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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">10.14412/1996-7012-2025-3-27-32</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-1771</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 РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL GUIDELINES</subject></subj-group></article-categories><title-group><article-title>Рекомендации ACR 2024 г. по скринингу, лечению и ведению пациентов с волчаночным нефритом</article-title><trans-title-group xml:lang="en"><trans-title>2024 ACR guidelines on screening, treatment, and management of patients with lupus nephritis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1663-7810</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Асеева</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Aseeva</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елена Александровна Асеева </p><p>115522, Москва, Каширское шоссе, 34А </p></bio><bio xml:lang="en"><p>Elena Alexandrovna Aseeva </p><p>34A, Kashirskoye Shosse, Moscow, 115522 </p></bio><email xlink:type="simple">eaasseeva@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/0000-0002-5206-1732</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Соловьев</surname><given-names>С. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Soloviev</surname><given-names>S. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34А </p></bio><bio xml:lang="en"><p>34A, Kashirskoye 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/0009-0005-1269-5799</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Плетнев</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Pletnev</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34А </p></bio><bio xml:lang="en"><p>34A, Kashirskoye 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/0000-0003-3051-219X</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>Dacina</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, Kashirskoye 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>2025</year></pub-date><pub-date pub-type="epub"><day>24</day><month>06</month><year>2025</year></pub-date><volume>19</volume><issue>3</issue><fpage>27</fpage><lpage>32</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Асеева Е.А., Соловьев С.К., Плетнев Е.А., Дацина А.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Асеева Е.А., Соловьев С.К., Плетнев Е.А., Дацина А.В.</copyright-holder><copyright-holder xml:lang="en">Aseeva E.A., Soloviev S.K., Pletnev E.A., Dacina A.V.</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/1771">https://mrj.ima-press.net/mrj/article/view/1771</self-uri><abstract><p>Представлены современные рекомендации Американской коллегии ревматологии (American College of Rheumatology, ACR) по скринингу, лечению и ведению пациентов с волчаночным нефритом (ВН) с комментариями российских экспертов. Обсуждаются показания для проведения нефробиопсии, новый подход к лечению различных классов ВН с использованием трехкомпонентной и двухкомпонентной иммуносупрессивной терапии, допустимые дозы и длительность применения глюкокортикоидов.</p></abstract><trans-abstract xml:lang="en"><p>This article presents the current guidelines of the American College of Rheumatology (ACR) on the screening, treatment, and management of patients with lupus nephritis (LN), accompanied by comments from Russian experts. The discussion includes indications for renal biopsy, a new approach to the treatment of various classes of LN using triple and dual immunosuppressive therapy, as well as recommended glucocorticoid dosages and treatment durations.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>системная красная волчанка</kwd><kwd>волчаночный нефрит</kwd><kwd>диагностика</kwd><kwd>лечение</kwd><kwd>ведение пациентов</kwd><kwd>рекомендации American College of Rheumatology</kwd></kwd-group><kwd-group xml:lang="en"><kwd>systemic lupus erythematosus</kwd><kwd>lupus nephritis</kwd><kwd>diagnosis</kwd><kwd>treatment</kwd><kwd>patient management</kwd><kwd>American College of Rheumatology guidelines</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">Насонов ЕЛ, Соловьев СК, Аршинов АВ. Системная красная волчанка: история и современность. 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