{"id":3721,"date":"2025-02-28T18:59:47","date_gmt":"2025-02-28T17:59:47","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=3721"},"modified":"2026-01-01T23:27:51","modified_gmt":"2026-01-01T22:27:51","slug":"pseudo-polyarthrite-rhizomelique-ppr-et-maladie-de-horton-vascularite-a-cephalees","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=3721","title":{"rendered":"Pseudo polyarthrite rhizom\u00e9lique (PPR) et maladie de Horton (vascularite \u00e0 c\u00e9phal\u00e9es)"},"content":{"rendered":"\n<p><strong>G\u00e9n\u00e9ralit\u00e9s<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>2 entit\u00e9s proches<\/li>\n\n\n\n<li>Sujets > 50 ans<\/li>\n\n\n\n<li>Maladie inflammatoire sans auto-anticorps<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:24% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"152\" height=\"166\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-110-png.avif\" alt=\"\" class=\"wp-image-3723 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>D\u00e9finition<\/strong><\/p>\n\n\n\n<p><strong>PPR<\/strong><\/p>\n\n\n\n<p>Rhizom\u00e9lique : racine des membres \/ ceintures scapulaire et pelvienne (bilat\u00e9rale sym\u00e9trique)<\/p>\n\n\n\n<p>Pseudo polyarthrite : atteinte p\u00e9riarticulaire (bursites sous delto\u00efdiennes et trochant\u00e9riennes)<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:26% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"202\" height=\"166\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-111-png.avif\" alt=\"\" class=\"wp-image-3725 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>Art\u00e9rite \u00e0 cellules g\u00e9antes<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Inflammation art\u00e9rielle des gros vaisseaux (r\u00e9duit le diam\u00e8tre des vaisseaux pouvant aller vers une isch\u00e9mie)<\/li>\n\n\n\n<li>Vaisseaux supra-aortique<\/li>\n<\/ul>\n\n\n\n<p><strong>Maladie de Horton : douleur du scalp<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00e9phal\u00e9e et douleur au contact (peigne, oreiller)<\/li>\n\n\n\n<li>Claudication de la m\u00e2choire <\/li>\n\n\n\n<li>C\u00e9cit\u00e9 brutale (atteinte ophtalmologique)<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Diagnostic<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Clinique<\/li>\n\n\n\n<li>Biologie : marqueurs d&rsquo;inflammation CRP et VS<\/li>\n\n\n\n<li>Echographie : met en \u00e9vidence bursite p\u00e9riarticulaire<\/li>\n\n\n\n<li>TEP-scanner : le produit se fixe \u00e0 la localisation de la l&rsquo;inflammation, autour de l&rsquo;articulation<\/li>\n\n\n\n<li>Angio-IRM : pour la maladie de Horton<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Traitement<\/strong><\/p>\n\n\n\n<p><strong>Cortisone \u00e0 haute dose<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>O,25 \u00e0 1mg\/kg<\/li>\n\n\n\n<li>D\u00e9croissance progressive : traitement sur 1 \u00e0 2 ans<\/li>\n\n\n\n<li>Nombreux effets ind\u00e9sirables : infections, ost\u00e9oporose et fractures, prise de poids et diab\u00e8te, augmentation du risque de maladies cardio-vasculaires<\/li>\n<\/ul>\n\n\n\n<p><strong>Alternative Th\u00e9rapie Cibl\u00e9e : bioth\u00e9rapie anti-IL6R<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>En intraveineuse ou SC<\/li>\n\n\n\n<li>Efficacit\u00e9 spectaculaire<\/li>\n\n\n\n<li>Traitement suspensif prolong\u00e9 (>2 ans)<\/li>\n<\/ul>\n\n\n\n<p>Maladie qui finit par gu\u00e9rir mais si non trait\u00e9e, les patients peuvent finir aveugles<\/p>\n","protected":false},"excerpt":{"rendered":"<p>G\u00e9n\u00e9ralit\u00e9s D\u00e9finition PPR Rhizom\u00e9lique : racine des membres \/ ceintures scapulaire et pelvienne (bilat\u00e9rale sym\u00e9trique) Pseudo polyarthrite : atteinte p\u00e9riarticulaire (bursites sous delto\u00efdiennes et trochant\u00e9riennes) Diagnostic Traitement Cortisone \u00e0 haute dose Alternative Th\u00e9rapie Cibl\u00e9e :&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=3721\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Pseudo polyarthrite rhizom\u00e9lique (PPR) et maladie de Horton (vascularite \u00e0 c\u00e9phal\u00e9es)\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-3721","post","type-post","status-publish","format-standard","hentry","category-pathologies-articulaires"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/3721","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=3721"}],"version-history":[{"count":5,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/3721\/revisions"}],"predecessor-version":[{"id":3730,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/3721\/revisions\/3730"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3721"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3721"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3721"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}