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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">rsp</journal-id><journal-title-group><journal-title xml:lang="ru">Научно-практическая ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Rheumatology Science and Practice</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1995-4484</issn><issn pub-type="epub">1995-4492</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1995-4484-2018-531-534</article-id><article-id custom-type="elpub" pub-id-type="custom">rsp-2602</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>ДИСКУССИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>DISCUSSION</subject></subj-group></article-categories><title-group><article-title>Какие неблагоприятные реакции на генно-инженерные биологические препараты относят к парадоксальным?</article-title><trans-title-group xml:lang="en"><trans-title>WHAT ADVERSE REACTIONS TO BIOLOGICAL AGENTS ARE PARADOXICAL?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Муравьев</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Muravyev</surname><given-names>Yu. V.</given-names></name></name-alternatives><email xlink:type="simple">murawyu@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научноисследовательский институт ревматологии им. В.А. Насоновой», Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>08</day><month>09</month><year>2018</year></pub-date><volume>56</volume><issue>4</issue><fpage>531</fpage><lpage>534</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Муравьев Ю.В., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Муравьев Ю.В.</copyright-holder><copyright-holder xml:lang="en">Muravyev Y.V.</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://rsp.mediar-press.net/rsp/article/view/2602">https://rsp.mediar-press.net/rsp/article/view/2602</self-uri><abstract><p>В статье обсуждается появление необычных – парадоксальных – неблагоприятных реакций, возникающих в результате лечения ревматических болезней генно-инженерными биологическими препаратами.</p></abstract><trans-abstract xml:lang="en"><p>The paper discusses the appearance of unusual – paradoxical – adverse reactions that occur as a result of treatment of rheumatic diseases with biological agents.</p><p> </p></trans-abstract><kwd-group xml:lang="ru"><kwd>ревматические болезни</kwd><kwd>генно-инженерные биологические препараты</kwd><kwd>ингибиторы фактора некроза опухоли α</kwd><kwd>парадоксальные неблагоприятные реакции</kwd></kwd-group><kwd-group xml:lang="en"><kwd>rheumatic diseases</kwd><kwd>biological agents</kwd><kwd>tumor necrosis factor-α inhibitors</kwd><kwd>paradoxical adverse reactions</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Toussirot E, Aubin F. 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