Синеглазова А.В. Современные классификации и диагностические критерии ведущих ревматических заболеваний

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







»

. 







. 





, 

 060101.65 – 

 17-29/369  08.10.2009

 «»

, 2010

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 616-002.77-07 (075.8)

 54.1917

 38

. -

:  / -

. . — :  «-

», 2010. — 124 .

:

       

, ., 

-

, ., 

 —       

, . 

 —   -

     ., , 



      -

, -

 6-.

-

      130  -

 060101 — , 

 «» -

 (.: , 1999).



 6  19.01.2009).

 17-29/369  08.10.2009

ISBN 978-5-94507-115-5

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

 ....................................................... 4

 1.  ........................................ 5

 ....................................................... 7

 ................................................................. 12

 ........................................................................ 17

,

 .................................... 20

......................................................................... 22

 ......................................................... 23

 2. 

 ..................... 25

 ..................................................................... 25

 ................................................................................................... 32

 .......................................................................................... 37

......................................................................... 45

 ......................................................... 46

 3. 

 ........................................................................................................... 49

 ................................................... 49

 ............................................................. 62

................... 74

......................................................................... 80

 ......................................................... 80

 4.  .......................... 83

......................................................................... 89

 ......................................................... 90

 5.  ................................................... 92

 .............................................................. 96

 .................................................................. 97

 ................................................................ 99

 ....................................................... 100

 .................................................... 101

.......................................... 102

 ............................................... 103

 () .......... 105

....................................................................... 108

 ....................................................... 108

 6.  .......................................................................... 111

....................................................................... 120

 ....................................................... 121

 .................................. 122

___________________________________________________________________________



 — 

 — 

 — 

 — 

 — )

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 10 —  10-

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

 — 

DAS 28 — 

___________________________________________________________________________

 1. 

 () — 

  ,  -

      -



. , ,

27.

    1-2%,  -

, 

27, — 10-20%.     

(62-88%)  16  23 .

       

 (), -

,  () -

, , , -

    ( , -

, ), -

-

. , -

, , 

.



, 

:

  ();

 - ;

 ;

 ;

  (, , -

, );

  ,     (, 

, , );

    ( ,

, , -

    ,  -

);

 ;

 27 .

-

     . 

___________________________________________________________________________

 (-

  ,  ,  -

   ,   

);  (

 «»); -

; , , -

   ;   

; , , , -

    ;   , -

.





1. .

 .

  (      -



).

2. .

   (  

       :

, , , 

, ).

  (       ,

).

  (

-

, 

).

  (

       -

).

  (       

      -

).

  ( 1 . -

).

  ( 1 .

).

  ( —  2-4- , -

 —  3-4-).

___________________________________________________________________________

      

        . -

 87%.

 , -

      -

, 

.

  , 

 4  5 :

  45 ,

 ,

  3 .,

 ,

 .

, 

 ():

  (),

  (-

, «»),

 ,

 ,

 ,

 ,

 .

         

 3 -

 80-95%.  1-2 , 

 (35-70%), 27.

27  (-

 90%), 27 — .



 () —  () — -

   ,  -

     -

.

-10

08.1 

45 

48.1 

___________________________________________________________________________



     -

.

1. .

        (    3

.),    ,  -

.

 -

,  (

, -

  —   ).   

    , -

   —   

      

. 1), , ,

 (. 2).

. 1. -

.

. 2. -

    -

.

 ,

 . -

 , «-

», «-

» , 

.

 

 ().

2.  — :

  II  (. 3)



  III-IV .

. 3. .

.

       

. -

 83%,  — 98%.

, , 

, -

, . 

 «»  1 . ,

 ( 21 ),

      -

. -

. , -

, , -

  (  1-, 2-  2-

), -

    -

.

   ,     

   ,   

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     . 

      

,     

 (. ).



1. :

  ,     

, , , -

;

.

-

       10-20

;

  — 

. -

, , 

, ,    -

, -

;

       -

, , , 

  .   

. 

, , 

 .     -

    ,   -

, .

2. :

I — , : -

    ;  -

       -

   , 

, ;

II — -

 ,    -

, 

;

III — :

, -

  ,   -

     

.