mrjСовременная ревматологияModern Rheumatology Journal1996-70122310-158XIMA-PRESS, LLC10.14412/1996-7012-2021-1-9-14mrj-1093Research ArticleКЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИCLINICAL GUIDELINESОбновленные рекомендации EULAR/ERA–EDTA 2019 г. по терапии волчаночного нефрита. Комментарии экспертов. Часть IIThe 2019 updated EULAR/ERA-EDTA guidelines for the management of lupus nephritis. Expert comments. Part IIhttps://orcid.org/0000-0002-4275-0315КозловскаяН. Л.KozlovskayaN. L.

117198, Москва, ул. Миклухо-Маклая, 6,

129327, Москва, ул. Ленская, 15

6, Miklukho-Maklai St., Moscow 117198,

15, Lenskaya St., Moscow 129327

https://orcid.org/0000-0002-5206-1732СоловьевС. К.SolovyevS. K.

Сергей Константинович Соловьев

115522, Москва, Каширское шоссе, 34А

 

Sergei Konstantovich Solovyev

34A, Kashirskoe Shosse, Moscow 115522

sksoloviev@mail.ruhttps://orcid.org/0000-0002-1663-7810АсееваЕ. А.AseevaE. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0001-5793-4689ПопковаТ. В.PopkovaT. V.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0003-1053-6952ПанафидинаТ. А.PanafidinaT. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0002-1598-8360НасоновЕ. Л.NasonovE. L.

Кафедра ревматологии Институт профессионального образования ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский университет)

115522, Москва, Каширское шоссе, 34А, 

119991, Москва, ул. Трубецкая, 8, стр. 2

Department of Rheumatology Institute of Professional Education, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

34A, Kashirskoe Shosse, Moscow 115522, 

8, Trubetskaya St., Build. 2, Moscow 119991

https://orcid.org/0000-0002-6068-3080ЛилаА. М.LilaA. M.

Кафедра ревматологии ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России

115522, Москва, Каширское шоссе, 34А, 

125993, Москва, ул. Баррикадная, 2/1, стр. 1

Department of Rheumatology Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia

34A, Kashirskoe Shosse, Moscow 115522, 

1/2, Barrikadnaya St., Build. 1, Moscow 125993

https://orcid.org/0000-0001-5411-7317МеснянкинаА. А.MesnyankinaA. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0002-4160-7218НикишинаН. Ю.NikishinaN. Yu.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

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»; Институт профессионального образования ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский университет)РоссияV.A. Nasonova Research Institute of Rheumatology; Institute of Professional Education, 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 Federation202117022021151914Copyright © 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., 20212021Козловская 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/1093

Представлены основные положения обновленных рекомендаций EULAR/ERA–EDTA 2019 г. по терапии волчаночного нефрита (ВН), подготовленных международной группой ревматологов, нефрологов, морфологов и педиатров. Во второй части статьи обсуждаются дополнительная терапия, мониторинг и прогноз при ВН, вопросы ведения пациентов с терминальной почечной недостаточностью, антифосфолипидным синдромом. Уделено внимание проблеме ВН и беременности, а также тактике ведения пациентов детского возраста с поражением почек.

The paper presents the main provisions of the updated 2019 EULAR/ERA-EDTA guidelines for the lupus nephritis (LN) therapy, which have been prepared by an international group of rheumatologists, nephrologists, morphologists, and pediatricians. Part 2 of the article discusses additional therapy, monitoring, and prognosis for LN, and the management of patients with end-stage renal failure and antiphospholipid syndrome. Attention is paid to the problem of LN and pregnancy, as well as to the management of pediatric patients with kidney damage.

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