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

Подождите немного. Документ загружается.

___________________________________________________________________________

3.  -

llgrn:

0  — ;

I  —  (-

);

II  —  (, -

);

III  — : 

, , , -

;

IV  —  ().

4. :

I — :

,  20 ,  6-12 ;

II — :      , -

 — ,  40 ,  12-24

;

III — :-

,     ,   

,  ,  ,

 40 ,  > 24 .

5. , .

6.  ():

I — , 

;

II — -

,       (

);

III — ,

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

)  (

).



1.  ,   ,

 2- ,   III , 

III.

2. , , -

 3-,  II ,  II.

3.  ,   , 

 :   (),  (-

     1- ), -

 3-,  II ,  II.

___________________________________________________________________________



 () — -

 ,   ,   .

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

.

-10

07 

07.0    

(L40.5+)

07.1  (L40.5+)

07.2  (L40.5+)

07.3  (L40.5+)

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

,  7-

39% . , -

 3,6-6,0  100 000 , -

 — 0,05-1%.

    25-55 .    

, ,

 2 .  75% -

 10  (

 20 ) -

.  10-15% ,  11-

15% . ,

       -

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

.



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

R, 2006 (Clssification riteria for soriatic Arthritis)

:

1)     : -

,  (-

 , -

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

)



2) :

  ,       -

:

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

 (. 4) , -

___________________________________________________________________________

. -

 :   ,    -

 ,  ,  , -

 .     

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

;

  

. 4.  — 

;  — ;  — 

.

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

, , ;

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

 (-

);

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

» , —  

 (. 5);

. 5. .

      

    ,  ;

;

___________________________________________________________________________

     (   

) , 

 (, -

, -

,   

 .    : -

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

, . -

 ,  «-

»  .   

);

  (-

), , -

.



      . 

 ,   . 

(1995 .). -

.

1.  ,    -

, , , -

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

.

. .

. .

. . 

. -

.

.       

, , .).

2.    . 



, -

-

. -

:

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

). , 

 > 50% 

 .    «-

»  (. 6);

___________________________________________________________________________

. 6. .

   ( -

). -

:  5 -

, 5  — ;

   ( )  «-

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

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

      

. 7).       

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

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

  «» .  

, , -

   ,  -

;

. 7. .

   ( ). -

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

  50%     («-

» );

  ():

___________________________________________________________________________

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

 — -

,   ,   -

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

, ;

- .

3. :

  :  ,  -

;

     ,  ,

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

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

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

. .), , , 

. . -

, 

.

4. . 

, -

, 

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

, .  . 

.

5.      

 (. ),  —

  (.  ). 

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

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

).

6.      -

      

     , -

   . 

, -

.

7.  . -

      ,

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

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

:

 ;

 :

1. : , ;

___________________________________________________________________________

2. ;

3. : , ,  (

);

 :

1. ;

2. ;

3. ;

4. .

, , -

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

, -



.

. -

       ( -

,      -

), .

, , -

      

, .



1. , , ,

   ( , 

),  — ,  III, -

 II . -

, .

2. , , -

,  (, -

), ,  II , -

 II ,   ( -

    ),  -

 III . -

, .

3.  ,  ,  , 

 ,  ,  IV, -

 I .  -

, .



 () —  «» 

  ,  -

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

.

___________________________________________________________________________

   4,6-5,0  100 000 .  

     .    -

   25:1  6:1.    

,  — 

.

-10

02 



 IV .

1. :

 ,  1-4 

      ( -

), . . 8;

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

 ( 1-3 —6 . -

).

 

. 8.  .  —   ;  —

  «» -

.

2. :

 -

 ( Chlamidia trachomatis -

);

 -

.

»      -

   ,  «»  —  

-

.

___________________________________________________________________________



, 

,   ,    ,

, . . -

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

27.

      ,

:

1.  —  :

 ; -

 ,    ,  -

;      .

       

Yersinia enterocolitica, Salmonella enteritidis, Campylobacter jejuni, Shi-

gella flexnery.  Clostridium difficile ;

 ;     -

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

 Chlamidia trachomatis. -

   Chlamidia pneumoniae  Chlamidia psittaci.

 Neisseria gonorrhoeae, Ureaplasma urealiticum 

Mycoplasma hominis . -

. 

   30%   . 

   35-69%  . -

  -

.   

,  25 ,

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

.



.

2. :

  ( 2 );

  ( 1 );

  ( 1 );

  (). 

 6 .

3. :

  (I);

  (II);

  (III);

  (0).

___________________________________________________________________________

4.      ():

.

 ,   ,  ,

:

 ;

 ;

 , , , 

.



 (, ), 

 (, );   (, ,

);    -

  (, , , , -

, , ),  (, -

),  (-, -, ,

, , ); 

 (),  (), -

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

),    -

.



1.    () , -

  ,  , 2-

, I .  2. . .

2.     ()

,  , 2-  , -

 2-, -

 2-.  2. . .

,



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

 (). -

-

 (), , 

 (.), -

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

, .

 — 

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

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