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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">10.14412/1996-7012-2026-1-113-118</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-1916</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>Поражение кожи при редких моногенных аутовоспалительных заболеваниях. Часть 2</article-title><trans-title-group xml:lang="en"><trans-title>Skin involvement in rare monogenic autoinflammatory diseases. Part 2</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3689-431X</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>Светлана Олеговна Салугина</p><p>Россия, 115522, Москва, Каширское шоссе, 34А </p></bio><bio xml:lang="en"><p>Svetlana Olegovna Salugina</p><p>34A, Kashirskoe Shosse, Moscow 115522, Russia</p></bio><email xlink:type="simple">pafon1@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/0000-0002-2282-1745</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Федоров</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedorov</surname><given-names>E. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522, Russia</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/0000-0001-8099-2107</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Торгашина</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Torgashina</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522, Russia</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/0000-0002-0513-6826</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>Россия, 115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522, Russia</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/0000-0001-5562-0969</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бекетова</surname><given-names>М. Ф,</given-names></name><name name-style="western" xml:lang="en"><surname>Beketova</surname><given-names>M. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522, Russia</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/0000-0002-7857-9716</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Суханина</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Sukhanina</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Россия, 115522, Москва, Каширское шоссе, 34А </p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522, Russia</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>2026</year></pub-date><pub-date pub-type="epub"><day>19</day><month>02</month><year>2026</year></pub-date><volume>20</volume><issue>1</issue><fpage>113</fpage><lpage>118</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Салугина С.О., Федоров Е.С., Торгашина А.В., Каледа М.И., Бекетова М.Ф., Суханина А.Ю., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Салугина С.О., Федоров Е.С., Торгашина А.В., Каледа М.И., Бекетова М.Ф., Суханина А.Ю.</copyright-holder><copyright-holder xml:lang="en">Salugina S.O., Fedorov E.S., Torgashina A.V., Kaleda M.I., Beketova M.F., Sukhanina A.Y.</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/1916">https://mrj.ima-press.net/mrj/article/view/1916</self-uri><abstract><p>Аутовоспалительные заболевания (АВЗ) представляют собой гетерогенную группу состояний, патогенетически связанных с дисрегуляцией врожденного иммунитета и клинически характеризующихся повторяющимися эпизодами стерильного воспаления в вовлеченных органах при отсутствии инфекции, аллергии и высоких титров циркулирующих аутоантител или аутореактивных Т-клеток. Спектр генетически обусловленных АВЗ достаточно разнообразен и постоянно расширяется. Кожная симптоматика является одним из основных компонентов АВЗ и нередко служит ключом к диагнозу. Это касается как традиционных наиболее изученных моногенных АВЗ (мАВЗ), так и более редких и менее знакомых врачам АВЗ.В части 1 статьи были представлены характеристики кожных высыпаний при классических мАВЗ (Familial Mediterranean Fever, FMF; Сryopyrin-Associated Periodic Syndromes, CAPS; Tumor Necrosis Factor Receptor-Associated Periodic Syndrome, TRAPS; Hyper-IgD Syndrome / Mevalonate Kinase Deficiency, HIDS/MKD). В части 2 освещены варианты поражения кожи при более редких мАВЗ, в основе которых лежат не только процессы, связанные с активацией интерлейкина 1, но и альтернативные механизмы развития болезни, в том числе через активацию сигнальных путей интерферона (интерферонопатии), нейтрофильные дерматозы. Большую помощь в диагностике оказывают не только знание тех или иных кожных проявлений при АВЗ, их правильная интерпретация, но и учет специфических гистологических маркеров, определяемых с помощью морфологического исследования кожи. Тесный контакт ревматолога с дерматологом позволяет своевременно поставить диагноз и начать таргетную терапию.</p></abstract><trans-abstract xml:lang="en"><p>Autoinflammatory diseases (AIDs) represent a heterogeneous group of conditions pathogenetically associated with dysregulation of the innate immune system and clinically characterized by recurrent episodes of sterile inflammation in the affected organs in the absence of infection, allergy, and high titers of circulating autoantibodies or autoreactive T cells. The spectrum of genetically determined AIDs is quite diverse and continues to expand. Cutaneous manifestations are among the key components of AIDs and often serve as an important clue to diagnosis. This applies both to the classical, most extensively studied monogenic AIDs (mAIDs) and to more rare and less familiar forms of AIDs.Part 1 of the article presented the characteristics of skin manifestations in classical mAIDs (Familial Mediterranean Fever, FMF; Cryopyrin-Associated Periodic Syndromes, CAPS; Tumor Necrosis Factor Receptor-Associated Periodic Syndrome, TRAPS; Hyper-IgD Syndrome / Mevalonate Kinase Deficiency, HIDS/MKD). Part 2 focuses on patterns of skin involvement in more rare mAIDs, whose pathogenesis is based not only on interleukin-1 activation but also on alternative disease mechanisms, including activation of interferon signaling pathways (interferonopathies) and neutrophilic dermatoses. Diagnostic assessment is greatly facilitated not only by knowledge and correct interpretation of specific cutaneous manifestations in AIDs but also by consideration of characteristic histological markers identified through pathology examination of the skin. Close collaboration between rheumatologists and dermatologists enables timely diagnosis and initiation of targeted therapy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>моногенные аутовоспалительные заболевания</kwd><kwd>поражение кожи</kwd><kwd>пустулезные кожные высыпания</kwd><kwd>нейтрофильный дерматоз</kwd><kwd>интерферонопатии</kwd><kwd>саркоидоз с ювенильным началом</kwd></kwd-group><kwd-group xml:lang="en"><kwd>monogenic autoinflammatory diseases</kwd><kwd>skin involvement</kwd><kwd>pustular skin eruptions</kwd><kwd>neutrophilic dermatosis</kwd><kwd>interferonopathies</kwd><kwd>earlyonset sarcoidosis</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Статья подготовлена в рамках фундаментальной научной темы №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">Kastner DL, Aksentuevich I, GoldbachMansky R. 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