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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mrj</journal-id><journal-title-group><journal-title xml:lang="ru">Современная ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Modern Rheumatology Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1996-7012</issn><issn pub-type="epub">2310-158X</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1996-7012-2020-4-165-170</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-1085</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL OBSERVATIONS</subject></subj-group></article-categories><title-group><article-title>Успешное применение ингибитора интерлейкина17A (иксекизумаба) в лечении псориатического артрита</article-title><trans-title-group xml:lang="en"><trans-title>Successful use of the interleukin-17A inhibitor (ixekizumab) in the treatment of psoriatic arthritis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дадалова</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Dadalova</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 191015, Санкт-Петербург, ул. Кирочная, 41</p></bio><bio xml:lang="en"><p>41, Kirochnaya St., Saint Petersburg 191015, Russia</p></bio><email xlink:type="simple">dadalova-anna@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Василенко</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasilenko</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 191015, Санкт-Петербург, ул. Кирочная, 41</p></bio><bio xml:lang="en"><p>41, Kirochnaya St., Saint Petersburg 191015, Russia</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Самигуллина</surname><given-names>Р. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Samigullina</surname><given-names>R. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 191015, Санкт-Петербург, ул. Кирочная, 41</p></bio><bio xml:lang="en"><p>41, Kirochnaya St., Saint Petersburg 191015, Russia</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мазуров</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Mazurov</surname><given-names>V. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 191015, Санкт-Петербург, ул. Кирочная, 41</p></bio><bio xml:lang="en"><p>41, Kirochnaya St., Saint Petersburg 191015, Russia</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>24</day><month>11</month><year>2020</year></pub-date><volume>14</volume><issue>4</issue><fpage>165</fpage><lpage>170</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Дадалова А.М., Василенко Е.А., Самигуллина Р.Р., Мазуров В.И., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Дадалова А.М., Василенко Е.А., Самигуллина Р.Р., Мазуров В.И.</copyright-holder><copyright-holder xml:lang="en">Dadalova A.M., Vasilenko E.A., Samigullina R.R., Mazurov V.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://mrj.ima-press.net/mrj/article/view/1085">https://mrj.ima-press.net/mrj/article/view/1085</self-uri><abstract><p>Псориатический артрит (ПсА) представляет собой хроническое иммуноопосредованное заболевание из группы спондилоартритов, характеризующееся поражением опорно-двигательного аппарата с широким спектром различных клинических проявлений, обычно ассоциированное с псориазом. Основная роль в патогенезе ПсА и псориаза принадлежит активации оси интерлейкин (ИЛ) 23/ИЛ17. При недостаточной эффективности нестероидных и синтетических базисных противовоспалительных препаратов рекомендовано назначение генно-инженерных биологических препаратов. В последние годы достигнуты существенные успехи в лечении ПсА с использованием ингибиторов фактора некроза опухоли α (иФНОα) и ингибиторов ИЛ (иИЛ) 12/23. Однако в ряде случаев указанная терапия не дает желаемого эффекта, и поиск новых средств лечения ПсА представляется актуальной задачей. В статье приведено клиническое наблюдение, демонстрирующее эффективность иИЛ17А иксекизумаба (Талс) у пациента с высокой активностью ПсА и рецидивирующим увеитом обоих глаз. Терапия иксекизумабом привела к положительной динамике в виде уменьшения выраженности суставного синдрома и псориаза, нормализации острофазовых показателей. При оценке активности ПсА в динамике на фоне применения иксекизумаба в течение года отмечалось снижение СОЭ в среднем с 72 до 19 мм/ч, уровня СРБ с 162,1 до 0 мг/л, BSA с 51 до 0,25%, PASI с 43,6 до 0, DAPSA с 78,2 до 2, ASDAS-СРБ с 5,11 до 1,12, BASDAI с 4,85 до 1, BASFI с 5,3 до 0,7, BASMI с 5,0 до 2,6, MASES с 6 до 0, LEI с 2 до 0, SPARCC с 6 до 0, NAPSI с 28 до 8. Таким образом, данный клинический случай является примером успешного лечения иИЛ17 иксекизумабом ПсА с рецидивирующим увеитом у пациента, ранее получавшего без эффекта три препарата из группы иФНОα.</p></abstract><trans-abstract xml:lang="en"><p>Psoriatic arthritis (PsA) is a chronic immune-mediated disease from a group of spondyloarthritis, which is characterized by damage to the musculoskeletal system with a wide range of different clinical manifestations and is usually associated with psoriasis. Activation of the interleukin (IL) 23/IL17 axis plays a key role in the pathogenesis of PsA and psoriasis. When non-steroidal and synthetic disease-modifying antirheumatic drugs are insufficiently effective, biological drugs are recommended. In recent years, there have been considerable advances in PsA treatment with tumor necrosis factor-α (IFN-α) inhibitors and IL-12/23 inhibitors. However, in some cases, this therapy fails to provide the desired effect and a search for new treatments for PsA seems to be an urgent task. The paper desctibes a clinical case demonstrating the efficacy of the IL17A inhibitor ixekizumab in a patient with high PsA activity and recurrent uveitis in both eyes. Ixekizumab therapy resulted in positive changes as the reduced severity of articular syndrome and psoriasis and normalization of acute phase parameters. Assessing the activity of PsA over time when using ixekizumab during a year showed an average decrease in ESR from 72 to 19 mm/h, in CRP from 162.1 to 0 mg/L, BSA from 51 to 0.25%, PASI from 43. 6 to 0, DAPSA from 78.2 to 2, ASDAS-SRB from 5.11 to 1.12, BASDAI from 4.85 to 1, BASFI from 5.3 to 0.7, BASMI from 5.0 to 2.6, MASES from 6 to 0, LEI from 2 to 0, SPARCC from 6 to 0, and NAPSI from 28 to 8. Thus, this clinical case is an example of successful treatment with the IL17 inhibitor ixekizumab for PsA with recurrent uveitis in the patient who has previously received three drugs from the TNFα group without any effect.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>псориатический артрит</kwd><kwd>увеит</kwd><kwd>иксекизумаб</kwd></kwd-group><kwd-group xml:lang="en"><kwd>psoriatic arthritis</kwd><kwd>uveitis</kwd><kwd>ixekizumab</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Коротаева ТВ, Корсакова ЮЛ, Логинова ЕЮ и др. Псориатический артрит. Клинические рекомендации по диагностике</mixed-citation><mixed-citation xml:lang="en">Korotaeva TV, Korsakova YuL, Loginova EYu, et al. Psoriatic arthritis. Clinical guidelines for diagnosis and treatment. Sovremennaya revmatologiya = Modern Rheumatology Journal. 2018;12(2):22-35. 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