 Dec;7(4):124-32.<\/span><\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\">Alzate M, Vargas F, Ramirez F, et al. SAT0414 Differences in a clinical presentation by gender in Colombian patients with spondyloarthropathies. Annals of the Rheumatic Diseases 2017;76(2): 928.<\/span><\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">Rudwaleit M, van der Heijde D, Khan MA, Braun J, Sieper J. How to diagnose axial spondyloarthritis early. Annals of the Rheumatic Diseases. 2004; 63: 535-543.<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Navallas M, Ares J, Beltr\u00e1n B, Lisbona MP, Maym\u00f3 J, Solano A. Sacroiliitis associated with axial spondyloarthropathy: new concepts and latest trends. Radiographics. 2013 Jul-Aug;33(4):933-56.<\/span><\/li>\n<li id=\"cite_note-:10-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-:10_11-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Lassiter W, Allam AE. Inflammatory Back Pain. (Updated 2020 Jun 22). In: StatPearls (Internet). Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK539753\/<\/span><\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\">Braun, J., Sieper, J. 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Am Fam Physician. 2017; 96(10): 677-678.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230519192114 Cache expiry: 0 Reduced expiry: true Complications: (show\u2010toc) CPU time usage: 0.112 seconds Real time usage: 0.119 seconds Preprocessor visited node count: 609\/1000000 Post\u2010expand include size: 194\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/100 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 20233\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 7.610 1 Special:Contributors\/Overview_of_Spondyloarthropathies 100.00% 7.610 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9ditrice originale &#8211; Jess Bell Principaux contributeurs &#8211; Jess Bell, Kim Jackson, Ewa Jaraczewska, Tarina van der Stockt et Lucinda Hampton Contenu 1 Introduction 2 \u00c9pid\u00e9miologie \/ \u00e9tiologie 3 Caract\u00e9ristiques \/ Pr\u00e9sentation clinique 4 Spondylarthrite axiale 5 Arthrite psoriasique 6 Arthrite ent\u00e9ropathique 7 Arthrite r\u00e9active 8 Spondylite indiff\u00e9renci\u00e9e 9 R\u00e9sum\u00e9 10 R\u00e9f\u00e9rences Introduction(edit | edit [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-6363","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6363","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/comments?post=6363"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6363\/revisions"}],"predecessor-version":[{"id":6364,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6363\/revisions\/6364"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=6363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}