{"id":3712,"date":"2025-02-28T11:31:27","date_gmt":"2025-02-28T10:31:27","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=3712"},"modified":"2026-01-01T23:28:05","modified_gmt":"2026-01-01T22:28:05","slug":"spondyloarthropathies","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=3712","title":{"rendered":"Spondyloarthropathies"},"content":{"rendered":"\n<p><strong>Epid\u00e9miologie<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aussi fr\u00e9quente que PR<\/li>\n\n\n\n<li>1H\/1F pour les formes p\u00e9riph\u00e9riques<\/li>\n\n\n\n<li>8H\/1F pour les formes axiales<\/li>\n\n\n\n<li>Tout \u00e2ge mais plut\u00f4t jeune adulte<\/li>\n\n\n\n<li>Facteur g\u00e9n\u00e9tique pr\u00e9disposant<\/li>\n<\/ul>\n\n\n\n<p><strong>Diff\u00e9rentes formes<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Spondyloarthrite ankylosante (SA) : atteinte axiale qui enraidit le rachis<\/li>\n\n\n\n<li>Rhumatisme psoriasis (spondylarthrite p\u00e9riph\u00e9rique)<\/li>\n\n\n\n<li>Rhumatismes associ\u00e9es aux MICI (maladies inflammatoires chroniques de l&rsquo;intestin) : maladie de Crohn, &#8230;<br>Spondylarthrite r\u00e9actionnelle : d&rsquo;abord infectieux (infection digestive, sexuelle, &#8230;) puis r\u00e9action inflammatoire articulaire apr\u00e8s quelques semaines<br>SAPHO : atteinte osseuse (ost\u00e9ite)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Physiopathologie<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L\u00e9sion initiale (princeps) : enth\u00e9site<\/li>\n\n\n\n<li>Ankylose : ossification (raideur articulaire)<\/li>\n<\/ul>\n\n\n\n<p><strong>Manifestations \u00e9vocatrices<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Syndrome pelvirachidien <\/strong> (axial)<\/td><td>&#8211; Sacro-iliite : inflammation des enth\u00e8ses du rachis et des sacro-iliaques<br>&#8211; Atteinte rachidienne : augmentation de la cyphose dorsale (n\u00e9cessit\u00e9 de plier les genoux pour regarder en avant)<br>&#8211; Dorsolombalgies : raideur axiale, ankylose rachidienne (disparition lordose lombaire)<\/td><\/tr><tr><td><strong>Syndrome enth\u00e9sopathique p\u00e9riph\u00e9rique<\/strong><\/td><td>&#8211; Inflammation des enth\u00e8ses (pr\u00e9f\u00e9rentiellement MI)<br>&#8211; Talalgie : atteinte la plus fr\u00e9quente et la plus caract\u00e9ristique<\/td><\/tr><tr><td><strong>Syndrome articulaire p\u00e9riph\u00e9rique<\/strong><\/td><td>&#8211; Arthrite asym\u00e9triques touchant les grosses articulations (genou, cheville)<br>&#8211; Atteinte \u00e9lective des doigts en rayon (IPD, psoriasis aux ongles)<br>&#8211; Inflammation d&rsquo;un seul doigt en saucisse (atteinte des rayons) : dactylite<\/td><\/tr><tr><td><strong>Syndrome extra-articulaire<\/strong><\/td><td>&#8211; Iritis : uv\u00e9ite (inflammation dans l&rsquo;oeil)<br>&#8211; Psoriasis<br>&#8211; Balanite (inflammation du gland), ur\u00e9thrite<br>&#8211; Diarrh\u00e9e, ent\u00e9rocolopathie inflammatoire<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Autres manifestations<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"616\" height=\"295\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-109-png.avif\" alt=\"\" class=\"wp-image-3719\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-109-png.avif 616w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-109-300x144.avif 300w\" sizes=\"auto, (max-width: 616px) 100vw, 616px\" \/><\/figure>\n\n\n\n<p><strong>spondyloarthropathie si 6 pts ou +<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Evolution de la SPA<\/strong><\/p>\n\n\n\n<p><strong>Evolution de l&rsquo;atteinte axiale<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L&rsquo;ankylose provoque la perte de la mobilit\u00e9<\/li>\n\n\n\n<li>Ossification des enth\u00e8ses entra\u00eene une soudure des ponts osseux<\/li>\n\n\n\n<li>Ossification des ligaments (syndesmophyte)<\/li>\n<\/ul>\n\n\n\n<p><strong>Evolution de l&rsquo;atteinte p\u00e9riph\u00e9rique<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Erosion (g\u00e9odes)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Traitements<\/strong><\/p>\n\n\n\n<p>AINS<\/p>\n\n\n\n<p><strong>Kin\u00e9<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Exercice de mobilit\u00e9 pour lutter contre l&rsquo;enraidissement en cyphose<\/li>\n\n\n\n<li>Kin\u00e9 respiratoire pour ouvrir la cage thoracique<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Epid\u00e9miologie Diff\u00e9rentes formes Physiopathologie Manifestations \u00e9vocatrices Syndrome pelvirachidien (axial) &#8211; Sacro-iliite : inflammation des enth\u00e8ses du rachis et des sacro-iliaques&#8211; Atteinte rachidienne : augmentation de la cyphose dorsale (n\u00e9cessit\u00e9 de plier les genoux pour regarder&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=3712\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Spondyloarthropathies\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[364],"tags":[],"class_list":["post-3712","post","type-post","status-publish","format-standard","hentry","category-pathologies-articulaires"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/3712","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3712"}],"version-history":[{"count":4,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/3712\/revisions"}],"predecessor-version":[{"id":3720,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/3712\/revisions\/3720"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3712"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3712"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3712"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}