{"title":"Vision à 360° du Congrès français de rhumatologie par les jeunes rhumatologues","authors":"Marie-Christophe Boissier","doi":"10.1016/j.rhum.2025.02.007","DOIUrl":"10.1016/j.rhum.2025.02.007","url":null,"abstract":"","PeriodicalId":38943,"journal":{"name":"Revue du Rhumatisme (Edition Francaise)","volume":"92 2","pages":"Page 176"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535154","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}
Maxime Breban , Marie Beaufrère , Manon Jacoutot , Simon Glatigny
{"title":"Le microbiote dans la spondyloarthrite : où en est-on ?","authors":"Maxime Breban , Marie Beaufrère , Manon Jacoutot , Simon Glatigny","doi":"10.1016/j.rhum.2024.09.009","DOIUrl":"10.1016/j.rhum.2024.09.009","url":null,"abstract":"<div><div>La spondyloarthrite (SpA) est le rhumatisme inflammatoire chronique au cours duquel le rôle du microbiote intestinal paraît le plus probable, compte tenu de son association non fortuite aux maladies inflammatoires chroniques de l’intestin (MICI). Comme au cours de ces dernières, un déséquilibre du microbiote intestinal – ou dysbiose – a été mis en évidence au cours de la SpA. Il se caractérise par une réduction de la diversité microbienne, concernant en premier lieu les bactéries, mais aussi les levures et virus bactériophages. Les principales espèces bactériennes dont l’abondance est réduite comprennent des producteurs de butyrate, acide gras à chaînes courtes aux propriétés anti-inflammatoires, qui se caractérisent par leur extrême sensibilité à l’oxygène. Inversement, d’autres espèces plus aéro-tolérantes et/ou ayant des propriétés pro-inflammatoires telles qu’<em>Escherichia coli</em> ou <em>Ruminococcus gnavus</em> sont en expansion et pourraient directement contribuer à l’inflammation chronique. Cependant, à la différence des MICI, la dysbiose de la SpA a tendance à disparaître en dehors des périodes inflammatoires. Résoudre la question du sens de la causalité entre dysbiose intestinale et inflammation au cours de la SpA nécessite des études interventionnelles comme la transplantation fécale dont des premiers essais pilotes ont débuté.</div></div><div><div>Spondyloarthritis (SpA) is the chronic inflammatory rheumatism about which a role for intestinal microbiota is the most suspected, given its non-fortuitous association with inflammatory bowel disease (IBD). As in the latter condition, intestinal microbiota disequilibrium – or dysbiosis – was evidenced during SpA. It is characterized by a reduction of microbial diversity, affecting primarily bacteria, but also fungi and bacteriophages. Major bacterial species with reduced abundance are extremely sensitive to oxygen and produce the short chain fatty acid butyrate with anti-inflammatory properties. Conversely, other species that are more aerotolerant and/or display pro-inflammatory properties, including <em>Escherichia coli</em> and <em>Ruminococcus gnavus</em> are expanded and could directly contribute to chronic inflammation. Noteworthy, at variance with IBD, SpA-associated dysbiosis tends to vanish out of inflammatory periods. Addressing causality direction between intestinal dysbiosis and inflammation during SpA will require intervention studies such as fecal transplantation, which have started as pilot studies.</div></div>","PeriodicalId":38943,"journal":{"name":"Revue du Rhumatisme (Edition Francaise)","volume":"92 2","pages":"Pages 165-170"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Une instance clef de la rhumatologie française : la sous-section 50.01 du CNU","authors":"René-Marc Flipo","doi":"10.1016/j.rhum.2024.12.007","DOIUrl":"10.1016/j.rhum.2024.12.007","url":null,"abstract":"","PeriodicalId":38943,"journal":{"name":"Revue du Rhumatisme (Edition Francaise)","volume":"92 2","pages":"Pages 134-136"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535149","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}
{"title":"Les pièges diagnostiques de la spondyloarthrite","authors":"Emmanuelle Dernis","doi":"10.1016/j.rhum.2024.12.013","DOIUrl":"10.1016/j.rhum.2024.12.013","url":null,"abstract":"<div><div>La spondyloarthrite (SpA) est une maladie rhumatologique fréquente mais difficile à diagnostiquer. Le diagnostic repose sur une approche systématique car il n’existe pas de test pathognomonique unique. Les erreurs de diagnostic peuvent résulter de symptômes vagues, d’interprétations erronées d’imagerie, et de l’absence de marqueurs sérologiques spécifiques. Pour un diagnostic précis, il est essentiel de connaître les signes cliniques de la SpA, d’évaluer correctement les symptômes, de réaliser un examen physique complet, d’interpréter prudemment les analyses de laboratoire et d’utiliser les imageries adéquates. Des maladies comme l’arthrose des sacro-iliaques, l’ostéose condensante iliaque, la fibromyalgie, les hypophosphatasies et la maladie de Whipple peuvent être confondues avec la SpA. Une évaluation clinique rigoureuse et une bonne connaissance des diagnostics différentiels sont cruciales pour éviter les erreurs diagnostiques.</div></div><div><div>Spondyloarthritis (SpA) is a common but challenging disease to diagnose in rheumatology. Diagnosis relies on a systematic approach since there is no single pathognomonic test. Diagnostic errors can result from vague symptoms, misinterpretation of imaging, or the absence of specific serological markers. For an accurate diagnosis, it is essential to know the clinical signs of SpA, correctly assess symptoms, perform a thorough physical examination, cautiously interpret laboratory analyses, and use appropriate imaging. Diseases such as sacroiliac osteoarthritis, fibromyalgia, hypohpsphatasias and Whipple's disease can be mistaken for SpA. Rigorous clinical evaluation and a solid understanding of differential diagnoses are crucial to avoid diagnostic errors.</div></div>","PeriodicalId":38943,"journal":{"name":"Revue du Rhumatisme (Edition Francaise)","volume":"92 2","pages":"Pages 146-155"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535151","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}
{"title":"Spondyloarthrite : de la vision prospective aux formes difficiles à prendre en charge","authors":"Corinne Miceli-Richard , Daniel Wendling","doi":"10.1016/j.rhum.2025.02.006","DOIUrl":"10.1016/j.rhum.2025.02.006","url":null,"abstract":"","PeriodicalId":38943,"journal":{"name":"Revue du Rhumatisme (Edition Francaise)","volume":"92 2","pages":"Pages 138-139"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534099","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}