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

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

     -

.  DR4 -

.  — 

,   .    

-2, -3, -

 (), , 

  ,    -

 II .      

         -

.

7.  (). 

 (,  ,     . .),

  ( , , 

. ), -

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

).

 I — , 

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

 II — , -

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

.

 III —   ,  -

     -

.

 IV —   ,  -

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

8. .

 

 

  ()

 

   (  , 

, )

    ,  . .  , -



 

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

1.  (05.8), ,

 II,   ( ),

 ( II),  (-),  II.

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2.    (06.0),  , -

 III,  ( I),  (+),

 I.

3.  (05.8), , -

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

 ),  (  III),

 (),  III,  — -

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

4.     (06.9), 

,  II,  (  I),

 (+),  I.

      

.        

.

      

) .

  (< 10% ).

  (15-30% ). -

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

),   

.

   (60-75% ).  

, , -

 () .

  (10-20% ). -

  ,   

) .



 — , -

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

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

-

.

-10

M10 

 —  40

.  5-28  1 000

 1-6  1 000 ,  — -

 1-3  1 000  0,2  1 000 .

___________________________________________________________________________

     40-50     

 60  .     -

 2,7:1.



-

 ,  Wallace et al.    

2000 .

. 



.  (),   , -

 (. 13).

. 13. .

.  6  12 :

1.  (. 14) .

2.  1-.

3. .

4. .

5. .

6. .

. 14. .

___________________________________________________________________________

7. .

8. .

9. . , -

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

. ,

 0,36

 (6 ). , -

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

 < 0,36 .

10..

11. (. 15).

. 15.     . 

.     .

 («»).

12..

  -

 (, ) -

.



 .

      -

:

 ;

 ;

 ;

 .

      

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

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

  .      

___________________________________________________________________________

  )    

,         56%

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

 ( 4% ),  ( 11%

)  ( 5% ).

- -

 ( 34% ),   4%   

.

 3-7 .

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

, .

  («»)  -

.

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

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

. , -

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

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

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

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

. -

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

 ,     ,  

, , , -

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

.

 .

    ,  ,

.

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

 1  12 .

  50% .



  ,  ,      .

, -

  ,     

. :

 ;

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

 ;

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

.

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

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

 30  45%.



I. .

1. .

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

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

.    ,    -

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

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

, , . 

 ,    -

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

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



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

.

2. 

 :

    -

,

 ,

 .

      

:

I  —  — -

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

 .   -

;

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



.     ,  -

  ,   .

       -

;

III  —  —   -

,     , -

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

, .

II. .

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

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

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

.

-

     (.  -

).

:

  (, , 

);

 ;

 ;

  ();

 ;

  — ;

  — ;

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

.

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

1.      

, 2-.  2.  (0,72

).

2.   .   -

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

, , 2-  .  2. 

(0,55 ). . -

.



 () — -

, -

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

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

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

.

 «»  -

. 

, -10  «-

». 

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

 —   -

,  40

.    -

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

  1/3    25-74 ,  

___________________________________________________________________________

. ,  65 -

 50%,  75  —  80% .

 «»     -

. -

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

 40-80%         50  

. ,  70-79

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

 30-43%  15-25% 

    .  -

 10% 

 40-49  92% —  70  (> 90% 

80% ). ,  9%

 26%  III-IV . -



55 , -

.    III  IV   

8,4%   3,1%  , , -

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

3,4%  3% .

-10

15-19

15 

: 

:  (16-19)

15.0  (

15.1  ()

15.2  ()

15.3 

15.4  (

15.8 

15.9 

16  []

16.0 

16.1 

16.2 

16.3 

16.4 

16.5 

16.6 

16.7 

16.9 

___________________________________________________________________________

17  []

17.0 

17.1 

17.2 

17.3 

17.4 

17.5 

17.9 

18 

18.0      -



18.1 

18.2 



18.3 



18.4 



18.5 

18.9 

19 

:  (47), 

 ( 20.2)

      -

.

I. .

1.    « »:  -



, .



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

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

, . 

      ,

 . -

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

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

.

        . -

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

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

    .   , -

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

___________________________________________________________________________

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

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

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

, .

   «»   -

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

   .   «»

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

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

.

2.        .

        -

 — «», 

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

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

.    ,   30

., .

3.       — 

  —   

    —   -

), . . 16.

. 16. .

II. .

1. .

,  (

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

).

2. .

 —   ,  

,    -

.

3. .

  ,     -

       

.