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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">10.14412/1996-7012-2024-2-7-15</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-1556</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>ЛЕКЦИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LECTURE</subject></subj-group></article-categories><title-group><article-title>К проблеме дифференциальной диагностики при выявлении антинейтрофильных цитоплазматических антител</article-title><trans-title-group xml:lang="en"><trans-title>On the problem of differential diagnosis in the detection of antineutrophil cytoplasmic antibodies</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4846-5531</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Егорова</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Egorova</surname><given-names>O. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ольга Николаевна Егорова</p><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>Olga Nikolaevna Egorova</p><p>34A, Kashirskoe Shosse, Moscow 115522</p><p>   </p></bio><email xlink:type="simple">onegorova@yandex.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>Тарасова</surname><given-names>Г. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Tarasova</surname><given-names>G. 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-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4630-3985</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Исаева</surname><given-names>Б. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Issaeva</surname><given-names>B. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050012, Алматы, ул. Толе би, 94</p></bio><bio xml:lang="en"><p>94, Tole Bi Street, Almaty 050012</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/0000-0003-3051-219X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дацина</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Datsina</surname><given-names>A. V.</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/0000-0001-9482-1878</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дильманова</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Dilmanova</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050012, Алматы, ул. Толе би, 94</p></bio><bio xml:lang="en"><p>94, Tole Bi Street, Almaty 050012</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/0000-0002-0020-8464</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Исаева</surname><given-names>С. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Issaeva</surname><given-names>S. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050012, Алматы, ул. Толе би, 94</p></bio><bio xml:lang="en"><p>94, Tole Bi Street, Almaty 050012</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/0000-0003-1182-5967</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ногаева</surname><given-names>М. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Nogaeva</surname><given-names>M. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050012, Алматы, ул. Толе би, 94</p></bio><bio xml:lang="en"><p>94, Tole Bi Street, Almaty 050012</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/0000-0002-6105-7559</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Исаева</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Issaeva</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050012, Алматы, ул. Толе би, 94</p></bio><bio xml:lang="en"><p>94, Tole Bi Street, Almaty 050012</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/0000-0002-7539-9736</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аманжолова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Amanzholova</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050012, Алматы, ул. Толе би, 94</p></bio><bio xml:lang="en"><p>94, Tole Bi Street, Almaty 050012</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/0000-0002-6105-7559</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сапарбаева</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Saparbayeva</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050012, Алматы, ул. Толе би, 94</p></bio><bio xml:lang="en"><p>94, Tole Bi Street, Almaty 050012</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/0000-0002-9825-9461</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аташева</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Atasheva</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050012, Алматы, ул. Толе би, 94</p></bio><bio xml:lang="en"><p>94, Tole Bi Street, Almaty 050012</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/0009-0009-9244-6731</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Канапина</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Kanapina</surname><given-names>A. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050012, Алматы, ул. Толе би, 94</p></bio><bio xml:lang="en"><p>94, Tole Bi Street, Almaty 050012</p></bio><xref ref-type="aff" rid="aff-2"/></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><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Казахский Национальный Медицинский Университет им. С.Д. Асфендиярова</institution><country>Казахстан</country></aff><aff xml:lang="en"><institution>S.D. Asfendiyarov Kazakh National Medical University</institution><country>Kazakhstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>19</day><month>04</month><year>2024</year></pub-date><volume>18</volume><issue>2</issue><elocation-id>7–15</elocation-id><permissions><copyright-statement>Copyright &amp;#x00A9; Егорова О.Н., Тарасова Г.М., Исаева Б.Г., Дацина А.В., Дильманова Д.С., Исаева С.М., Ногаева М.Г., Исаева А.Г., Аманжолова А.С., Сапарбаева М.М., Аташева А.А., Канапина А.Б., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Егорова О.Н., Тарасова Г.М., Исаева Б.Г., Дацина А.В., Дильманова Д.С., Исаева С.М., Ногаева М.Г., Исаева А.Г., Аманжолова А.С., Сапарбаева М.М., Аташева А.А., Канапина А.Б.</copyright-holder><copyright-holder xml:lang="en">Egorova O.N., Tarasova G.M., Issaeva B.G., Datsina A.V., Dilmanova D.S., Issaeva S.M., Nogaeva M.G., Issaeva A.G., Amanzholova A.S., Saparbayeva M.M., Atasheva A.A., Kanapina A.B.</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/1556">https://mrj.ima-press.net/mrj/article/view/1556</self-uri><abstract><p>Васкулиты, ассоциированные с антинейтрофильными цитоплазматическими антителами (AНЦA), представляют собой группу системных аутоиммунных заболеваний, характеризующихся некротизирующим поражением стенок преимущественно мелких сосудов и наличием AНЦA к протеиназе 3 или миелопероксидазе. Однако повышение уровня AНЦA может наблюдаться и при других заболеваниях, в том числе аутоиммунных, злокачественных, инфекционных, что затрудняет интерпретацию клинических и лабораторных данных и требует проведения дифференциальной диагностики.</p></abstract><trans-abstract xml:lang="en"><p>Vasculitides associated with antineutrophil cytoplasmic antibodies (ANCA) are a group of systemic autoimmune diseases characterized by necrotizing lesions of the walls of predominantly small vessels and the presence of ANCA against proteinase 3 or myeloperoxidase. However, an increase in ANCA levels can also be observed in other diseases, including autoimmune, malignant and infectious diseases, which complicates the interpretation of clinical and laboratory data and requires a differential diagnosis.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>антинейтрофильные цитоплазматические антитела</kwd><kwd>диагностика</kwd><kwd>ревматические заболевания</kwd><kwd>идиопатические заболевания легких</kwd><kwd>онкологические заболевания</kwd><kwd>аутоиммунная патология печени</kwd><kwd>лекарственные средства</kwd></kwd-group><kwd-group xml:lang="en"><kwd>antineutrophil cytoplasmic antibodies</kwd><kwd>diagnostics</kwd><kwd>rheumatic diseases</kwd><kwd>idiopathic lung diseases</kwd><kwd>malignant diseases</kwd><kwd>autoimmune liver pathology</kwd><kwd>drugs</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Статья подготовлена в рамках научно-исследовательской работы (№/№ государственных заданий РК 122040400024-7) и международного научного сотрудничества ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой» (Россия) с Казахским Национальный Медицинским Университетом им. С.Д. Асфендиярова (Казахстан).</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">Van Beers JJBC, Vanderlocht J, Roozendaal C, Damoiseaux J. Detection of anti-neutrophil cytoplasmic antibodies (ANCA) by indirect immunofluorescence. Methods Mol Biol. 2019:1901:47-62. doi: 10.1007/978-14939-8949-2_4.</mixed-citation><mixed-citation xml:lang="en">Van Beers JJBC, Vanderlocht J, Roozendaal C, Damoiseaux J. Detection of anti-neutrophil cytoplasmic antibodies (ANCA) by indirect immunofluorescence. Methods Mol Biol. 2019:1901:47-62. doi: 10.1007/978-14939-8949-2_4.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Csernok EJ, Damoiseaux N, Hellmich RB,et al. 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