La fibromyalgie est coûteuse pour les personnes souffrant d’une maladie inflammatoire de la colonne vertébrale

Les patients atteints de spondylarthrite axiale, ce qui affecte la colonne vertébrale, sont souvent affectées par la fibromyalgie, l’ aggravation de l’impact de la maladie sur leur qualité de vie.
Bien que la santé physique et psychologique est affectée, la présence de la fibromyalgie, n’a pas d’ incidence sur les niveaux d’inflammation, ou la plupart des symptômes de la maladie pas liée à la colonne vertébrale.

L’étude « La co-occurrence de spondylarthrite axiale et la fibromyalgie: résultats d’un registre national (BSRBR-AS) » a été présenté à la réunion 2017 de rhumatologie, tenue du 25 au 27 Avril à Birmingham, en Angleterre.
La spondylarthrite axiale est une condition dans laquelle l’ inflammation dans la colonne vertébrale provoque quelques vertèbres à fusionner, obligeant le patient à prendre une posture courbée.
Contrairement à la fibromyalgie, la maladie est plus fréquente chez les hommes.
Les médecins ont observé que la fibromyalgie apparaît parfois chez ces patients, jusqu’à présent , les deux conditions ne faisait pas partie d’une étude conjointe.

Une équipe de recherche à l’Université d’Aberdeen au Royaume – Uni a recruté des patients de la Société britannique du registre biologique rhumatologie pour la spondylarthrite ankylosante (AS-BSRBR).
Depuis 2015, les patients inclus dans le registre sont également examinés pour la fibromyalgie.
Parmi les 886 patients inclus dans l’étude, 69% étaient des hommes et 17,7%, soit un sur six ont été diagnostiqués avec la fibromyalgie.
Les patients inclus avaient récemment commencé des anticorps de traitements contre le facteur de nécrose tumorale (TNF), pour travailler l’ inflammation, ou qui n’a jamais utilisé aucun agent biologique.

Ceux qui ont spondylarthrite axiale , et la fibromyalgie, a obtenu le score le plus élevé en termes d’évaluation de la gravité et l’impact de l’état de la colonne vertébrale.
Ils étaient également plus susceptibles d’avoir l’ anxiété, la dépression et la fatigue importante.
En outre , ils ont obtenu de moins sur les mesures relatives à la qualité des résultats de la vie.
Alors que seulement 3% des patients atteints de spondylarthrite axiale dit être absent du travail a été le résultat de leur état, 17% des personnes avec les deux conditions a rapporté l’ absentéisme.

Quand ils travaillent, 52% des personnes souffrant de fibromyalgie ont déclaré que leur travail est détériorée par la moitié environ.
En revanche , le nombre de patients atteints de spondylarthrite sans fibromyalgie était de 23% dans la même situation.
Les niveaux de CRP , un marqueur de l’ inflammation – étaient similaires dans les deux groupes de patients.
Le seul non – symptôme de la colonne vertébrale, ce qui était plus fréquente chez les personnes souffrant de fibromyalgie était l’ enflure des articulations.


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