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              <p>Les troubles du sommeil concernent 47 à 82 % des patients atteints demaladies inflammatoires chroniques de l’intestin (MICI). L'activité de lamaladie et la présence de troubles anxiodépressifs associés représentent lesprincipaux facteurs de risque de troubles du sommeil chez les MICI. Toutefois,près de la moitié des patients en rémission conservent un sommeil demauvaise qualité, suggérant une relation entre les MICI et une altération de laqualité du sommeil qui contribue à la fatigue observée chez une grandemajorité de patients. Plusieurs travaux montrent un lien bidirectionnel entreles perturbations du sommeil et l'inflammation. Dans la maladie de Crohn, laprésence de troubles du sommeil est un marqueur précoce d'inflammationinfraclinique et chez les patients en rémission, une mauvaise qualité desommeil est associée au risque de rechute à six mois. Les troubles du sommeilcontribuent au handicap fonctionnel des MICI ; leur dépistage et leur prise encharge pourraient ainsi permettre d'améliorer la qualité de vie des patients.L'impact de leur prise en charge sur l'évolution de la maladie reste à évaluer.</p>
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