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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">10.14412/1996-7012-2021-4-72-80</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-1174</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>Сочетание анкилозирующего спондилита и ревматоидного артрита: клинические наблюдения и обзор литературы</article-title><trans-title-group xml:lang="en"><trans-title>Combination of ankylosing spondylitis and rheumatoid arthritis: clinical observations and literature review</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5493-6045</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Годзенко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Godzenko</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алла Александровна Годзенко</p><p>Кафедра ревматологии</p><p>125993, Москва, ул. Баррикадная, 2/1, стр. 1115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>Alla Alexandrovna Godzenko</p><p>Department of Rheumatology</p><p>2/1, Barrikadnaya St., Build. 1, Moscow 12599334A, Kashirskoe Shosse, Moscow 115522</p></bio><email xlink:type="simple">alla1106@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4383-9872</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Черемушкина</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Cheremushkina</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кафедра ревматологии</p><p>125993, Москва, ул. Баррикадная, 2/1, стр. 1</p></bio><bio xml:lang="en"><p>Department of Rheumatology</p><p>2/1, Barrikadnaya St., Build. 1, Moscow 125993</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7353-4087</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Димитрева</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Dimitreva</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9755-5760</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Урумова</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Urumova</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования»; ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuing Professional Education; V.A. Nasonova Research Institute of Rheumatology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuing Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>14</day><month>08</month><year>2021</year></pub-date><volume>15</volume><issue>4</issue><fpage>72</fpage><lpage>80</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Годзенко А.А., Черемушкина Е.В., Димитрева А.Е., Урумова М.М., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Годзенко А.А., Черемушкина Е.В., Димитрева А.Е., Урумова М.М.</copyright-holder><copyright-holder xml:lang="en">Godzenko A.A., Cheremushkina E.V., Dimitreva A.E., Urumova M.M.</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/1174">https://mrj.ima-press.net/mrj/article/view/1174</self-uri><abstract><p>В статье рассмотрен один из вариантов перекрестных (overlap) синдромов – сочетание симптоматики анкилозирующего спондилита (АС) и ревматоидного артрита (РА). Описаны три клинических наблюдения, в которых отмечались характерные признаки обоих заболеваний и соответствие критериям обоих диагнозов. Проанализированы генетические факторы и иммунопатогенетические механизмы, лежащие в основе АС и РА. Представлен обзор литературы, посвященной сочетанию АС и РА.</p></abstract><trans-abstract xml:lang="en"><p>The article discusses one of the variants of overlap syndrome – a combination of symptoms of ankylosing spondylitis (AS) and rheumatoid arthritis (RA). Three clinical cases are described, in these cases characteristic signs of both diseases were noted and the criteria of both diseases were met. The genetic factors and immunopathogenetic mechanisms underlying AS and RA are analyzed. A review of the literature on the combination of AS and RA is presented.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>анкилозирующий спондилит</kwd><kwd>ревматоидный артрит</kwd><kwd>сакроилиит</kwd><kwd>коксит</kwd><kwd>HLA-В27</kwd><kwd>ревматоидный фактор</kwd></kwd-group><kwd-group xml:lang="en"><kwd>ankylosing spondylitis</kwd><kwd>rheumatoid arthritis</kwd><kwd>sacroiliitis</kwd><kwd>coxitis</kwd><kwd>HLA-B27</kwd><kwd>rheumatoid factor</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">Сигидин ЯА, Гусева НГ, Иванова ММ. Диффузные болезни соединительной ткани. Москва: Медицина; 1994. 250 с.</mixed-citation><mixed-citation xml:lang="en">Sigidin YaA, Guseva NG, Ivanova MM. Diffuznye bolezni soedinitel'noi tkani [Diffuse connective tissue diseases]. 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