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Abstract

RÉSUMÉ
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.

Keywords

Spondylarthrites, Centre Hospitalier Universitaire, Brazzaville, Congo Spondylarthritis, University Hospital, Brazzaville, Congo

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Angalla Affleck Romaric Ledier, Lamini N’soundhat Norbert, Nkouala Kidédé Chabel, Akoli Ekoya, Omboumahou Bakale Francina, Salémo Anah Précieu, Ntsiba Honoré, & Richard Bileckot. (2023). La Spondyloarthrite au Centre Hospitalier Universitaire de Brazzaville (Congo) : une Étude de Quatre Cas. HEALTH SCIENCES AND DISEASE, 24(8). https://doi.org/10.5281/hsd.v24i8.4662
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