{"id":3731,"date":"2025-02-28T19:43:15","date_gmt":"2025-02-28T18:43:15","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=3731"},"modified":"2026-01-01T23:27:42","modified_gmt":"2026-01-01T22:27:42","slug":"arthropathies-microcristallines","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=3731","title":{"rendered":"Arthropathies microcristallines"},"content":{"rendered":"\n<p><strong>G\u00e9n\u00e9ralit\u00e9s<\/strong><\/p>\n\n\n\n<p>Formations de microcristaux intra-articulaire ou p\u00e9ri-articulaire qui d\u00e9clenche une r\u00e9action inflammatoire intense<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Douleurs d&rsquo;horaires inflammatoires : nuit, am\u00e9lior\u00e9e par le mouvement\n<ul class=\"wp-block-list\">\n<li>Signes inflammatoires : douleur, rougeur, chaleur<\/li>\n\n\n\n<li>&#8211; Activation de l&rsquo;inflammasome : inflammation pour dissoudre les cristaux<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>En clinique<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Episode douloureux inflammatoire tr\u00e8s aigu <\/li>\n\n\n\n<li>Traitement anti-inflammatoire \/ infiltration<\/li>\n<\/ul>\n\n\n\n<p>3 types de microcristaux<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urate de sodium (goutte) : li\u00e9 \u00e0 des cristaux d&rsquo;acide urique<\/li>\n\n\n\n<li>Pyrophosphate de calcium : chondrocalcinose (CCA), tr\u00e8s fr\u00e9quente \u00e0 partir de 50 ans<\/li>\n\n\n\n<li>Hydroxyapatite : rhumatisme \u00e0 apatite (plut\u00f4t p\u00e9riarticulaire), touche surtout les tendons<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"710\" height=\"339\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-112-png.avif\" alt=\"\" class=\"wp-image-3732\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-112-png.avif 710w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-112-300x143.avif 300w\" sizes=\"auto, (max-width: 710px) 100vw, 710px\" \/><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Goutte<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Li\u00e9 \u00e0 l&rsquo;hyperuric\u00e9mie prolong\u00e9e dans le sang : accumulation de d\u00e9p\u00f4ts cristallins<\/li>\n\n\n\n<li>Maladie des d\u00e9p\u00f4ts d&rsquo;urate<\/li>\n<\/ul>\n\n\n\n<p>Imagerie<\/p>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:16% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"164\" height=\"269\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-113-png.avif\" alt=\"\" class=\"wp-image-3733 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>Radio <\/strong>: ne voit pas les cristaux<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Articulation pas totalement d\u00e9truite (\u00e9rosion plus importante que PR)<\/li>\n\n\n\n<li>Agr\u00e9gat d&rsquo;acide urique : tophus<\/li>\n<\/ul>\n\n\n\n<p><strong>Echographie<\/strong> : double contour qui correspond au d\u00e9p\u00f4t sur le cartilage d&rsquo;acide urique<\/p>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n\n<p><strong>Clinique <\/strong><\/p>\n\n\n\n<p>Goutte tophac\u00e9e (tophus)<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"144\" height=\"213\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-114-png.avif\" alt=\"\" class=\"wp-image-3734\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"227\" height=\"220\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-115-png.avif\" alt=\"\" class=\"wp-image-3735\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"299\" height=\"220\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-116-png.avif\" alt=\"\" class=\"wp-image-3736\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Epid\u00e9mie de goutte aux USA<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Place importante de l&rsquo;alimentation grasse et sucr\u00e9e dans le d\u00e9veloppement de la maladie<\/li>\n\n\n\n<li>Li\u00e9e \u00e0 une consommation excessive de soda<\/li>\n<\/ul>\n\n\n\n<p>Risque cardio-vasculaire et mortalit\u00e9<\/p>\n\n\n\n<p><strong>Hyperuric\u00e9mie et goutte sont corr\u00e9l\u00e9s \u00e0 :<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dysfonctionnement r\u00e9nal<\/li>\n\n\n\n<li>Dysfonctionnement m\u00e9tabolique : diab\u00e8te, ob\u00e9sit\u00e9<\/li>\n\n\n\n<li>Complications cardio-vasculaires : HTA? AVC, IC<\/li>\n\n\n\n<li>Mortalit\u00e9 : relation non proportionnelle entre quantit\u00e9 d&rsquo;acide urique et mortalit\u00e9 li\u00e9es \u00e0 des causes cardio-vasculaires<\/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>Strat\u00e9gie th\u00e9rapeutiques EULAR 2016<\/p>\n\n\n\n<p><strong>Traitement de la crise<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"603\" height=\"428\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-117-png.avif\" alt=\"\" class=\"wp-image-3739\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-117-png.avif 603w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-117-300x213.avif 300w\" sizes=\"auto, (max-width: 603px) 100vw, 603px\" \/><\/figure>\n\n\n\n<p><strong>Traitement de l&rsquo;hyperuric\u00e9mie<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"654\" height=\"489\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-118-png.avif\" alt=\"\" class=\"wp-image-3740\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-118-png.avif 654w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-118-300x224.avif 300w\" sizes=\"auto, (max-width: 654px) 100vw, 654px\" \/><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Chondrocalcinose<\/strong><\/p>\n\n\n\n<p>Maladie de d\u00e9p\u00f4ts de pyrophosphate de calcium<\/p>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"270\" height=\"125\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-119-png.avif\" alt=\"\" class=\"wp-image-3743 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p>D\u00e9p\u00f4ts blancs radio-opaques entre les surfaces articulaire<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"190\" height=\"124\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-120-png.avif\" alt=\"\" class=\"wp-image-3744 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p>Poignet : atteinte du scapho\u00efde et du trap\u00e8ze fr\u00e9quente<\/p>\n<\/div><\/div>\n\n\n\n<p>Radio : liseret en dehors de l&rsquo;articulation<\/p>\n\n\n\n<p>Echo : zone interarticulaire pict\u00e9e<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Rhumatisme \u00e0 hydroxyapatite<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"277\" height=\"146\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-121-png.avif\" alt=\"\" class=\"wp-image-3745\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"206\" height=\"160\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-122-png.avif\" alt=\"\" class=\"wp-image-3746\"\/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>G\u00e9n\u00e9ralit\u00e9s Formations de microcristaux intra-articulaire ou p\u00e9ri-articulaire qui d\u00e9clenche une r\u00e9action inflammatoire intense En clinique 3 types de microcristaux Goutte Imagerie Clinique Goutte tophac\u00e9e (tophus) Epid\u00e9mie de goutte aux USA Risque cardio-vasculaire et mortalit\u00e9 Hyperuric\u00e9mie&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=3731\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Arthropathies microcristallines\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-3731","post","type-post","status-publish","format-standard","hentry","category-pathologies-articulaires"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/3731","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=3731"}],"version-history":[{"count":5,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/3731\/revisions"}],"predecessor-version":[{"id":3750,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/3731\/revisions\/3750"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3731"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3731"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3731"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}