{"id":1345,"date":"2026-01-19T16:38:29","date_gmt":"2026-01-19T16:38:29","guid":{"rendered":"https:\/\/psocan.marketaccess.ca\/rhumatisme-psoriasique-quest-ce-que-le-rhumatisme-psoriasique\/types-de-laps\/"},"modified":"2026-01-28T15:36:31","modified_gmt":"2026-01-28T15:36:31","slug":"types-de-laps","status":"publish","type":"page","link":"https:\/\/psoriasiscanada.ca\/fr\/rhumatisme-psoriasique-quest-ce-que-le-rhumatisme-psoriasique\/types-de-laps\/","title":{"rendered":"Types de l\u2019APs"},"content":{"rendered":"\t\t
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Types de l\u2019APs<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Le diagnostic de l\u2019arthrite (rhumatisme) psoriasique (APs) repose en grande partie sur la mani\u00e8re avec laquelle la maladie se pr\u00e9sente chez la personne atteinte. L\u2019arthrite psoriasique se pr\u00e9sente de 5 fa\u00e7ons diff\u00e9rentes, chacune ayant ses caract\u00e9ristiques uniques, bien qu\u2019il y ait un chevauchement consid\u00e9rable1. Les personnes peuvent \u00eatre atteintes d\u2019un seul type d\u2019APs ou d\u2019une combinaison de type. Reconna\u00eetre la forme est une \u00e9tape importante pour un diagnostic pr\u00e9coce et un traitement cibl\u00e9. C\u2019est pourquoi les personnes atteintes de psoriasis sont souvent interrog\u00e9es par leur fournisseur de soins sur les douleurs articulaires ressenties, les articulations touch\u00e9es, la raideur matinale ou le gonflement des doigts et des orteils en \u00ab\u2009saucisse\u2009\u00bb. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Sym\u00e9trique <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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L\u2019APs polyarticulaire sym\u00e9trique (poly = plusieurs) se caract\u00e9rise par l\u2019inflammation de cinq articulations ou plus, de mani\u00e8re similaire des deux c\u00f4t\u00e9s du corps. Il touche 50 % des personnes souffrant d\u2019APs. Ce type d\u2019APs peut affecter de nombreuses articulations du corps et ressemble beaucoup \u00e0 la polyarthrite rhumato\u00efde<\/a>. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t

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Asym\u00e9trique <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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L\u2019APs asym\u00e9trique oligoarticulaire (oligo = peu) touche une \u00e0 quatre articulations. Ce type d\u2019APs s\u2019attaque \u00e0 des articulations diff\u00e9rentes de chaque c\u00f4t\u00e9 du corps. Comme l\u2019APs sym\u00e9trique<\/a>, ce type est assez fr\u00e9quent. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t

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L\u2019APs \u00e0 pr\u00e9dominance interphalangienne distale <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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L\u2019APs \u00e0 pr\u00e9dominance interphalangienne distale implique une inflammation des articulations distales (comme celles des doigts ou des orteils qui sont les plus proches du lit de l\u2019ongle<\/a>) et elle touche environ 1 personne sur 10 atteinte d\u2019APs. Comme les articulations les plus proches du lit de l\u2019ongle sont le plus souvent touch\u00e9es, les modifications des ongles sont particuli\u00e8rement fr\u00e9quentes dans ce type d\u2019APs. Les modifications courantes des ongles comprennent entre autres les piq\u00fbres, les cr\u00eates, l\u2019effritement ou la s\u00e9paration du lit de l\u2019ongle. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t

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L'APs Spondylarthrite <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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L\u2019APs spondylite est \u00e9galement connue sous le nom de l’APs axiale. L’APs spondylite implique une inflammation de la colonne vert\u00e9brale ou des articulations o\u00f9 la colonne rejoint les os du bassin, ce qui peut r\u00e9duire consid\u00e9rablement la mobilit\u00e9. Les sympt\u00f4mes comprennent la douleur, la raideur et la r\u00e9duction de la mobilit\u00e9 du dos ou du cou. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Fourni par Prof. Raimo Suhonen<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t

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Rhumatisme psoriasique mutilans <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Ce sous-type peu courant, mais le plus grave d\u2019APs, est destructeur et se caract\u00e9rise par des d\u00e9formations douloureuses des mains et des pieds. La perte osseuse au niveau des articulations peut entra\u00eener un raccourcissement des doigts et des orteils. Les d\u00e9formations sont importantes et entra\u00eenent de graves probl\u00e8mes d\u2019utilisation des mains ou des pieds. Moins de 5 % des personnes atteintes d\u2019APs pr\u00e9sentent une arthrite mutilante. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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R\u00e9f\u00e9rences<\/strong><\/p>\n

1<\/sup>Ritchlin CT, Colbert RA, Gladman DD. Psoriatic Arthritis. N Engl J Med. 2017 Mar 9;376(10):957-970. doi: 10.1056\/NEJMra1505557. Erratum in: N Engl J Med. 2017 May 25;376(21):2097. PMID: 28273019. <\/p>\n

La section Types de PsA a \u00e9t\u00e9 r\u00e9dig\u00e9e par :<\/strong><\/p>\n

Yuliya Lytvyn, PhD Facult\u00e9 de m\u00e9decine Temerty, Universit\u00e9 de Toronto
Richie Jeremian, PhD Facult\u00e9 de m\u00e9decine et des sciences de la sant\u00e9, Universit\u00e9 McGill<\/p>\n

R\u00e9vis\u00e9 par:<\/strong><\/div>\n
Dr. Vinod Chandran – April 2021<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Types de l\u2019APs Le diagnostic de l\u2019arthrite (rhumatisme) psoriasique (APs) repose en grande partie sur la mani\u00e8re avec laquelle la maladie se pr\u00e9sente chez la personne atteinte. L\u2019arthrite psoriasique se pr\u00e9sente de 5 fa\u00e7ons diff\u00e9rentes, chacune ayant ses caract\u00e9ristiques uniques, bien qu\u2019il y ait un chevauchement consid\u00e9rable1. Les personnes peuvent \u00eatre atteintes d\u2019un seul type […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1337,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"website_toolbox_forum_postUrl":"","website_toolbox_forum_category":"","website_toolbox_publish_on_forum":"","footnotes":""},"class_list":["post-1345","page","type-page","status-publish","hentry"],"yoast_head":"\nTypes de l\u2019APs - Psoriasis Canada<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/psoriasiscanada.ca\/fr\/rhumatisme-psoriasique-quest-ce-que-le-rhumatisme-psoriasique\/types-de-laps\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Types de l\u2019APs - Psoriasis Canada\" \/>\n<meta property=\"og:description\" content=\"Types de l\u2019APs Le diagnostic de l\u2019arthrite (rhumatisme) psoriasique (APs) repose en grande partie sur la mani\u00e8re avec laquelle la maladie se pr\u00e9sente chez la personne atteinte. 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