{"id":272,"date":"2026-02-19T19:59:15","date_gmt":"2026-02-19T18:59:15","guid":{"rendered":"https:\/\/erlaxatu.fr\/index.php\/spa-q-r-2\/"},"modified":"2026-04-06T17:44:00","modified_gmt":"2026-04-06T15:44:00","slug":"spa-q-r-2","status":"publish","type":"page","link":"https:\/\/erlaxatu.fr\/index.php\/spa-q-r-2\/","title":{"rendered":"Q. SPA\/Rhum Pso"},"content":{"rendered":"\n<style>\n.fc {\n  border: 2px solid #ddd;\n  border-radius: 12px;\n  padding: 18px;\n  margin: 14px 0;\n  background: #fff;\n  cursor: pointer;\n  user-select: none;\n}\n\n.fc .fc-q, .fc .fc-a { display: none; }\n\n.fc[data-state=\"q\"] .fc-q { display: block; }\n.fc[data-state=\"a\"] .fc-a { display: block; }\n\n.fc:focus { outline: 3px solid rgba(0,0,0,0.15); }\n.fc .fc-label { font-weight: 700; }\n\n\/* no-JS (details\/summary) *\/\n.fc.fc-details { cursor: default; }\n.fc.fc-details summary { list-style: none; cursor: pointer; }\n.fc.fc-details summary::-webkit-details-marker { display: none; }\n.fc.fc-details .fc-a { display: none; margin-top: 8px; }\n.fc.fc-details[open] .fc-a { display: block; }\n<\/style>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quelle est la l\u00e9sion anatomique cl\u00e9 des spondyloarthrites\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    L\u2019enth\u00e9site (inflammation de l\u2019insertion tendineuse ou ligamentaire).\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quel \u00e2ge typique de d\u00e9but d\u2019une spondyloarthrite axiale ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    Avant 45 ans.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quels crit\u00e8res d\u00e9finissent une lombalgie inflammatoire ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    D\u00e9but progressif, &gt;3 mois, am\u00e9lioration \u00e0 l\u2019activit\u00e9, aggravation au repos, r\u00e9veil nocturne.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quelle articulation est typiquement atteinte dans la SpA axiale ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    Les articulations sacro-iliaques.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quel examen permet un diagnostic pr\u00e9coce de sacro-iliite ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    L\u2019IRM du bassin.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quel antig\u00e8ne HLA est fr\u00e9quemment associ\u00e9 aux SpA ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    HLA-B27.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quelle atteinte p\u00e9riph\u00e9rique est tr\u00e8s \u00e9vocatrice d\u2019une SpA ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    La dactylite (doigt en saucisse).\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quelle localisation articulaire est typique des formes p\u00e9riph\u00e9riques ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    Membres inf\u00e9rieurs (genou, cheville).\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quelle manifestation extra-articulaire est fr\u00e9quente ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    L\u2019uv\u00e9ite ant\u00e9rieure aigu\u00eb.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quelle cytokine est une cible th\u00e9rapeutique majeure ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    TNF-\u03b1 (et IL-17).\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quelle est la premi\u00e8re ligne th\u00e9rapeutique des SpA ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    Les AINS.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quel traitement est indiqu\u00e9 en cas d\u2019\u00e9chec des AINS dans les formes axiales ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    Bioth\u00e9rapie anti-TNF ou anti-IL-17.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quel traitement de fond peut \u00eatre utilis\u00e9 dans le rhumatisme psoriasique p\u00e9riph\u00e9rique ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    Le m\u00e9thotrexate.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Dans quel pourcentage le psoriasis pr\u00e9c\u00e8de l\u2019atteinte articulaire ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    Environ 75 % des cas.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quelle articulation est typiquement atteinte dans le rhumatisme psoriasique ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    Les interphalangiennes distales (IPD).\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quel signe ungu\u00e9al est \u00e9vocateur de rhumatisme psoriasique ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    L\u2019aspect en \u00ab d\u00e9 \u00e0 coudre \u00bb.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quel aspect radiologique est caract\u00e9ristique du rhumatisme psoriasique ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    Image en \u00ab pencil-in-cup \u00bb.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quelle complication tardive peut survenir dans les SpA \u00e9volu\u00e9es ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    Ankylose rachidienne (colonne bambou).\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quel est le traitement non m\u00e9dicamenteux indispensable ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    Kin\u00e9sith\u00e9rapie et activit\u00e9 physique r\u00e9guli\u00e8re.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Quel est le principal facteur anatomique responsable de la douleur dans les SpA ?\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    L\u2019inflammation des enth\u00e8ses.\n  <\/div>\n<\/div>\n\n<div class=\"fc\" data-state=\"q\" tabindex=\"0\" role=\"button\" aria-pressed=\"false\">\n  <div class=\"fc-q\">\n    <span class=\"fc-label\">Question :<\/span><br>\n    Une. affection ne fait pas partie des spondylarthropathie : Artrite r\u00e9actionnelle, rhumatisme psoriasique, Sapho, Sd de Fiessinger Leroy Reiter, Sd.de Lofgren\n  <\/div>\n  <div class=\"fc-a\">\n    <span class=\"fc-label\">R\u00e9ponse :<\/span><br>\n    Les spondyloarthropathies (ou spondylarthrites) regroupent notamment :\n\nArthrite r\u00e9actionnelle\n\nRhumatisme psoriasique\n\nSyndrome de Fiessinger-Leroy-Reiter (ancienne d\u00e9nomination de l\u2019arthrite r\u00e9actionnelle)\n\nSAPHO (souvent class\u00e9 dans le spectre des spondyloarthropathies, m\u00eame s\u2019il est parfois discut\u00e9)\n\nEn revanche :\n\n\u274c Syndrome de L\u00f6fgren\n\nLe syndrome de L\u00f6fgren est une forme aigu\u00eb de sarco\u00efdose associant :\n\n\u00e9ryth\u00e8me noueux\n\nad\u00e9nopathies hilaires bilat\u00e9rales\n\narthralgies\/arthrite\n\nfi\u00e8vre\n  <\/div>\n<\/div>\n\n<script>\n(function () {\n  function toggle(card) {\n    const isQ = card.getAttribute(\"data-state\") === \"q\";\n    card.setAttribute(\"data-state\", isQ ? \"a\" : \"q\");\n    card.setAttribute(\"aria-pressed\", isQ ? \"true\" : \"false\");\n  }\n\n  document.querySelectorAll(\".fc\").forEach(card => {\n    card.addEventListener(\"click\", () => toggle(card));\n    card.addEventListener(\"keydown\", (e) => {\n      if (e.key === \"Enter\" || e.key === \" \") {\n        e.preventDefault();\n        toggle(card);\n      }\n    });\n  });\n})();\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Question : Quelle est la l\u00e9sion anatomique cl\u00e9 des spondyloarthrites R\u00e9ponse : L\u2019enth\u00e9site (inflammation de l\u2019insertion tendineuse ou ligamentaire). Question [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-272","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/erlaxatu.fr\/index.php\/wp-json\/wp\/v2\/pages\/272","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/erlaxatu.fr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/erlaxatu.fr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/erlaxatu.fr\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/erlaxatu.fr\/index.php\/wp-json\/wp\/v2\/comments?post=272"}],"version-history":[{"count":3,"href":"https:\/\/erlaxatu.fr\/index.php\/wp-json\/wp\/v2\/pages\/272\/revisions"}],"predecessor-version":[{"id":392,"href":"https:\/\/erlaxatu.fr\/index.php\/wp-json\/wp\/v2\/pages\/272\/revisions\/392"}],"wp:attachment":[{"href":"https:\/\/erlaxatu.fr\/index.php\/wp-json\/wp\/v2\/media?parent=272"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}