rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.14412/1995-4484-2014-574-576rsp-1980Research ArticleПЕРЕДОВАЯLEADING ARTICLEРазвитие концепции спондилоартритовSPONDYLOARTHRITIS: EVOLUTION OF A CONCEPTЭрдесШ. Ф.ErdesSh. F.erdes@irramn.ruФГБНУ Научно-исследовательский институт ревматологии им. В.А. Насоновой, Москва, РоссияРоссияV.A. Nasonova Research Institute of Rheumatology, Moscow, RussiaRussian Federation201406102014525574576Copyright © Эрдес Ш.Ф., 20142014Эрдес Ш.Ф.Erdes S.F.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/1980

Новая концепция спондилоартритов (СпА), предположительно для облегчения диагностики на ранней стадии болезни, выделяет аксиальный СпА (аксСпА), в который входят нерентгенологический аксСпА и анкилозирующий спондилит (АС). Однако такое разделение одной нозологии на две противоречит логике, а также Международной статистической классификации болезней и проблем, связанных со здоровьем (10-й пересмотр), и не подтверждается клиническими данными, что показано, в частности, в работе Е.Е. Губарь и соавт., опубликованной в данном номере журнала. Поэтому более правильным кажется рассматривать нерентгенологический аксСпА (при наличии сакроилиита, подтвержденного при МРТ) как начальную стадию АС.

A new concept in spondyloarthritis (SpA) aimed to ease the diagnosis of the early stages of the disease differentiates axial SpA without radiological signs of sacroiliitis and ankylosing spondilitis (AS). However, such division of the entire nosological entity into two is illogical.  oreover, it contradicts International Statistical Classification of Diseases and Related Health Problems (ICD-10) and does not have a clinical proof (clinical data support), which was demonstrated in the work of E.E. Gubar et al. published in the present issue of the journal. Therefore it appears more reasonable to consider non-radiological axial SpA (with sacroiliitis confirmed by MRI) as an early stage of SpA.

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