Docteur MARGHERITA GIANNINI
3ans d'exercice (thèse 2023)·31 publis sur 5 ans↘
Diplômes
🎓 DES & spécialité ordinale
- Rhumatologie (SM)
🎓 Diplômes
- Diplôme éq d'un pays de l'EEE profession Médecin
📝 Autres formations
- DEES Rhumatologie
Source : Annuaire Santé ANS (FHIR Practitioner.qualification) · Mises à jour quotidiennes.
Thèses universitaires
Source : catalogue national des thèses theses.fr (ABES). Ne couvre que les doctorats / HDR — les thèses d'exercice (DES) sont archivées dans les SCD universitaires.
Activité de recherche & publications
Source : bases de données publiques (OpenAlex, PubMed).
h-index
24
h articles cités ≥ h fois chacun. Un h de 24 = 24 publications avec 24+ citations.
Citations
1 805
Publications
120
i10-index
37
Thématiques principales
- Inflammatory Myopathies and Dermatomyositis ×84
- Systemic Sclerosis and Related Diseases ×28
- Rheumatoid Arthritis Research and Therapies ×19
- SARS-CoV-2 and COVID-19 Research ×17
- Parkinson's Disease and Spinal Disorders ×14
Affiliations FR : Centre de Référence des Maladies Autoinflammatoires et des Amyloses · Hôpitaux Universitaires de Strasbourg · Hôpital Civil, Strasbourg
Source : OpenAlex (CC0, OurResearch). Indicateurs académiques agrégés sur 250 M+ d'œuvres.
Bibliographie
Enhanced proteasome activity in perifascicular myofibres is a hallmark of dermatomyositis and its inhibition is efficient in preclinical models
2025ArticleAnnals of the Rheumatic Diseases
In immune-mediated necrotising myopathy, anti-HMGCR antibodies inhibit HMGCR activity, leading to the sarcoplasmic accumulation of lipid droplets and myofibres necrosis
2025ArticleAnnals of the Rheumatic Diseases
Experimental myositis: an optimised version of C-protein-induced myositis
2025ArticleRMD Open
Acute Severe Hypoxia Decreases Mitochondrial Chain Complex II Respiration in Human Peripheral Blood Mononuclear Cells
2025ArticleInternational Journal of Molecular Sciences
Cannabis (THC) Aggravates the Deleterious Effects of Alcohol (EtOH) on Skeletal Muscles’ Mitochondrial Respiration: Modulation by Age and Metabolic Phenotypes
2024ArticleBiology
273rd ENMC International workshop: Clinico-Sero-morphological classification of the Antisynthetase syndrome. Amsterdam, The Netherlands, 27-29 October 2023
2024ArticleNeuromuscular Disorders
The classification of myositis: setting the stage for a universal terminology
2024ArticleClinical and experimental rheumatology
Targeting Mitochondrial Dynamics during Lower-Limb Ischemia Reperfusion in Young and Old Mice: Effect of Mitochondrial Fission Inhibitor-1 (mDivi-1).
2024ArticleInternational Journal of Molecular Sciences
Source : HAL — archive ouverte CCSD/CNRS (couvre articles, chapitres EMC, communications congrès, thèses).
Lieu de consultation
HOPITAL CIVIL / NOUVEL HOPITAL CIVIL
1 Place DE L'HOPITAL, 67091 Strasbourg
☎ 0388116768Hospitalier
Tarifs & secteur de conventionnement
Secteur de conventionnement non disponible (médecin hospitalier ou non présent dans l'Annuaire santé CNAM des libéraux conventionnés).
Prendre rendez-vous & contact
Lien Doctolib = recherche Google site:doctolib.fr (le 1er résultat est presque toujours le profil correct s'il existe).
Top publications · les plus citées
- 1Influence of Antisynthetase Antibodies Specificities on Antisynthetase Syndrome Clinical Spectrum Time Course
Journal of clinical medicine · 2019
Lire l'abstract Crossref ↓
Antisynthetase syndrome (ASSD) is a rare clinical condition that is characterized by the occurrence of a classic clinical triad, encompassing myositis, arthritis, and interstitial lung disease (ILD), along with specific autoantibodies that are addressed to different aminoacyl tRNA synthetases (ARS). Until now, it has been unknown whether the presence of a different ARS might affect the clinical presentation, evolution, and outcome of ASSD. In this study, we retrospectively recorded the time of onset, characteristics, clustering of triad findings, and survival of 828 ASSD patients (593 anti-Jo1, 95 anti-PL7, 84 anti-PL12, 38 anti-EJ, and 18 anti-OJ), referring to AENEAS (American and European NEtwork of Antisynthetase Syndrome) collaborative group’s cohort. Comparisons were performed first between all ARS cases and then, in the case of significance, while using anti-Jo1 positive patients as the reference group. The characteristics of triad findings were similar and the onset mainly began with a single triad finding in all groups despite some differences in overall prevalence. The “ex-novo” occurrence of triad findings was only reduced in the anti-PL12-positive cohort, however, it occurred in a clinically relevant percentage of patients (30%). Moreover, survival was not influenced by the underlying anti-aminoacyl tRNA synthetase antibodies’ positivity, which confirmed that antisynthetase syndrome is a heterogeneous condition and that antibody specificity only partially influences the clinical presentation and evolution of this condition.
- 2Sarcopenia and peripheral arterial disease: a systematic review
Journal of cachexia, sarcopenia and muscle · 2020
Lire l'abstract Crossref ↓
AbstractBackgroundPatients with lower extremity peripheral arterial disease (PAD) and sarcopenia are a population at risk requiring specific and targeted care. The aim of this review is to gather all relevant studies associating sarcopenia and PAD and to identify the underlying pathophysiological mechanisms as well as potential therapeutic strategies to improve skeletal muscle function.MethodsA systematic review was carried out following the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA).ResultsData extraction allowed the evaluation of 140 publications; 87 met the inclusion criteria; of which 79 were included in the final review, reporting sufficient data for epidemiological and diagnostic criteria, mechanical analysis, and therapeutic approaches. Epidemiological analysis and diagnostic criteria were based on 18 studies following 2362 PAD patients [31.39% (SD 7.61) women], aged 72.42 (SD 2.84); sarcopenia was present in 34.63% (SD 12.86) of the patients. Mechanical and pathway analysis were based on five animal studies and 29 clinical reports, showing significantly altered muscle strength and function in 1352 PAD patients [26.49% (SD 17.32) women], aged 67.67 (SD 5.14) years; impaired muscle histology in 192 PAD patients (9.2% (SD 11.22) women), aged 64.3 (SD 0.99) years; +58.63% (SD 25.48) of oxidative stress in 69 PAD patients [16.96% (SD 8.10) women], aged 63.17 (SD 1.43) years; mitochondriopathy in 153 PAD patients [29.39% (SD 28.27) women], aged 63.50 (SD 1.83) years; +15.58% (SD 7.41) of inflammation in 900 PAD patients [40.77% (SD 3.71) women], aged 74.88 (SD 2.76) years; and altered signalling pathways in 51 PAD patients [34.45% (SD 32.23) women], aged 72.25 (SD 5.25) years. Therapeutic approaches analysis was based on seven animal studies and 21 clinical reports. In total, 884 patients followed an exercise therapy, and 18 received an angiogenesis treatment; 30.84% (SD 17.74) were women. Mean ages of patients studied were 66.85 (SD 3.96).ConclusionsSarcopenia and lower extremity PAD have musculoskeletal consequences that directly impair patients' quality of life and prognosis. Although PAD is primarily a vascular disease, all etiological factors of sarcopenia identified so far are present in PAD. Indeed, both sarcopenia and PAD are accompanied by oxidative stress, skeletal muscle mitochondrial impairments, inflammation, inhibition of specific pathways regulating muscle synthesis or protection (i.e. IGF‐1, RISK, and SAFE), and activation of molecules associated with muscle degradation. To date, besides revascularization, the best therapeutic strategy includes exercise, but approaches targeting the underlying mechanisms still deserve further studies.
- 3Serum Jo-1 Autoantibody and Isolated Arthritis in the Antisynthetase Syndrome: Review of the Literature and Report of the Experience of AENEAS Collaborative Group
Clinical reviews in allergy & immunology · 2017
📚 57 citations🎯 RCR 2.83Top 17% NIH
Publications scientifiques (50) — classées par pathologie
Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).
Transversal38
▼
Transversal38
▼- Phosphodiesterase 4 (PDE 4) Inhibition Reduces Ischemia-Reperfusion-Induced Leucocyte Infiltration, Apoptosis and Mitochondrial Fission Markers in Mice Skeletal Muscles Four Hours After Ischemia Onset
Muscles (Basel, Switzerland) · 2026 · Journal Article
Charles AL, Tetsi L, Quiring G, Barnig C, et al.
- Spatial transcriptomics reveals mechanism of autoimmunity driven by internalized autoantibodies
medRxiv : the preprint server for health sciences · 2026 · Journal Article
Pinal-Fernandez I, Pak K, Casal-Dominguez M, Muñoz-Braceras S, et al.
- Enhanced proteasome activity in perifascicular myofibres is a hallmark of dermatomyositis and its inhibition is efficient in preclinical models
Annals of the rheumatic diseases · 2025 · Journal Article
Debrut L, Giannini M, Quiring G, Perniola S, et al.
📚 1 cit. - Aquaporin-4 downregulation in dysphagic patients with idiopathic inflammatory myopathies: myofiber vulnerability and inflammation drivers
Rheumatology (Oxford, England) · 2025 · Journal Article
Fornaro M, Giannini M, D'Abbicco D, Fiorella ML, et al.
- Revisiting the link between oropharyngeal dysphagia and cancer in autoimmune myositis: a descriptive study
Arthritis research & therapy · 2025 · Journal Article
Shen HC, Landon-Cardinal O, Bourré-Tessier J, Hoa S, et al.
- Response to: 'Lipid droplets at center stage in IMNM? - An ultrastructural 2D large scale quantification' by Focks et al. New insights into pathology, serology, and pathophysiology highlight IMNM as a heterogeneous group of inflammatory myopathies
Annals of the rheumatic diseases · 2025 · Letter
Giannini M, Quiring G, Geny B, Meyer A
- Impaired Peripheral Blood Mononuclear Cell (PBMC) Mitochondrial Respiration Is Associated with Mortality and Long COVID Syndrome Severity in COVID-19 Patients
International journal of molecular sciences · 2025 · Journal Article
Charles AL, Debrut L, Oulehri W, Vincent V, et al.
📚 2 cit. - Early anticoagulant resumption after atypical intracerebral hemorrhage: beyond atrial fibrillation analysis of two clinical cases admitted to the University Hospital of Pisa
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025 · Journal Article
Mignani G, Del Chicca M, D'Agliano R, Baldini M, et al.
- In immune-mediated necrotising myopathy, anti-HMGCR antibodies inhibit HMGCR activity, leading to the sarcoplasmic accumulation of lipid droplets and myofibres necrosis
Annals of the rheumatic diseases · 2025 · Letter
Giannini M, Quiring G, Oulad-Abdelghani M, Lannes B, et al.
📚 9 cit.🎯 RCR 3.57 - Appendicular Lean Mass Index Using Dual-Energy X-Ray Absorptiometry (DEXA) in Professional Football: A Pilot Study of a New Method for Improved Inter-Operator Reproducibility and Analysis of Pelvi-Trochanteric Muscles
Sports (Basel, Switzerland) · 2025 · Journal Article
Evrard C, Blaess J, Goetsch T, Fellous E, et al.
- The role of multicriteria decision analysis in the development of candidate classification criteria for antisynthetase syndrome: analysis from the CLASS project
Annals of the rheumatic diseases · 2025 · Journal Article
Zanframundo G, Dourado E, Bauer-Ventura I, Faghihi-Kashani S, et al.
📚 7 cit.🎯 RCR 3.08 - The classification of myositis: setting the stage for a universal terminology
Clinical and experimental rheumatology · 2025 · Editorial
Giannini M, Bhai S, Boyer O, Cheng K, et al.
📚 1 cit. - Experimental myositis: an optimised version of C-protein-induced myositis
RMD open · 2025 · Journal Article
Giannini M, Rovito D, Oulad-Abdelghani M, Messaddeq N, et al.
📚 1 cit. - Acute Severe Hypoxia Decreases Mitochondrial Chain Complex II Respiration in Human Peripheral Blood Mononuclear Cells
International journal of molecular sciences · 2025 · Journal Article
Riou M, Charles AL, Enache I, Evrard C, et al.
📚 3 cit. - Agreement between local and central anti-synthetase antibodies detection: results from the Classification Criteria of Anti-Synthetase Syndrome project biobank
Clinical and experimental rheumatology · 2024 · Multicenter Study
Loganathan A, Zanframundo G, Yoshida A, Faghihi-Kashani S, et al.
📚 22 cit.🎯 RCR 5.94🔬→🩺 Translationnel - Clinical, histologic and prognostic features of clinically amyopathic dermatomyositis
Clinical and experimental rheumatology · 2024 · Journal Article
Fornaro M, Girolamo F, Giannini M, Coladonato L, et al.
📚 2 cit. - Cannabis (THC) Aggravates the Deleterious Effects of Alcohol (EtOH) on Skeletal Muscles' Mitochondrial Respiration: Modulation by Age and Metabolic Phenotypes
Biology · 2024 · Journal Article
Charles AL, Giannini M, Meyer A, Charloux A, et al.
📚 2 cit. - Sarcopenia assessed by DXA and hand-grip dynamometer: a potential marker of damage, disability and myokines imbalance in inflammatory myopathies
Rheumatology (Oxford, England) · 2024 · Journal Article
Giannini M, Charles AL, Evrard C, Blaess J, et al.
📚 9 cit.🎯 RCR 2.56 - IFNγ causes mitochondrial dysfunction and oxidative stress in myositis
Nature communications · 2024 · Journal Article
Abad C, Pinal-Fernandez I, Guillou C, Bourdenet G, et al.
📚 38 cit.🎯 RCR 7.16 - Targeting Mitochondrial Dynamics during Lower-Limb Ischemia Reperfusion in Young and Old Mice: Effect of Mitochondrial Fission Inhibitor-1 (mDivi-1)
International journal of molecular sciences · 2024 · Journal Article
Paradis S, Charles AL, Giannini M, Meyer A, et al.
📚 4 cit.🎯 RCR 1.39 - Anti-SAE dermatomyositis: clinical and histologic characteristics from a monocentric Italian cohort
Clinical and experimental rheumatology · 2024 · Journal Article
Fornaro M, Coladonato L, Giannini M, Napoletano A, et al.
📚 3 cit. - Comment on: Inaugural dropped head syndrome and camptocormia in inflammatory myopathies: a retrospective study
Rheumatology (Oxford, England) · 2024 · Journal Article
Giannini M, Meyer A
- In inflammatory myopathies, dropped head/bent spine syndrome is associated with scleromyositis: an international case-control study
RMD open · 2023 · Journal Article
Pijnenburg L, Giannini M, Bouchard-Marmen M, Arnaud L, et al.
📚 9 cit.🎯 RCR 1.63 - Clinical spectrum time course in non-Asian patients positive for anti-MDA5 antibodies
Clinical and experimental rheumatology · 2022 · Journal Article
Cavagna L, Meloni F, Meyer A, Sambataro G, et al.
📚 25 cit.🎯 RCR 2.80🔬→🩺 Translationnel - Capillary pathology with prominent basement membrane reduplication is the hallmark histopathological feature of scleromyositis
Neuropathology and applied neurobiology · 2022 · Journal Article
Ellezam B, Leclair V, Troyanov Y, Bersali I, et al.
📚 18 cit.🎯 RCR 2.12 - Perivascular and endomysial macrophages expressing VEGF and CXCL12 promote angiogenesis in anti-HMGCR immune-mediated necrotizing myopathy
Rheumatology (Oxford, England) · 2022 · Journal Article
Lia A, Annese T, Fornaro M, Giannini M, et al.
📚 19 cit.🎯 RCR 1.90 - Resolution of Inflammation after Skeletal Muscle Ischemia-Reperfusion Injury: A Focus on the Lipid Mediators Lipoxins, Resolvins, Protectins and Maresins
Antioxidants (Basel, Switzerland) · 2022 · Journal Article
Barnig C, Lutzweiler G, Giannini M, Lejay A, et al.
📚 28 cit.🎯 RCR 2.67 - Long Term Follow-Up of Sarcopenia and Malnutrition after Hospitalization for COVID-19 in Conventional or Intensive Care Units
Nutrients · 2022 · Journal Article
Levy D, Giannini M, Oulehri W, Riou M, et al.
📚 33 cit.🎯 RCR 3.61🔬→🩺 Translationnel - Scleromyositis: A distinct novel entity within the systemic sclerosis and autoimmune myositis spectrum. Implications for care and pathogenesis
Frontiers in immunology · 2022 · Journal Article
Giannini M, Ellezam B, Leclair V, Lefebvre F, et al.
📚 32 cit.🎯 RCR 5.38🔬→🩺 Translationnel - Severe muscle damage with myofiber necrosis and macrophage infiltrates characterize anti-Mi2 positive dermatomyositis
Rheumatology (Oxford, England) · 2021 · Comparative Study
Fornaro M, Girolamo F, Cavagna L, Franceschini F, et al.
📚 25 cit.🎯 RCR 2.05🩺 Clinique - Long-term efficacy of adding intravenous immunoglobulins as treatment of refractory dysphagia related to myositis: a retrospective analysis
Rheumatology (Oxford, England) · 2021 · Journal Article
Giannini M, Fiorella ML, Tampoia M, Girolamo F, et al.
📚 18 cit.🎯 RCR 1.72 - Similarities between COVID-19 and anti-MDA5 syndrome: what can we learn for better care?
The European respiratory journal · 2020 · Letter
Giannini M, Ohana M, Nespola B, Zanframundo G, et al.
📚 46 cit.🎯 RCR 2.38 - Influence of Antisynthetase Antibodies Specificities on Antisynthetase Syndrome Clinical Spectrum Time Course
Journal of clinical medicine · 2019 · Journal Article
Cavagna L, Trallero-Araguás E, Meloni F, Cavazzana I, et al.
📚 158 cit.🎯 RCR 9.50🔬→🩺 Translationnel - Nailfold Capillaroscopy Characteristics of Antisynthetase Syndrome and Possible Clinical Associations: Results of a Multicenter International Study
The Journal of rheumatology · 2019 · Journal Article
Sebastiani M, Triantafyllias K, Manfredi A, González-Gay MA, et al.
📚 44 cit.🎯 RCR 3.01🔬→🩺 Translationnel - Autophagy markers LC3 and p62 accumulate in immune-mediated necrotizing myopathy
Muscle & nerve · 2019 · Journal Article
Girolamo F, Lia A, Annese T, Giannini M, et al.
📚 37 cit.🎯 RCR 1.80 - Timing of onset affects arthritis presentation pattern in antisyntethase syndrome
Clinical and experimental rheumatology · 2018 · Comparative Study
González-Gay MA, Montecucco C, Selva-O'Callaghan A, Trallero-Araguas E, et al.
📚 43 cit.🎯 RCR 2.72🔬→🩺 Translationnel - Clinical follow-up predictors of disease pattern change in anti-Jo1 positive anti-synthetase syndrome: Results from a multicenter, international and retrospective study
Autoimmunity reviews · 2017 · Journal Article
Bartoloni E, Gonzalez-Gay MA, Scirè C, Castaneda S, et al.
📚 40 cit.🎯 RCR 2.09🔬→🩺 Translationnel - A New Immunodot Assay for Multiplex Detection of Autoantibodies in a Cohort of Italian Patients With Idiopathic Inflammatory Myopathies
Journal of clinical laboratory analysis · 2016 · Journal Article
Tampoia M, Notarnicola A, Abbracciavento L, Fontana A, et al.
📚 17 cit.🔬→🩺 Translationnel
Sjögren4
▼
Sjögren4
▼- Inclusion body myositis and Sjögren's syndrome: the association works both ways
Acta neuropathologica communications · 2022 · Letter
Giannini M, Felten R, Gottenberg JE, Geny B, et al.
📚 8 cit.🎯 RCR 1.04 - Comment on: Refining myositis associated with primary Sjögren's syndrome: data from the prospective cohort ASSESS: Reply
Rheumatology (Oxford, England) · 2022 · Editorial
Felten R, Giannini M, Gottenberg JE, Meyer A
- Significance of Sjögren's syndrome and anti-cN1A antibody in myositis patients
Rheumatology (Oxford, England) · 2022 · Journal Article
Levy D, Nespola B, Giannini M, Felten R, et al.
📚 14 cit.🎯 RCR 1.72 - Refining myositis associated with primary Sjögren's syndrome: data from the prospective cohort ASSESS
Rheumatology (Oxford, England) · 2021 · Journal Article
Felten R, Giannini M, Nespola B, Lannes B, et al.
📚 31 cit.🎯 RCR 2.99🔬→🩺 Translationnel
Épidémiologie & registres3
▼
Épidémiologie & registres3
▼- Current classification criteria underestimate the incidence of idiopathic inflammatory myopathies by ignoring subgroups
Nature reviews. Rheumatology · 2024 · Letter
Giannini M, Debrut L, Nespola B, Velten M, et al.
📚 3 cit.🎯 RCR 1.09 - Refining Incidence and Characteristics of Inflammatory Myopathies: A Quadruple-Source Capture-Recapture Survey Using the 2017 European League Against Rheumatism/American College of Rheumatology Classification Criteria
Arthritis & rheumatology (Hoboken, N.J.) · 2023 · Journal Article
Debrut L, Giannini M, Klein D, Spielmann L, et al.
📚 8 cit.🎯 RCR 1.29 - Incidence and predictors of COVID-19 and flares in patients with rare autoimmune diseases: a systematic survey and serological study at a national reference center in France
Arthritis research & therapy · 2021 · Journal Article
Felten R, Scherlinger M, Guffroy A, Poindron V, et al.
📚 12 cit.🔬→🩺 Translationnel
Revue générale3
▼
Revue générale3
▼- Histopathological features of systemic sclerosis-associated myopathy: A scoping review
Autoimmunity reviews · 2021 · Journal Article
Lefebvre F, Giannini M, Ellezam B, Leclair V, et al.
📚 28 cit.🎯 RCR 2.57 - Sarcopenia and peripheral arterial disease: a systematic review
Journal of cachexia, sarcopenia and muscle · 2020 · Journal Article
Pizzimenti M, Meyer A, Charles AL, Giannini M, et al.
📚 105 cit.🎯 RCR 7.33🔬→🩺 Translationnel - Serum Jo-1 Autoantibody and Isolated Arthritis in the Antisynthetase Syndrome: Review of the Literature and Report of the Experience of AENEAS Collaborative Group
Clinical reviews in allergy & immunology · 2017 · Journal Article
Cavagna L, Nuño L, Scirè CA, Govoni M, et al.
📚 57 cit.🎯 RCR 2.83🔬→🩺 Translationnel
Biomarqueurs / Auto-Ac1
▼
Biomarqueurs / Auto-Ac1
▼- [Increased circulating level of fatty acid-binding protein 3 (FABP3): a potential biomarker of muscle damage in inflammatory myopathies patients]
Medecine sciences : M/S · 2025 · English Abstract
Giannini M, Debrut L, Geny B, Meyer A
Case report / série1
▼
Case report / série1
▼- Thrombocytopenia in idiopathic inflammatory myopathies: a case series analysis
Clinical and experimental rheumatology · 2020 · Journal Article
Giannini M, Grignaschi S, Fornaro M, Caporali R, et al.
📚 2 cit.
Revue / méta-analyse1
▼
Revue / méta-analyse1
▼- Sarcopenia and peripheral arterial disease: a systematic review
Journal of cachexia, sarcopenia and muscle · 2020 · Journal Article
Pizzimenti M, Meyer A, Charles AL, Giannini M, et al.
📚 105 cit.🎯 RCR 7.33🔬→🩺 Translationnel
Datasets & protocoles partagés
Incidence and predictors of COVID-19 and flares in patients with rare autoimmune diseases: a systematic survey and serological study at a national reference center in France
Collection2021figshareAbstract Background The risk of severe COVID-19 and its determinants remain largely unknown in patients with autoimmune and inflammatory rheumatic diseases. The objective of this study was to assess the prevalence of COV
Incidence and predictors of COVID-19 and flares in patients with rare autoimmune diseases: a systematic survey and serological study at a national reference center in France
Collection2021figshareAbstract Background The risk of severe COVID-19 and its determinants remain largely unknown in patients with autoimmune and inflammatory rheumatic diseases. The objective of this study was to assess the prevalence of COV
Source : DataCite — DOIs pour datasets, logiciels, protocoles, registres patient. Hors articles (déjà couverts).
