Résumé
Jaccoud's arthropathy [JA] is a chronic deformity affecting hands and feet, which are voluntarily correctable by the patients. JA was usually reported in assocation with rheumatic fiver and systemic lupus erythematosus. We describe an exceptional association between a pyrophosphate arthropathy and JA of the hands. It is a 48 year old woman, having a 13 years history of polyarthritis involving shoulders, elbows, hips and knees, and 4 years after, a progressive under deviation of the fingers of the hands. Calcium pyrophosphate dihydrate crystals were identified in the synovial knee biopsy. Hands xrays as RMI don't identify erosions and confirmed the JA
Sujets)
Humains , Femelle , Anomalies morphologiques de la main , Anomalies morphologiques du pied , Chondrocalcinose , Diphosphate de calcium , Genou , Imagerie par résonance magnétiqueRésumé
The involvement of enthesis like disc space is the typical lesion of spondylarthropathies. Out of 240 patients with spondylarthropathies, 10 [7 M, 3 W; mean age: 37 years] have spondylodiscitis, affecting a total of 13 disc spaces: 1 cervical, 2 thoracic, 10 number. The mean duration of spondylarthropathy at the time of diagnosis of spondylodiscitis is 10 years. Spondylodiscitis has a variable clinical pressntation: painful [6 cases], asymptomatic [4 cases]. Its coexistence with typical radiographic sings of spondylarthropathy added to the exclusion of bacterial origin, permit to link it to spondy, larthropathy. Its evolution is generally favorable