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Abstract
Objectif. Décrire les caractéristiques des spondyloarthrites à travers quatre cas observés dans le service de Rhumatologie du Centre Hospitalier Universitaire de Brazzaville. Patients et Méthodes. Il s’agit d’une étude descriptive conduite de novembre 2022 à février 2023, soit 4 mois, dans le service de Rhumatologie du CHU de Brazzaville, Congo. Le diagnostic de spondyloarthrite a été retenu sur les critères ASSAS 2009 ou Amor. Résultats. Quatre cas dont trois de sexe masculin (96,2%) et un de sexe féminin (3,8%) ont été retenus. La moyenne d’âge était de 43,5 ans (extrêmes de 32 et 50 ans). Trois patients avaient une forme primitive et un avait une forme secondaire du SAPHO syndrome. Le délai moyen de consultation était de 6,5 ans (extrêmes de 5 et 10 ans). Sur le plan radiologique, la sacroiléite était bilatérale classée stade 2 de Forrestier dans trois cas et bilatérale stade 4 dans 2 cas. Conclusion. Les spondyloarthrites restent rares dans notre pratique et touchent surtout l’homme. Elles sont vues à un stade avancé. Leur présentation est classique.
ABSTRACT
Objective. To describe the features of spondyloarthritis through four cases recruited in the Rheumatology Department of the Brazzaville University Teaching Hospital. Patients and methods: This was a case series study conducted from November 2022 to February 2023 (4 months) in the Rheumatology Department of the University Hospital of Brazzaville, Congo. The diagnosis of spondyloarthritis was based on ASSAS 2009 or Amor criteria. Results: Four cases were studied, including three men (75%) and one woman (25%). The mean age was 43.5 years (extremes 32 and 50 years). For three patients, it was a primary form and one case was secondary to SAPHO syndrome. The average consultation time delay was 6.5 years (extremes 5 and 10 years). On imaging, sacroiliitis was classified as Forrestier stage 2 bilaterally in 3 cases and stage 4 bilaterally in 2 cases. Conclusion. Spondyloarthritis is rare in our practice and mainly affects men. Most patients come late. The clinical presentation is conform to classical description.
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References
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- - Chamot AM, Benhamou CL, Kahn MF et al. Le syndrome acné pustulose hyperostose osteite. Resultats d’une enquête nationale-85observations. Rev Rhum mal osteoartic.1987;54(3):187-96.
- - Cianci F, Zoli A, Gremese E, et al. Hétérogénéité clinique de la SAPHO syndrome de la maladie de Crohn : un défi pour le diagnostic et le traitement. Clin Rheumatol 2017;36:2151-8.
- - 2. Hayem G. Valuable lessons from SAPHO syndrome. Joint Bone Spine. 2007;74:123–126.
- - Duan N, Chen X, Liu Y, et al. Multimodal imaging findings of SAPHO sans lésions cutanées : rapport de trois cas et revue de la littérature. Exp Ther Med 2016;12:2665-70.
- - Abourazzak FE, Laila El Mansouri EI, Bahiri R. Two distinct patterns of ankylosing spondylitis in Moroccan Patients, Rheumatol Int. 2009;(40-29): 1423–9.
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References
- Braun J, Sieper J. Ankylosing spondylitis. Lancet. 2007; 369:1379– 90.
- Sengupta R, Stone MA. The assessment of ankylosing spondylitis in clinical practice. Nat Clin Pract Rheumatol.2007. 3:496–503.
- Rachid B, El Zorkany B, Youseif E, Tikly M. Early diagnosis and treatment of ankylosing spondylitis in Africa and the Middle East. Clin Rheumatol.2012; 31:16339.
- Benevolanskaya L.I., Boyer G.S., Erdesz S. et al. Les spondylarthropathies chez les populations indigènes du cercle polaire en Russie et en Alaska. Revue du Rhum.1996; 63 : 949-57.
- Dean LE, Jones GT, Macdonald AG, Downham C, Sturrock RD, Macfarlane GJ. Global prevalence of ankylosing spondylitis. Rheumatology (Oxford).2014; 53:650–7 8.
- Saraux A, Guillemin F, Guggenbuhl P, et al. Prevalence of spondyloarthropathies in France. Ann Rheum Dis.2005; 64:1431–5.
- Rat A-C. Épidémiologie de la spondyloarthrite au XXIème siècle. Rev rhum monographies.2014; 81 : 225–229.
- Cao K, Moormann AM, Lyke KE et al. Differentiation between African populations is evidenced by the diversity of alleles and haplotypes of HLA class I loci. Tissue Antigens.2004; 63:293–325
- Moustafa M, Owonayo O, Khan MA. Spondyloarthropathies in sub-Saharan Africa. Curr Opin Rheumatol.2000; 12:281–6.
- Brown MA, Jepson A, Young A et al. Ankylosing spondylitis in West Africans: evidence for non-HLA B27 protective effect. Ann Rheum Dis.1997; 56:68–70.
- Jeandell P, Roux H. Épidémiologie des affections rhumatologiques en Afrique subsaharienne. Revue du Rhumatisme. 2002; 69: 764-76.
- Maharaj AB, Govender J, Maharaj K, Rajkaran M, Tak PP. Summary of Sensitivity and Specificity for Psoriatic Arthritis in a South African Cohort according to Classification Criteria. Journal of Rheumatology.2015; 42 : 960-962.
- Tikly M, Njobvu P, McGill P. Spondyloarthritis in sub Saharan Africa. Curr Rheumatol Rep. 2014; 16:421.
- Bileckot R, Mouaya A, Makuwa M. Prevalence and clinical presentations spondylitis. Bull Soc Pathol Exot.2003; 96:21–3.
- Condé K, Niasse M, Garba M S, Diallo R, Diaw C A B, Diouf C al. Spondyloarthrites au Sénégal: Étude de 350 Observations. European Scientific Journal. 2019; 15(9):169-176.
- Malemba JJ, Mbuyi-Muamba JM. Clinical and epidemiological features of rheumatic diseases in patients attending the university hospital in Kinshasa. Clin Rheumatol.2008; 27:47–54.
- Ntsiba H, Bazébissa R. Four first Congolese cases of pelvic ankylosing of arthritis in HIV-positive patients seen at a rheumatology department in Congo-Brazzaville. Rev Rhum Engl Ed. 1998. 65:549–54.
- Ibn Yacoub Y. Amine B. Laatiris A. et al. Relationship between diagnosis delay and disease features in Moroccan patients with ankylosing spondylitis. Rheumatol Int. 2012; 32:357–60.
- Tayel M Y. Soliman E. et al. Registry of the clinical characteristics of Spondyloarthritis in a cohort of Egyptian population. Rheumatol Int. 2012; 32(9):2837-42.
- Diallo S. Ndongo S. Pouye A. Ndiyae A et al. Spondylarthrite ankylosante : étude de 141 cas au Sénégal. Rev Rhum. 2008; 75:954-1018.
- Casals-Sanchez L. et al. Characteristics of Patients with Spondyloarthritis Followed in Rheumatology Units in Spain.emAR II Study .Rheumatol Clin. 2012;8(3):107–13.
- Soussa E. Respondia Iberoamerican Spondyloarthropathies Registry: Portuguese Group. Rheumatol Clin. 2008; 4 (S4):68-72.
- Chavez-Corrales J. Jauregui M. Linares MA. Mora C. Valencia PR. Garcia E. et al. RegistroIberoamericanode Spondyloarthritis: Peru. Rheumatol Clin. 2008;4(S4) :63–7.
- Gutierrez MA. Pérez C. Saavedra J. Silva F. Fuentealba C. Pozo P. et al. RegistroIberoamericanode Spondyloarthritis: Chile. Rheumatol Clin. 2008;4(s4):41–7.
- Khoussar I. Abourazzak F. Profil des malades spondyloarthritiques au service de rhumatologie au CHU HASSAN II Fès (A propos de 136 cas). Thèse de doctorat en médecine. Faculté de médecine et de pharmacie de Fès. 2015,108p.
- Cemeroglu O. Sila YASAR Z. Saglam M.Çakirbay H. Clinical and demographic findings of patients with rheumatoid arthritis and ankylosing spondylitis treated in a tertiary care center in Turkey.Turk J Med Sci. 2014; 44:595-600.
- Askari. Al-Bdour.Saadeh. Ankylosing spondylitis in north Jordan: descriptive and analytical study. Ann Rheum Dis. 2000; 59:571–3.
- Sibilia J, Pham T, Sordet C, Jaulhac B, Claudepierre P. Spondylarthrite ankylosante et autres spondylarthropathies. EMC-Médecine.2005(2) ;488–511.
- Gutierrez MA. Pérez C. Saavedra J. Silva F. Fuentealba C. Pozo P. et al. RegistroIberoamericanode Spondyloarthritis: Chile. Rheumatol Clin. 2008;4(s4):41–7.
- Ouedraogo DD, Tieno H, Kabore H, Palazzo E, Meyer O, Drabo JY. Ankylosing spondylitis in rheumatology patients in Ouagadougou (Burkina Faso).Clin Rheumatol 2009; 28:1375–7.
- Chamot AM, Benhamou CL, Kahn MF et al. Le syndrome acné pustulose hyperostose osteite. Resultats d’une enquête nationale-85observations. Rev Rhum mal osteoartic.1987;54(3):187-96.
- Cianci F, Zoli A, Gremese E, et al. Hétérogénéité clinique de la SAPHO syndrome de la maladie de Crohn : un défi pour le diagnostic et le traitement. Clin Rheumatol 2017;36:2151-8.
- 2. Hayem G. Valuable lessons from SAPHO syndrome. Joint Bone Spine. 2007;74:123–126.
- Duan N, Chen X, Liu Y, et al. Multimodal imaging findings of SAPHO sans lésions cutanées : rapport de trois cas et revue de la littérature. Exp Ther Med 2016;12:2665-70.
- Abourazzak FE, Laila El Mansouri EI, Bahiri R. Two distinct patterns of ankylosing spondylitis in Moroccan Patients, Rheumatol Int. 2009;(40-29): 1423–9.
- Brandt J, Spiller I, Song IH. Performance of referral recommendations in patients with chronic back pain and suspected axial spondyloarthritis. Ann Rheum Dis. 2007; 66:1479–84.