rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.14412/1995-4484-2016-1S-87-96rsp-2260Research ArticleИНФОРМАЦИЯINFORMATIONВОПРОСЫ РАННЕЙ ДИАГНОСТИКИ И КЛИНИЧЕСКИХ ОСОБЕННОСТЕЙ АКСИАЛЬНОГО СПОНДИЛОАРТРИТА НА ЕВРОПЕЙСКОМ КОНГРЕССЕ РЕВМАТОЛОГОВ 2015 Г.THE EARLY DIAGNOSIS AND CLINICAL FEATURES OF AXIAL SPONDYLOARTHRITIS AT THE EUROPEAN CONGRESS OF RHEUMATOLOGY 2015ГубарьЕ. Е.GubarE. E.gubarelena@yandex.ruЭрдесШ. Ф.ErdesSh. F.Научноисследовательский институт ревматологии имени В.А. Насоновой, МоскваРоссияV.A. Nasonova Research Institute of Rheumatology, MoscowRussian Federation201616092016541Sприложение 18796Copyright © Губарь Е.Е., Эрдес Ш.Ф., 20162016Губарь Е.Е., Эрдес Ш.Ф.Gubar E.E., 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/2260

10–13 июня 2015 г. в Риме был проведен  Конгресс  Европейской антиревматической лиги – EULAR-2015. Одним из значимых аспектов  конгресса  была проблема спондилоартритов (СпА). Заметное  место в программе конгресса  заняли  сообщения о патогенезе  СпА, в том числе о связи процессов  воспаления и механизмов  костной  пролиферации. Широко обсуждалось фундаментальное значение  провоспалительных цитокинов – интерлейкина 17 (ИЛ17)/ИЛ23 – при СпА. Много работ, как и в предыдущие  годы, было посвящено ранней  диагностике СпА, сопоставлению различных  классификационных критериев  СпА, а также трансформации нерентгенологического аксиального СпА в анкилозирующий спондилит.  Немало времени  было посвящено результатам последних  исследований в области визуализации сакроилиита и спондилита.

The European  League Against Rheumatism (EULAR)  Congress (EULAR-15) was held in Rome on 10–13 June 2015. One of the most important  aspects of the Congress was the problem of spondyloarthritis  (SpA). Reports on the pathogenesis of SpA, including a relationship between the inflammatory processes and the mechanisms  of bone proliferation, occupied a prominent place in the program of the Congress. The fundamental  importance  of proinflammatory cytokines, such as interleukin 17 (IL17)/IL23, for SpA was the subject of wide speculation. As in previous years, many reports were dedicated to the early diagnosis of SpA, the comparison of different SpA classification criteria, and the progression of non-radiographic axial SpA to ankylosing spondylitis. Much time was devoted to the results of the latest studies visualizing sacroiliitis and spondylitis.

нерентгенологический аксиальный спондилоартриткостная пролиферациясакроилиит по данным магнитно-резонансной томографииnon-radiographic axial spondyloarthritisbone proliferationmagnetic resonance imaging sacroiliitsReferencesВ тексте в квадратных скобках с буквенно-цифровой аббревиатурой указаны ссылки на тезисы в журнале Annals of the Rheumatic Diseases, June 2015; Volume 74, Supplement 2.В тексте в квадратных скобках с буквенно-цифровой аббревиатурой указаны ссылки на тезисы в журнале Annals of the Rheumatic Diseases, June 2015; Volume 74, Supplement 2.Maksymowych WP, Wichuk S, Chiowchanwisawakit P, et al. Fat metaplasia and backfill are key intermediaries in the development of sacroiliac joint ankylosis in patients with ankylosing spondylitis. Arthritis Rheum. 2014;66(11):2958-67. doi: 10.1002/art.38792Maksymowych WP, Wichuk S, Chiowchanwisawakit P, et al. Fat metaplasia and backfill are key intermediaries in the development of sacroiliac joint ankylosis in patients with ankylosing spondylitis. Arthritis Rheum. 2014;66(11):2958-67. doi: 10.1002/art.38792Rudwaleit M, Landewe R, van der Heijde D, et al. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part I): classification of paper patients by expert opinion including uncertainty appraisal. Ann Rheum Dis. 2009;68(6):770-6. doi: 10.1136/ard.2009.108217Rudwaleit M, Landewe R, van der Heijde D, et al. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part I): classification of paper patients by expert opinion including uncertainty appraisal. Ann Rheum Dis. 2009;68(6):770-6. doi: 10.1136/ard.2009.108217Sorensen J, Hetland ML. Decreases in diagnostic delay are supported by sensitivity analyses. Ann Rheum Dis. 2014;73(7):e45. doi: 10.1136/annrheumdis-2014-205590Sorensen J, Hetland ML. Decreases in diagnostic delay are supported by sensitivity analyses. Ann Rheum Dis. 2014;73(7):e45. doi: 10.1136/annrheumdis-2014-205590Brandt HC, Spiller I, Song I-H, et al. Performance of referral recommendations in patients with chronic back pain and suspected axial spondyloarthritis. Ann Rheum Dis. 2007;66:1479-84. doi: 10.1136/ard.2006.068734Brandt HC, Spiller I, Song I-H, et al. Performance of referral recommendations in patients with chronic back pain and suspected axial spondyloarthritis. Ann Rheum Dis. 2007;66:1479-84. doi: 10.1136/ard.2006.068734Poddubnyy D, Vahldiek J, Spiller I, et al. Evaluation of 2 screening strategies for early identification of patients with axial spondyloarthritis in primary care. J Rheumatol. 2011;38(11):2452-60. doi: 10.3899/jrheum.110070Poddubnyy D, Vahldiek J, Spiller I, et al. Evaluation of 2 screening strategies for early identification of patients with axial spondyloarthritis in primary care. J Rheumatol. 2011;38(11):2452-60. doi: 10.3899/jrheum.110070Sieper J, Srinivasan S, Zamani O. Comparison of two referral strategies for diagnosis of axial spondyloarthritis: the Recognising and Diagnosing Ankylosing Spondylitis Reliably (RADAR) study. Ann Rheum Dis. 2012;72:1621-7. doi: 10.1136/annrheumdis-2012-201777Sieper J, Srinivasan S, Zamani O. Comparison of two referral strategies for diagnosis of axial spondyloarthritis: the Recognising and Diagnosing Ankylosing Spondylitis Reliably (RADAR) study. Ann Rheum Dis. 2012;72:1621-7. doi: 10.1136/annrheumdis-2012-201777Braun A, Gnann H, Saracbasi E, et al. Optimizing the identification of patients with axial spondyloarthritis in primary care the case for a two-step strategy combining the most relevant clinical items with HLA B27. Rheumatology (Oxford). 2013;52(8):1418-24. doi: 10.1093/rheumatology/ket115Braun A, Gnann H, Saracbasi E, et al. Optimizing the identification of patients with axial spondyloarthritis in primary care the case for a two-step strategy combining the most relevant clinical items with HLA B27. Rheumatology (Oxford). 2013;52(8):1418-24. doi: 10.1093/rheumatology/ket115Van Hoeven L, Luime J, Han H, et al. Identifying axial spondyloarthritis in dutch primary care patients, ages 20-45 years, with chronic low back pain. Arthritis Care Res (Hoboken). 2014;66(3):446-53. doi: 10.1002/acr.22180Van Hoeven L, Luime J, Han H, et al. Identifying axial spondyloarthritis in dutch primary care patients, ages 20-45 years, with chronic low back pain. Arthritis Care Res (Hoboken). 2014;66(3):446-53. doi: 10.1002/acr.22180Poddubnyy D, van Tubergen A, Landewe R, et al. Development of an ASAS-endorsed recommendation for the early referral of patients with a suspicion of axial spondyloarthritis. Ann Rheum Dis. 2014;74(8):1483-6. doi: 10.1136/annrheumdis-2014-207151Poddubnyy D, van Tubergen A, Landewe R, et al. Development of an ASAS-endorsed recommendation for the early referral of patients with a suspicion of axial spondyloarthritis. Ann Rheum Dis. 2014;74(8):1483-6. doi: 10.1136/annrheumdis-2014-207151Poddubnyy D, Rudwaleit M, Haibbel H, et al. Rates and predictors of radiographic sacroiliitis progression over 2 years in patients with axial spondyloarthritis. Ann Rheum Dis. 2011;70:1369-74. doi: 10.1136/ard.2010.145995Poddubnyy D, Rudwaleit M, Haibbel H, et al. Rates and predictors of radiographic sacroiliitis progression over 2 years in patients with axial spondyloarthritis. Ann Rheum Dis. 2011;70:1369-74. doi: 10.1136/ard.2010.145995Weber U, Pedersen S, Ostergaard M, et al. Can erosions on MRI of the sacroiliac joints be reliably detected in patients with ankylosing spondylitis? – A cross-sectional study. 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Ann Rheum Dis. 2007;66(5):633-8. doi: 10.1136/ard.2006.060293.Lee W, Reveille JD, Davis J. Are there gender differencesin severity of ankylosing spondylitis? Results from the PSOAS cohort. Ann Rheum Dis. 2007;66(5):633-8. doi: 10.1136/ard.2006.060293.

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