mrjСовременная ревматологияModern Rheumatology Journal1996-70122310-158XIMA-PRESS, LLC10.14412/1996-7012-2020-4-7-15mrj-1063Research ArticleКЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИCLINICAL GUIDELINESОбновленные рекомендации EULAR/ERA–EDTA 2019 г. по терапии волчаночного нефрита. Комментарии экспертов. Часть IThe 2019 updated EULAR/ERA-EDTA guidelines for the management of lupus nephritis. Expert comments. Part IКозловскаяН. Л.KozlovskayaN. L.

Россия, 117198, Москва, ул. Миклухо-Маклая, 6;Россия, 129327, Москва, ул. Ленская, 15

СоловьевС. К.SolovyevS. K.

Россия, 115522, Москва, Каширское шоссе, 34А;

34A, Kashirskoe Shosse, Moscow 115522, Russia

sksoloviev@mail.ruАсееваЕ. А.AseevaE. A.

Россия, 115522, Москва, Каширское шоссе, 34А;

34A, Kashirskoe Shosse, Moscow 115522, Russia

ПопковаТ. В.PopkovaT. V.

Россия, 115522, Москва, Каширское шоссе, 34А;

34A, Kashirskoe Shosse, Moscow 115522, Russia

ПанафидинаТ. А.PanafidinaT. A.

Россия, 115522, Москва, Каширское шоссе, 34А;

34A, Kashirskoe Shosse, Moscow 115522, Russia

НасоновЕ. Л.NasonovE. L.

кафедра ревматологии Института профессионального образования

Россия, 115522, Москва, Каширское шоссе, 34А;Россия, 119991, Москва, ул. Трубецкая, 8, стр.2;

Department of Rheumatology, Institute of Professional Education

34A, Kashirskoe Shosse, Moscow 115522, Russia;8, Trubetskaya St., Build. 2, Moscow 119991, Russia

ЛилаА. М.LilaA. M.

кафедра ревматологии

Россия, 115522, Москва, Каширское шоссе, 34А;Россия, 125993, Москва, ул. Баррикадная, 2/1, стр. 1

Department of Rheumatology

34A, Kashirskoe Shosse, Moscow 115522, Russia;1/2, Barrikadnaya St., Build. 1, Moscow 125993, Russia

МеснянкинаА. А.MesnyankinaA. A.

Россия, 115522, Москва, Каширское шоссе, 34А;

34A, Kashirskoe Shosse, Moscow 115522, Russia

НикишинаН. Ю.NikishinaN. Yu.

Россия, 115522, Москва, Каширское шоссе, 34А;

34A, Kashirskoe Shosse, Moscow 115522, Russia

ФГАОУ ВО «Российский университет дружбы народов»; ГБУЗ г. Москвы «Городская клиническая больница им. А.К. Ерамишанцева Департамента здравоохранения города Москвы»РоссияPeoples' Friendship University of Russia; A.K. Eramishantsev City Clinical Hospital, Moscow Healthcare DepartmentRussian FederationФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian FederationФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»; ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский университет)РоссияV.A. Nasonova Research Institute of Rheumatology; I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian FederationФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»; ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияV.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaRussian Federation202020112020144715Copyright © Козловская Н.Л., Соловьев С.К., Асеева Е.А., Попкова Т.В., Панафидина Т.А., Насонов Е.Л., Лила А.М., Меснянкина А.А., Никишина Н.Ю., 20202020Козловская Н.Л., Соловьев С.К., Асеева Е.А., Попкова Т.В., Панафидина Т.А., Насонов Е.Л., Лила А.М., Меснянкина А.А., Никишина Н.Ю.Kozlovskaya N.L., Solovyev S.K., Aseeva E.A., Popkova T.V., Panafidina T.A., Nasonov E.L., Lila A.M., Mesnyankina A.A., Nikishina N.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://mrj.ima-press.net/mrj/article/view/1063

Представлены основные положения обновленных рекомендаций EULAR/ ERA–EDTA 2019 г. по терапии волчаночного нефрита. Обсуждается технология подготовки рекомендаций международной группой ревматологов, нефрологов, морфологов и педиатров. В основной части содержатся рекомендации по применению индукционной и поддерживающей терапии с использованием иммуносупрессоров, глюкокортикоидов и генно-инженерных биологических препаратов. Рассмотрены вопросы ведения пациенток с беременностью и терминальной почечной недостаточностью.

The paper presents the main provisions of the 2019 updated European League Against Rheumatism (EULAR)/European Renal Association (ERA) – European Dialysis and Transplant Association (EDTA) guidelines for the management of lupus nephritis. It discusses the technology of preparing recommendations by an international group of rheumatologists, nephrologists, morphologists, and pediatricians. The main part contains recommendations on the use of induction and maintenance therapy with immunosuppressants, glucocorticoids, and biological agents. The issues relating to the management of pregnant patients with end-stage renal failure are considered.

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The authors declare that there are no conflicts of interest present.