Rhumato : spondylarthropathies Flashcards

1
Q

Contre-indications au TNFalpha

A
  • Infection évolutive
  • Tuberculose
  • Cancer
  • SEP
  • Insuffisance cardiaque
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2
Q

Modalités de surveillance d’une SPA

A
  • Taille
  • Ressenti
  • EVA douleur
  • BASDAI (activité)/BASFI (fonctionnel)
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3
Q

Atteintes extra-rhumatologiques d’une SPA

A
  • Cardio : BAV - Insuffisance aortique- Insuff mitrale
  • Respi : TVR
  • Ophtalmo
  • Neuro : compression médullaire
  • Os : fractures
  • Néphro : Amylose AA - GN à IgA
  • Iatro : UGD par AINS
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4
Q

Indications au HLA B-27

A

1-Arthrite réactionnelle

2-Uvéite

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5
Q

5 spondylarthropathies

A
  • SPA
  • Rhumatisme pso
  • MICI
  • Arthrite réactionnelle
  • SAPHO (synovite, acné, pustulose, hyperostose, ostéite)
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6
Q

4 stades radios atteinte sacro-iliaques

A
  • Pseudo-élargissement
  • Erosion
  • Condensation
  • Ankylose
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7
Q

2 examens pour atteinte extra-articulaire SPA

A
  • ECG

- Ophtalmo : LaF-FO

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8
Q

Indications anti-TNF alpha ds SPA

A
  • Dc confirmé
  • Activité
  • Sévérité
  • Echec 3 AINS pendant 3 mois
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