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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">10.14412/19967012-2023-2-100-108</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-1417</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>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Клинические варианты поражения кожи и слизистых оболочек при системной красной волчанке с ювенильным началом</article-title><trans-title-group xml:lang="en"><trans-title>Clinical variants of skin and mucous membrane lesions in systemic lupus erythematosus with juvenile onset</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0513-6826</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каледа</surname><given-names>М. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kaleda</surname><given-names>M. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мария Игоревна Каледа</p><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>Maria Igorevna Kaleda</p><p>34A, Kashirskoe Shosse, Moscow 115522</p></bio><email xlink:type="simple">kaleda-mi@yandex.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/0000-0003-3689-431X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Салугина</surname><given-names>С. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Salugina</surname><given-names>S. O.</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-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1842-0348</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никишина</surname><given-names>И. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikishina</surname><given-names>I. P.</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-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4156-5062</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Арефьева</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Arefieva</surname><given-names>A. N.</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-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><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>2023</year></pub-date><pub-date pub-type="epub"><day>22</day><month>04</month><year>2023</year></pub-date><volume>17</volume><issue>2</issue><fpage>100</fpage><lpage>108</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Каледа М.И., Салугина С.О., Никишина И.П., Арефьева А.Н., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Каледа М.И., Салугина С.О., Никишина И.П., Арефьева А.Н.</copyright-holder><copyright-holder xml:lang="en">Kaleda M.I., Salugina S.O., Nikishina I.P., Arefieva A.N.</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/1417">https://mrj.ima-press.net/mrj/article/view/1417</self-uri><abstract><p>При ювенильном дебюте системной красной волчанки (СКВ) часто встречается поражение кожи и слизистых оболочек, которое характеризуется чрезвычайным разнообразием. Кожные проявления могут быть начальным признаком заболевания, нередко они одними из первых реагируют на адекватно назначенную терапию, а рецидив либо возникновение нового типа поражения у многих больных является самым ранним показателем обострения. В тяжелых случаях поражение кожи может приводить к необратимым косметическим дефектам, существенно влияя на качество жизни. В статье представлены клинические проявления различных вариантов поражения кожи и слизистых оболочек при СКВ с дебютом в детском и подростковом возрасте, распознавание которых важно для своевременной диагностики СКВ, а также коррекции терапии уже имеющегося заболевания, что позволяет улучшить отдаленный прогноз и качество жизни пациентов.</p></abstract><trans-abstract xml:lang="en"><p>Skin and mucous membrane lesions are frequently seen in systemic lupus erythematosus (SLE) with the juvenile onset (juSLE), and they are extremely diverse. Skin manifestations can be the initial sign of the disease, they often respond first to adequate therapy, and recurrence or the appearance of a new type of lesions is the earliest indicator of exacerbation in many patients. In severe cases, skin lesions can lead to irreversible cosmetic defects, significantly affecting the quality of life. The article presents the clinical manifestations of various variants of skin and mucous membrane lesions in SLE with a debut in childhood and adolescence, their recognition is important for the timely diagnosis of SLE, as well as the correction of therapy for an existing disease, which improves the long-term prognosis and quality of life of patients.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>системная красная волчанка с ювенильным началом</kwd><kwd>поражение кожи</kwd><kwd>поражение слизистых оболочек</kwd><kwd>острая кожная красная волчанка</kwd><kwd>подострая кожная красная волчанка</kwd><kwd>дискоидная волчанка</kwd></kwd-group><kwd-group xml:lang="en"><kwd>systemic lupus erythematosus with juvenile onset</kwd><kwd>skin lesions</kwd><kwd>mucosal involvement</kwd><kwd>acute cutaneous lupus erythematosus</kwd><kwd>subacute cutaneous lupus erythematosus</kwd><kwd>discoid lupus</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Статья подготовлена в рамках фундаментальной научной темы № 1021051302580-4</funding-statement><funding-statement xml:lang="en">The investigation has been conducted within fundamental scientific topic №1021051302580-4</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Rahman A, Isenberg DA. 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