mrjСовременная ревматологияModern Rheumatology Journal1996-70122310-158XIMA-PRESS, LLC10.14412/1996-7012-2018-2-4-11mrj-820Research ArticleЛЕКЦИИLECTURESЛихорадка неясного происхождения в ревматологииFever of unknown origin in rheumatologyГордеевА. В.GordeevA. V.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

avg1305@yandex.ruСавушкинаН. М.SavushkinaN. M.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

ГалушкоЕ. А.GalushkoE. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation201806062018122411Copyright © Гордеев А.В., Савушкина Н.М., Галушко Е.А., 20182018Гордеев А.В., Савушкина Н.М., Галушко Е.А.Gordeev A.V., Savushkina N.M., Galushko E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://mrj.ima-press.net/mrj/article/view/820

В статье рассмотрено современное состояние проблемы лихорадки неясного происхождения (ЛНП). Освещены основные этапы изучения данного вопроса с подробным описанием происходивших со временем изменений классификационных диагностических критериев, этиологических вариантов и клинических признаков отдельных видов ЛНП. Представлен дифференциально-диагностический алгоритм ведения больных ЛНП, проанализирована диагностическая ценность наиболее значимых лабораторных и инструментальных методов обследования. Описан РРР-синдром как один из возможных этиологических факторов ЛНП. Обозначен круг наиболее частых причин развития ЛНП у пациентов разного возраста. Отмечено, что наиболее частой причиной ЛНП у пожилых больных являются ревматические заболевания.

The article considers the current state of the problem related to fever of unknown origin (FUO). It highlights the main stages of studying this issue with a detailed description of the classification diagnostic criteria, etiological types, and clinical signs of certain types of FUO, which have undergone changes over time. The authors present a differential diagnostic algorithm for managing patients with FUO and analyze the diagnostic value of the most significant laboratory and instrumental studies. PPP-syndrome is described as one of the possible etiological factors for FUO. The circle of the most common of FUO is denoted in patients at different ages. It is noted that rheumatic diseases are the most common cause of FUO in elderly patients.

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The authors declare that there are no conflicts of interest present.