Rheumatology-Rhumatologie
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November 30, 2025 11:05 AM
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French Societies of Rheumatology and of Physical and Rehabilitation Medicine recommendations for the Management of people living with Hand Osteoarthritis | Paul ORNETTI

French Societies of Rheumatology and of Physical and Rehabilitation Medicine recommendations for the Management of people living with Hand Osteoarthritis | Paul ORNETTI | Rheumatology-Rhumatologie | Scoop.it
🖐️ #Arthrosedigitale : 1ere recommandations de la Société Française de rhumatologie Société Française de Rhumatologie (SFR) et le la Société Française de Médecine Physique et de Réadaptation SOFMER sont disponibles ! (2025)

⭐ ce qu’il faut retenir ⭐
L’arthrose des doigts et de la base du pouce (rhizarthrose) : fréquente, invalidante et trop de fatalisme des soignants et des patients
🎯Prise en charge pluridisciplinaire +++

🔍 1. Diag. clinique (confirmation radio) + évaluation centrée le retentissement
douleurs/raideur mécaniques des doigts et/ou de la base du pouce puis nodosités (ostéophytes = production osseuse exubérante) et gène fonctionnelle croissante (force et préhension fine) chez un(e) patient(e) de plus de 40 ans. La fréquence et l'intensité des poussées inflammatoires conditionne la sévérité (attention aux diagnostics différentiels comme rhumatisme psoriasique), en plus des atteintes esthétiques (déformations).

🧩 2. Toutes les arthroses digitales ne se ressemblent pas (IP, pouce, érosive…) !
👉 Adapter les stratégies : qualité de vie, poussées inflammatoires, comorbidités, objectifs du patient.

💪 3. Le cœur du traitement : non-pharmaco d’abord !
✔️ Exercices pour tous +++
Mobilité, renforcement, grip, proprioception avec soutien #kiné et #APA
🎥 Des vidéos SFR existent pour l’auto-rééducation.
✔️ Ergonomie & aides techniques #ergothérapie pour diminuer les contraintes
✔️ Orthèses
Orthèse pour rhizarthrose : recommandée, au mieux sur mesure.
Orthèses pour IP : option possible
✔️ Chaleur locale (paraffine, boue…) : Effet antalgique court terme, optionnel.
❌ À ne pas recommander
Laser, ondes, acupuncture, kinesiotaping : pas d’efficacité démontrée.

💊 4. Traitements médicamenteux : symptomatique sans effet protecteur sur le cartilage
✔️ anti-inflammatoires topiques (gel ou pommade) : 1ère intention
✔️ anti inflammatoires non stéroïdiens oraux (per os) en cas de poussée, durée courte, vigilance cardiovasc/renale/digestive.
✔️corticoides oraux faible dose (10 mg/j) : uniquement atteintes digitales inflammatoires, durée limitée, jamais au long cours.
✔️ Paracétamol: option ponctuelle, sans effet symptomatique majeur.
✔️ Chondroïtine sulfate 800 mg/j
Efficacité symptomatique modérée prouvée (non remboursé).
✔️ injections cortisone (infiltrations) : niveau de preuve faible malgré utilisation fréquente, à réserver aux poussées inflammatoires (IP)

❌ À éviter
Opioïdes (faible efficacité + tolérance), jamais morphine
PRP, dérivés botuliques, acide hyaluronique : pas de bénéfice démontré
Colchicine, hydroxychloroquine, Méthotrexate, anti-TNF/IL6/IL1 → négatifs
🛠️ 5. Chirurgie : seulement après échec du traitement médico-rééducatif
À envisager pour : rhizarthrose, IP douloureuses et abimées
→ arthroplastie (prothèse), arthrodèse, trapézectomie selon les cas.

https://lnkd.in/eAszka3h
merci aux 25 experts multidisciplinaires sous la coordination de
Alice Courties Jérémie SELLAM

💥 à diffuser ! 💥
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November 25, 2025 1:29 PM
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Disruption of the microenvironmental ecosystem in subchondral bone marrow lesions: Roles in osteoarthritis pathophysiology, pain and progression - ScienceDirect

This narrative review explores the role of subchondral bone in the pathophysiology of osteoarthritis (OA), emphasizing the biomechanical and biochemic…
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November 16, 2025 3:52 AM
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The role of the patient in rheumatology | Nature Reviews Rheumatology

In this Viewpoint article, six patients and patient advocates discuss the role of the patient in rheumatology, the current unmet needs of patients and promising advances. By reflecting on their own lived experiences, the authors emphasize the integral role of patients for progress in the field.
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October 9, 2025 5:57 AM
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Advancing understanding of psoriatic arthritis through synovial research | The Lancet Rheumatology posted on the topic | LinkedIn

Advancing understanding of psoriatic arthritis through synovial research | The Lancet Rheumatology posted on the topic | LinkedIn | Rheumatology-Rhumatologie | Scoop.it
📢 NEW REVIEW

Although psoriatic arthritis and rheumatoid arthritis are both common types of inflammatory arthritis characterised by synovial inflammation, there are distinct molecular and cellular landscapes between these conditions.

In this Review, Ryan Malcolm Hum and colleagues explore how research of the synovium has advanced the understanding of psoriatic arthritis, the potential of identified cell types and cytokines as biomarkers and novel therapeutic targets, how limited sample sizes in high-dimensional studies are hindering clinical translation, and the future directions for synovial research in psoriatic arthritis.
Maria Christofi, Lysette Marshall, NIHR Manchester Biomedical Research Centre (BRC)

Read the full Review here ➡️ https://lnkd.in/eFY6uAbF

Alt text: Previously identified cell types and cytokines implicated in psoriatic arthritis pathogenesis in the synovial fluid and synovial tissue
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August 7, 2025 7:38 AM
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Sjögren’s Disease: A Name Change with Real Impact | NECESSITY Project

Sjögren’s Disease: A Name Change with Real Impact | NECESSITY Project | Rheumatology-Rhumatologie | Scoop.it
Sjögren’s Disease: A Name Change with Real Impact

A powerful reminder for all of us in the Sjögren’s community and especially here at the NECESSITY project: language matters.

Through international consensus, published in Nature Reviews Rheumatology, officially retired the term “Sjögren’s syndrome” in favor of “Sjögren’s disease”and eliminates the distinction between “primary” and “secondary” forms. From now on, Sjögren’s is Sjögren’s whether or not it occurs with another autoimmune condition.
This shift is far from symbolic, it’s a meaningful change that reflects the seriousness of this condition and the lived experience of millions.

✅ Disease, not syndrome: Recognizes Sjögren’s as a complex, systemic autoimmune disease—not just a loose cluster of symptoms.

✅ Goodbye “primary” and “secondary”: These outdated terms are replaced by “associated” when applicable, offering more accurate and less stigmatizing language.

✅ Why it matters: Terminology shapes how a disease is perceived, diagnosed, and treated. This update supports better care, stronger research, and deeper validation for patients.

As the Sjögren’s Foundation underscores in the linked article, it’s time for all of us, be it clinicians, researchers, journals, media, and advocates to embrace this change and reflect it in our work and communication carefully.

This is a meaningful step forward for scientific clarity, clinical progress, and, above all, for patients. 💙

https://lnkd.in/ex8jcE5C

#SjögrensDisease #AutoimmuneAwareness #PatientAdvocacy #MedicalTerminology #NatureReviewsRheumatology #SjögrensCommunity
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June 13, 2025 4:07 AM
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Si vous rencontrez quelqu’un qui a les yeux secs, la bouche sèche, des douleurs, une fatigue chronique, c’est peut être parce que chacun de ces signes est fréquent. | Alain Saraux

Si vous rencontrez quelqu’un qui a les yeux secs, la bouche sèche, des douleurs, une fatigue chronique, c’est peut être parce que chacun de ces signes est fréquent. | Alain Saraux | Rheumatology-Rhumatologie | Scoop.it
Si vous rencontrez quelqu’un qui a les yeux secs, la bouche sèche, des douleurs, une fatigue chronique, c’est peut être parce que chacun de ces signes est fréquent. Mais c’est peut être dû à une maladie de Sjogren…..
Si voulez
- savoir ce qu’est cette maladie
- pourquoi on ne dit plus « Syndrome de sjogren » mais bien « Maladie de Sjogren »
- pourquoi on ne dit plus « Syndrome de Sjogren secondaire »
N’hésitez pas à télécharger cet article grâce au lien suivant:

https://rdcu.be/eqlz1


⸻

If you meet someone with dry eyes, a dry mouth, pain, or chronic fatigue, it might just be because each of these symptoms is common. But it could also be due to Sjögren’s disease…

If you want to:
• understand what this disease is,
• know why we no longer say “Sjögren’s syndrome” but rather “Sjögren’s disease”,
• learn why the term “secondary Sjögren’s syndrome” is no longer used,

feel free to download this article using the following link:

https://rdcu.be/eqlz1
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Scooped by Gilbert C FAURE
May 31, 2025 9:15 AM
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Mucosal-associated invariant T cells in rheumatic diseases.

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May 20, 2025 5:06 AM
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The impact of social media and online communities of practice in rheumatology

The impact of social media and online communities of practice in rheumatology | Rheumatology-Rhumatologie | Scoop.it
The COVID-19 pandemic changed healthcare practices and social media played a significant role in those changes. While social media and online practice communities allow collaboration and engagement,
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May 7, 2025 10:45 AM
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https://www.oarsijournal.com/article/S1063-4584(25)00860-X/fulltext

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March 30, 2025 9:59 AM
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Frontiers | sCD40 and sCD40L as candidate biomarkers of rheumatic diseases: a systematic review and meta-analysis with meta-regression

Frontiers | sCD40 and sCD40L as candidate biomarkers of rheumatic diseases: a systematic review and meta-analysis with meta-regression | Rheumatology-Rhumatologie | Scoop.it
There is an ongoing search for novel biomarkers to enhance diagnosing and monitoring patients with rheumatic diseases (RDs). We conducted a systematic review and meta-analysis to investigate the potential role of the soluble cluster of differentiation 40 (sCD40) and sCD40 ligand (sCD40L), involved...
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March 19, 2025 4:19 AM
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Frontiers | Recent advances in the management of knee osteoarthritis: a narrative review

Frontiers | Recent advances in the management of knee osteoarthritis: a narrative review | Rheumatology-Rhumatologie | Scoop.it
Figure 2. Overview of the pathogenesis and treatment of OA. In osteoarthritis (OA), alarmins are endogenous molecules released in response to various forms of damage. These molecules bind to pattern recognition receptors (PRRs) on different cells, triggering either an inflammatory or regenerative...
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February 15, 2025 6:56 AM
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An international perspective on the future of systemic sclerosis research | Nature Reviews Rheumatology

An international perspective on the future of systemic sclerosis research | Nature Reviews Rheumatology | Rheumatology-Rhumatologie | Scoop.it
Systemic sclerosis (SSc) remains a challenging and enigmatic systemic autoimmune disease, owing to its complex pathogenesis, clinical and molecular heterogeneity, and the lack of effective disease-modifying treatments. Despite a century of research in SSc, the interconnections among microvascular dysfunction, autoimmune phenomena and tissue fibrosis in SSc remain unclear. The absence of validated biomarkers and reliable animal models complicates diagnosis and treatment, contributing to high morbidity and mortality. Advances in the past 5 years, such as single-cell RNA sequencing, next-generation sequencing, spatial biology, transcriptomics, genomics, proteomics, metabolomics, microbiome profiling and artificial intelligence, offer new avenues for identifying the early pathogenetic events that, once treated, could change the clinical history of SSc. Collaborative global efforts to integrate these approaches are crucial to developing a comprehensive, mechanistic understanding and enabling personalized therapies. Challenges include disease classification, clinical heterogeneity and the establishment of robust biomarkers for disease activity and progression. Innovative clinical trial designs and patient-centred approaches are essential for developing effective treatments. Emerging therapies, including cell-based and fibroblast-targeting treatments, show promise. Global cooperation, standardized protocols and interdisciplinary research are vital for advancing SSc research and improving patient outcomes. The integration of advanced research techniques holds the potential for important breakthroughs in the diagnosis, treatment and care of individuals with SSc. The diagnosis, treatment and management of systemic sclerosis (SSc) remains challenging, owing to the complexity of this disease. In this Perspective, an international group of experts discuss the future of SSc research and how the advent of innovative technologies will advance research into and understanding of SSc.
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February 10, 2025 4:06 AM
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Integrating digital health technologies into rheumatology care

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November 28, 2025 4:26 AM
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Why Some Arthritis Drugs Stop Working: New Clues From the Joint Itself

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November 22, 2025 2:52 AM
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Synovial immunopathology in psoriatic arthritis: cellular and molecular insights

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November 12, 2025 5:13 AM
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Global epidemiology of spondyloarthritis

Gilbert C FAURE's insight:

selected information

https://www.scoop.it/topic/rheumatology-rhumatologie?q=spondyloarthritis

 

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August 24, 2025 8:15 AM
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https://www.cell.com/cell/fulltext/S0092-8674(25)00746-9?fbclid=IwY2xjawMX4QNleHRuA2FlbQIxMABicmlkETBJTGlmTTFOdmF0dVpKUlZ0AR6K3SHaMO903iIKV6xogyPDn1c3ggHHLzy4gbJyViDZDky-DtSaWY60XHur6Q_aem_kzZRJLup...

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August 3, 2025 6:44 AM
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https://www.science.org/doi/10.1126/sciimmunol.adr3838?utm_campaign=SciImmunology&utm_medium=ownedSocial&utm_source=twitter

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June 11, 2025 4:38 AM
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#issec | Hervé Kempf

#issec | Hervé Kempf | Rheumatology-Rhumatologie | Scoop.it
Big thanks to Korng Ea for delivering a fantastic talk at the last ITN INTEC #ISSEC webinar before the summer break!
We also wish to express our gratitude to all the other speakers who contributed throughout the first semester 2025 series Makarand Risbud Christoph Winkler @Vicky Macrae @José-Luis Millan Anabela Bensimon Brito
Finally, thank you to all attendees for your active participation, which has been making this series a great success. See you in a few months with a new program built by Flóra Szeri, PhD
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May 30, 2025 5:41 AM
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2025 ACR Guideline for the Treatment of SLE | RheumNow

2025 ACR Guideline for the Treatment of SLE | RheumNow | Rheumatology-Rhumatologie | Scoop.it
The ACR has released its 2025 Systemic Lupus Erythematosus (SLE) treatment guidelines and consensus-based good practice statements, applicable to children and adults with SLE. Overall, the goals of SLE management are to achieve remission or a low level disease activity, reduce morbidity and mortality, and minimize treatment-related adverse events. For treatment of SLE, they recommend universal use of hydroxychloroquine, minimizing glucocorticoid exposure, and early introduction of conventional and/or biologic immunosuppressive therapies. 
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May 14, 2025 3:56 AM
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Pseudogout, chondrocalcinosis, CPPD et al: crystal clear… or clear as… | Frédéric Lioté

Pseudogout, chondrocalcinosis, CPPD et al: crystal clear… or clear as… | Frédéric Lioté | Rheumatology-Rhumatologie | Scoop.it
💡Indeed the nosology of CPPD disease is out dated. The G-CAN is aiming at changing the nomenclature

👉🏼 Follow up the topic
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April 19, 2025 10:14 AM
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Corticosteroids, hyaluronic acid, platelet-rich plasma, and cell-based therapies for knee osteoarthritis - literature trends are shifting in the injectable treatments' evidence: a systematic review...

Corticosteroids, hyaluronic acid, platelet-rich plasma, and cell-based therapies for knee osteoarthritis - literature trends are shifting in the injectable treatments' evidence: a systematic review... | Rheumatology-Rhumatologie | Scoop.it
www.crd.york.ac.uk/prosperoi dentifier is CRD42024592972.
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March 21, 2025 9:28 AM
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https://www.cell.com/action/showPdf?pii=S1471-4906%2825%2900024-9

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February 10, 2025 1:13 PM
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Granzyme - a major driver of inflammatory & autoimmune diseases | RheumNow

Granzyme - a major driver of inflammatory & autoimmune diseases | RheumNow | Rheumatology-Rhumatologie | Scoop.it
Our immune system is armed with an array of defenses designed to detect and eliminate harmful threats. One of its most powerful defense mechanisms is the complement system—a group of proteins that patrols our body, ever vigilant for signs of infection or injury. Now, over 100 years after the complement system was first described, researchers at Mass General Brigham have discovered that a protein known as granzyme K (GZMK) drives tissue damage and inflammation by activating the complement system against our own tissues.
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