We found a good agreement between patients' and family members' perceptions. It is essential that any family support be in accordance with patients' needs. Our qualitative analysis objectified, in addition to a major physical impact of the disease, a negative psychosocial effect.

Objective: To document the current state of Musculo Skeletal US (MSUS) implementation and training among Arab rheumatologists. Methods:A questionnaire in English divided into 9 items and 4 domains (sociodemographic characteristics, training in MSUS, MSUS in clinical practice and access to equipment) was distributed to Arab rheumatologists who were present at the Panarab Congress of Rheumatology "ARLAR 2016", which tookplace from 24 to 26 March 2016 in Morocco.Results: A total of 75 among 700 participants (11%) have answered the questionnaire. Most of respondents have less than 50 years (79.6%), 58% were female. MSUS was practiced daily by 37 (49.3%) respondents. Severalrespondents have formal university training (35.6%), few ones have informal training provided by rheumatologists (10.2%), 53.2% attended MSUS courses or Workshops and 75% have access to MSUS. They use MSUS in the following indications : rheumatoid arthritis (85.5%), shoulder pain (76.3%), ankle pain(50%), peripheral spondyloarthritis (51.3%) and for guidance of interventional procedures in 47.2%. Conclusion:Our results suggest that most of Arab rheumatologists have accessto MSUS machine and have been trained by attending MSUS courses or Workshops, but only a half uses MSUS in their daily practice.