Connectivite

Connectivite

Symptômes InflammationVoir et modifier les données sur Wikidata

Traitement
Médicament Étanercept, macitentan, ambrisentan et bosentan monohydraté (d)Voir et modifier les données sur Wikidata
Spécialité RhumatologieVoir et modifier les données sur Wikidata
Classification et ressources externes
CIM-10 M30-M36
MedlinePlus 001223
MeSH D003240

Wikipédia ne donne pas de conseils médicaux Mise en garde médicale

Les connectivites ou collagénoses (CTD, pour l'anglais connective tissue disease) sont un groupe de maladies internes qui ont en commun une atteinte diffuse, inflammatoire et chronique, du tissu conjonctif.

Autres terminologies plus ou moins obsolètes ou ambiguës

Classification CIM-10

Autres connectivites classées ailleurs

D'autres affections, non classées par la CIM-10 dans le groupe des Affections disséminées du tissu conjonctif sont considérées tout de même comme des connectivites ou maladies apparentées.

Connectivites, intestin et digestion

L'appareil intestinal est souvent atteint lors des connectivites et vascularites, notamment en cas de sclérodermie systémique (ScS) où le tableau de pseudo-obstruction intestinal, fréquent, peut être compliqué par une pullulation microbienne de l'intestin grêle et d'un syndrome de malabsorption pouvant conduire à une dénutrition sévère et une cachexie, avec parfois une ischémie, un infarctus et les perforations digestives. Des hémorragies (par ulcérations des muqueuses ou par ruptures d'anévrisme sont également possible[1].

Souvent le tableau clinique est peu spécifique et les explorations digestives offrent peu d’éléments pronostiques.

Le traitement est difficile, basé sur des immunosuppresseurs et nécessitant parfois une intervention chirurgicale[1].

Notes et références

  1. a et b Jérôme Avouac, « Intestin des connectivites et vascularites », Revue du Rhumatisme Monographies, vol. 83, no 4,‎ , p. 249–255 (DOI 10.1016/j.monrhu.2016.03.008, lire en ligne, consulté le )

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