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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">10.14412/1996-7012-2025-4-13-24</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-1803</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>ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LECTURES</subject></subj-group></article-categories><title-group><article-title>Остеоартрит суставов кистей: эпидемиология, факторы риска, современная диагностика</article-title><trans-title-group xml:lang="en"><trans-title>Osteoarthritis of the hands: epidemiology, risk factors, and modern diagnostics</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8218-3223</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Таскина</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Taskina</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елена Александровна Таскина, к.м.н., старший научный сотрудник лаборатории остеоартрита отдела метаболических заболеваний костей и суставов,</p><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>Elena Alexandrovna Taskina - MD, PhD, Senior Research Fellow, Laboratory of Osteoarthritis, Department of Metabolic Diseases of Bones and Joints, </p><p>34A, Kashirskoye Shosse, Moscow 115522</p></bio><email xlink:type="simple">braell@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/0000-0002-6068-3080</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лила</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Lila</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34А;</p><p>125993, Москва, ул. Баррикадная, 2/1, стр. 1</p></bio><bio xml:lang="en"><p>34A, Kashirskoye Shosse, Moscow 115522;</p><p>2/1, Barrikadnaya Street, 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/0000-0001-8732-2720</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кашеварова</surname><given-names>Н. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Kashevarova</surname><given-names>N. G.</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/0000-0001-7017-0898</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексеева</surname><given-names>Л. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Alexeeva</surname><given-names>L. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34А;</p><p>125993, Москва, ул. Баррикадная, 2/1, стр. 1</p></bio><bio xml:lang="en"><p>34A, Kashirskoye Shosse, Moscow 115522;</p><p>2/1, Barrikadnaya Street, 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/0000-0002-0447-4110</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хальметова</surname><given-names>А. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Khalmetova</surname><given-names>A. R.</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><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»;&#13;
ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology;&#13;
Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>28</day><month>08</month><year>2025</year></pub-date><volume>19</volume><issue>4</issue><fpage>13</fpage><lpage>24</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Таскина Е.А., Лила А.М., Кашеварова Н.Г., Алексеева Л.И., Хальметова А.Р., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Таскина Е.А., Лила А.М., Кашеварова Н.Г., Алексеева Л.И., Хальметова А.Р.</copyright-holder><copyright-holder xml:lang="en">Taskina E.A., Lila A.M., Kashevarova N.G., Alexeeva L.I., Khalmetova A.R.</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/1803">https://mrj.ima-press.net/mrj/article/view/1803</self-uri><abstract><p>Остеоартрит (ОА) – распространенное ревматическое заболевание, характеризующееся структурными и функциональными нарушениями, приводящими к значимому снижению работоспособности и качества жизни пациентов. ОА суставов кистей занимает второе место по распространенности, уступая только поражению коленных суставов. В статье рассматриваются современные данные о распространенности и факторах риска ОА суставов кистей, а также новые классификационные критерии EULAR, включающие рентгенологические признаки генерализованного ОА, поражения межфаланговых суставов и ОА основания большого пальца у пациентов с болью, дискомфортом и/или скованностью. Приводятся результаты исследования ИСКРА, продемонстрировавшего эффективность биоактивного концентрата мелких морских рыб у 2776 пациентов с ОА суставов кистей.</p></abstract><trans-abstract xml:lang="en"><p>Osteoarthritis (OA) is a prevalent rheumatic disease characterized by structural and functional joint abnormalities, leading to significant functional and quality of life impairment. Hand OA ranks second in prevalence after knee OA. This article reviews current data on the epidemiology and risk factors of hand OA, and highlights the new EULAR classification criteria, which incorporate radiographic features of generalized OA, involvement of interphalangeal joints, and OA of the first carpometacarpal joint in patients with pain, discomfort, and/or stiffness. The article also presents findings from the ISKRA study, which demonstrated the efficacy of a bioactive small marine fish concentrate in 2,776 patients with hand OA.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>остеоартрит суставов кистей</kwd><kwd>эпидемиология</kwd><kwd>факторы риска</kwd><kwd>класификационные критерии</kwd><kwd>disease-modifying osteoarthritis drug</kwd></kwd-group><kwd-group xml:lang="en"><kwd>hand osteoarthritis</kwd><kwd>epidemiology</kwd><kwd>risk factors</kwd><kwd>classification criteria</kwd><kwd>disease-modifying osteoarthritis drug</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Статья подготовлена в рамках научно-исследовательской работы (государственное задание № РК 125020501433-4).</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">Xie X, Zhang K, Li Y, et al. 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