Revue du Rhumatisme Monographies最新文献_第2页

Dépistage de l’ostéoporose avant et après une fracture : état des lieux et pistes d’amélioration 骨折前后骨质疏松症筛查:现状和改进方法

Revue du Rhumatisme Monographies Pub Date : 2022-09-01 DOI: 10.1016/j.monrhu.2022.05.004

Pascale Guillot

引用次数: 0

Pourquoi et comment organiser le dépistage et la prévention des complications des rhumatismes inflammatoires chroniques : Intérêt des revues systématiques initiales et périodiques 为什么以及如何组织慢性炎症性风湿病并发症的筛查和预防:早期和定期系统综述的兴趣

Revue du Rhumatisme Monographies Pub Date : 2022-09-01 DOI: 10.1016/j.monrhu.2022.07.001

Maxime Dougados

{"title":"Pourquoi et comment organiser le dépistage et la prévention des complications des rhumatismes inflammatoires chroniques : Intérêt des revues systématiques initiales et périodiques","authors":"Maxime Dougados","doi":"10.1016/j.monrhu.2022.07.001","DOIUrl":"10.1016/j.monrhu.2022.07.001","url":null,"abstract":"<div><p>Patients suffering from chronic inflammatory rheumatic diseases (whether rheumatoid arthritis, spondyloarthritis, connective tissue disease but also microcrystalline arthropathy or even polyarthrosis) should be able to benefit from standardized holistic care as soon as the diagnosis of chronic inflammatory rheumatic disease is done then periodically. This management (also called « systematic review ») must include a) an ov erall assessment of the disease (certainty of the diagnosis, activity, severity, potential severity and finally the notion of refractory disease or not) b) learning a self-assessment disease activity via composite indices such as the DAS-28 for rheumatoid arthritis or the ASDAS for spondyloarthritis c) an assessment of adherence to treatment d) prevention of the main comorbidities e) information/education about the disease and its treatments f) information about the different areas that could impact the patient's life (diet, sexuality, pregnancy, social care, etc..). Although our health authorities have put in place the means to support these systematic reviews, it is necessary that the treating rheumatologists are convinced of their interest to ensure their success.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87978630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Peut-on prédire la polyarthrite rhumatoïde ? 类风湿性关节炎能预测吗?

Revue du Rhumatisme Monographies Pub Date : 2022-09-01 DOI: 10.1016/j.monrhu.2022.06.001

Benoît Thomas P. Gilbert, Céline Lamacchia

引用次数: 0

Pouvons-nous prévenir l’arthrose ? 我们能预防骨关节炎吗?

Revue du Rhumatisme Monographies Pub Date : 2022-09-01 DOI: 10.1016/j.monrhu.2022.05.002

Janvier Murayire, Xavier Chevalier, Florent Eymard

{"title":"Pouvons-nous prévenir l’arthrose ?","authors":"Janvier Murayire, Xavier Chevalier, Florent Eymard","doi":"10.1016/j.monrhu.2022.05.002","DOIUrl":"10.1016/j.monrhu.2022.05.002","url":null,"abstract":"<div><p>Considering the high prevalence and imposing social-economic burden of osteoarthritis, its prevention prevails as the backbone of the management. The prevention hinders the onset (primary prevention) and slows down the progression (secondary and tertiary prevention) of the disease. It includes pharmacological and non-pharmacological treatments and clinical, biological and/or radiological screening techniques. We have chosen to review available primary and secondary/tertiary preventives measures for knee and hip osteoarthritis. The primary prevention will address mainly modifiable risk factors including the choice and the intensity of the physical activity, traumas, overweight, metabolic abnormalities, misalignment, and dysplasia. Concerning the secondary and/or tertiary prevention, we will discuss early screening techniques including diagnostic imaging and biomarkers, non-pharmacological therapeutics as weight loss, physical activity, diet or braces and pharmacological therapeutics as “slow acting parenteral anti-osteoarthritis treatments”, intraarticular injections, and surgeries. One must bear in mind that to date, no single treatment measure has proven a structural efficacy against established osteoarthritis hence the tremendous role of primary prevention in osteoarthritis management.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72850233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vers une médecine plus préventive en rhumatologie 风湿病学的预防医学

Revue du Rhumatisme Monographies Pub Date : 2022-09-01 DOI: 10.1016/j.monrhu.2022.09.001

Claire Daien

引用次数: 0

Dépistage et prévention des affections rhumatologiques en milieu de travail 工作场所风湿病的检测和预防

Revue du Rhumatisme Monographies Pub Date : 2022-09-01 DOI: 10.1016/j.monrhu.2022.07.006

Audrey Petit , Yves Roquelaure

引用次数: 0

Prise en charge de la sécheresse buccale et oculaire 口腔和眼睛干燥的管理

Revue du Rhumatisme Monographies Pub Date : 2022-06-01 DOI: 10.1016/j.monrhu.2022.03.004

Gaetane Nocturne , Marjolaine Gosset , Antoine Rousseau

引用次数: 0

Physiopathologie du Sjögren primitif : une épithélite auto-immune sjogren的病理生理学:自身免疫性上皮炎

Revue du Rhumatisme Monographies Pub Date : 2022-06-01 DOI: 10.1016/j.monrhu.2022.02.004

Emiko Desvaux , Jacques-Olivier Pers

引用次数: 0

Maladie de Sjögren, syndrome asthénie polyalgie sécheresse (SAPS) et fibromyalgie sjogren病，干燥多痛虚弱综合征(SAPS)和纤维肌痛

Revue du Rhumatisme Monographies Pub Date : 2022-06-01 DOI: 10.1016/j.monrhu.2022.04.002

Jean-Jacques Dubost, Marion Couderc, Anne Tournadre

{"title":"Maladie de Sjögren, syndrome asthénie polyalgie sécheresse (SAPS) et fibromyalgie","authors":"Jean-Jacques Dubost, Marion Couderc, Anne Tournadre","doi":"10.1016/j.monrhu.2022.04.002","DOIUrl":"10.1016/j.monrhu.2022.04.002","url":null,"abstract":"<div><p>The combination of dry eyes and mouth, fatigue and pain in the limbs suggests Sjögren's syndrome, a systemic autoimmune disease. The association also characterizes the sicca, asthenia, polyalgia syndrome (SAPS), which is considered to be an equivalent of fibromyalgia and is common in fibromyalgia. These 2 entities have a high prevalence unlike Sjögren's syndrome. The distinction between these pathologies is made by applying the ACR/EULAR criteria for Sjögren's syndrome which require the presence of anti-SSA or a focus score≥1 on the labial salivary gland biopsy (LSGB). In the absence of anti-SSA and when the diagnostic probability is low, the salivary gland ultrasonography, which shows a high negative predictive value, could be an intermediate step before deciding on the LSGB, which is a little more aggressive. About 20% of patients with Sjogren's syndrome have concomitant fibromyalgia. These patients have a higher ESSPRI score (EULAR Sjögren's Syndrome Patient Related Index) (assessment by a VAS of pain, fatigue and dryness), while the ESSDAI score (EULAR Sjögren’ Syndrome Disease Activity Index) which measures systemic impairment, is no different from patients without fibromyalgia. In this population, unlike primary fibromyalgia, agreement between the fibromyalgia criteria is not good. The symptoms of fibromyalgia and Sjogren’ syndrome are very similar, and fibromyalgia criteria have difficulty discriminating between them.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85352094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Traitement des atteintes systémiques de la maladie de Sjögren sjogren综合征全身性疾病的治疗

Revue du Rhumatisme Monographies Pub Date : 2022-06-01 DOI: 10.1016/j.monrhu.2022.04.004

Véronique Le Guern, Gaelle Becel

引用次数: 0