{"id":562193,"date":"2026-09-14T22:04:36","date_gmt":"2026-09-14T20:04:36","guid":{"rendered":"https:\/\/medizinonline.com\/treat-to-target-recommandations-consensuelles-concernant-la-reduction-progressive-de-la-corticotherapie-et-lutilisation-des-dmard\/"},"modified":"2026-09-14T22:04:41","modified_gmt":"2026-09-14T20:04:41","slug":"treat-to-target-recommandations-consensuelles-concernant-la-reduction-progressive-de-la-corticotherapie-et-lutilisation-des-dmard","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/treat-to-target-recommandations-consensuelles-concernant-la-reduction-progressive-de-la-corticotherapie-et-lutilisation-des-dmard\/","title":{"rendered":"\u00ab Treat-to-target \u00bb \u2013 Recommandations consensuelles concernant la r\u00e9duction progressive de la corticoth\u00e9rapie et l&#8217;utilisation des DMARD"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Outre les <em> crit\u00e8res de classification<\/em>de l&#8217;EULAR <em>(Alliance europ\u00e9enne des associations de rhumatologie)<\/em> et de l&#8217;ACR <em>(Coll\u00e8ge am\u00e9ricain de rhumatologie)<\/em>, il existe d&#8217;autres outils valid\u00e9s qui facilitent le d\u00e9pistage pr\u00e9coce du LED, comme par exemple le SLERPI <em>(SLE Risk Probability Index).<\/em> L\u2019un des axes principaux du traitement consiste \u00e0 obtenir une r\u00e9mission ou une faible activit\u00e9 de la maladie afin de minimiser les l\u00e9sions organiques \u00e0 long terme. Chez les patients pr\u00e9sentant une r\u00e9ponse insuffisante \u00e0 l\u2019hydroxychloroquine et aux glucocortico\u00efdes, on pr\u00e9conise aujourd\u2019hui la mise en place pr\u00e9coce d\u2019immunosuppresseurs classiques (csDMARD) ou de m\u00e9dicaments biologiques immunomodulateurs (bDMARD) est pr\u00e9conis\u00e9e, car cette strat\u00e9gie permet d\u2019obtenir les meilleurs r\u00e9sultats \u00e0 long terme.  <\/strong><\/p>\n\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/fr\/mon-compte\/paquets\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/fr\/se-connecter\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Ffr%2Ftreat-to-target-recommandations-consensuelles-concernant-la-reduction-progressive-de-la-corticotherapie-et-lutilisation-des-dmard%2F\">Connectez-vous ici<\/a><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Outre les crit\u00e8res de classificationde l&#8217;EULAR (Alliance europ\u00e9enne des associations de rhumatologie) et de l&#8217;ACR (Coll\u00e8ge am\u00e9ricain de rhumatologie), il existe d&#8217;autres outils valid\u00e9s qui facilitent le d\u00e9pistage pr\u00e9coce du&#8230;&hellip;... <\/p>\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/fr\/mon-compte\/paquets\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/fr\/se-connecter\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Ffr%2Ftreat-to-target-recommandations-consensuelles-concernant-la-reduction-progressive-de-la-corticotherapie-et-lutilisation-des-dmard%2F\">Connectez-vous ici<\/a><\/div><\/div><\/div>","protected":false},"author":7,"featured_media":562198,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Lupus \u00e9ryth\u00e9mateux syst\u00e9mique (LES) : que propose la bo\u00eete \u00e0 outils de diagnostic et de prise en charge ?  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