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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">10.47360/1995-4484-2022-546-560</article-id><article-id custom-type="elpub" pub-id-type="custom">rsp-3244</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>ПРОГРЕСС В РЕВМАТОЛОГИИ В XXI ВЕКЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PROGRESS IN RHEUMATOLOGY IN THE XXI CENTURY</subject></subj-group></article-categories><title-group><article-title>Поражение позвоночника при псориатическом артрите</article-title><trans-title-group xml:lang="en"><trans-title>Axial involvement in psoriatic arthritis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5015-7143</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Губарь</surname><given-names>Е. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Gubar</surname><given-names>E. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Губарь Елена Ефимовна, кмн, научный сотрудник лаборатории псориатического артрита отдела спондилоартритов </p><p>115522, Москва, Каширское шоссе, 34а</p></bio><bio xml:lang="en"><p>115522, Moscow, Kashirskoye Highway, 34A</p></bio><email xlink:type="simple">gubarelena@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/0000-0003-0579-1131</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коротаева</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Korotaeva</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p> дмн, заведующий лаборатории псориатического артрита, начальник отдела спондилоартритов</p><p>115522, Москва, Каширское шоссе, 34а</p></bio><bio xml:lang="en"><p>115522, Moscow, Kashirskoye Highway, 34A</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»<country>Россия</country></aff><aff xml:lang="en">V.A. Nasonova Research Institute of Rheumatology<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>25</day><month>12</month><year>2022</year></pub-date><volume>60</volume><issue>6</issue><fpage>546</fpage><lpage>560</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Губарь Е.Е., Коротаева Т.В., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Губарь Е.Е., Коротаева Т.В.</copyright-holder><copyright-holder xml:lang="en">Gubar E.E., Korotaeva T.V.</copyright-holder><license 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/3244">https://rsp.mediar-press.net/rsp/article/view/3244</self-uri><abstract><p>Среди всех клинических проявлений псориатического артрита (ПсА), к которым относятся периферический артрит, дактилит, энтезит и спондилит, наименее изучено поражение позвоночника, а общепринятая его дефиниция, единая терминология и диагностические критерии в настоящее время отсутствуют. В ревматологическом сообществе также нет консенсуса в отношении методов визуализации, необходимых для диагностики поражения осевого скелета при ПсА, а методы оценки активности и терапевтическая тактика заимствованы из существующих рекомендаций для анкилозирующего спондилита (АС) и аксиального спондилоартрита (аксСпА). Однако несмотря на определенное сходство в иммунопатогенетических механизмах аксиального ПсА (аксПсА) и аксСпА, существуют и различия, которые могут определять разный ответ на терапию у этих пациентов. В настоящем обзоре представлен анализ результатов изучения патологии позвоночника при ПсА. В статье будут обсуждены генетические особенности, клинические проявления, методы визуализации, дифференциальная диагностика и терапия аксПсА.</p></abstract><trans-abstract xml:lang="en"><p>Among the variety of clinical manifestations of psoriatic arthritis (PsA) – including peripheral arthritis, dactylitis, enthesitis, and axial disease – spondylitis is the least studied. There is no generally accepted definition of axial PsA (axPsA), nor is there any common terminology or diagnostic criteria for it. In the rheumatology community, there is also no consensus regarding radiological and MRI assessment of axial involvement in PsA patients, while disease activity indexes and the therapeutic tactics are borrowed from those used in treating axial spondyloarthritis (axSpA) and ankylosing spondylitis (AS). However, despite a range of similarities in immunopathogenetic mechanisms of axPsA and axSpA, there are also certain differences that may affect the treatment response in these patients. The aim of this review is the analysis of data on axial disease in PsA. The article discusses the genetic features, clinical presentations, imaging techniques, differential diagnostics and treatment options of axPsA.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>псориатический артрит</kwd><kwd>поражение позвоночника</kwd><kwd>спондилоартрит</kwd><kwd>воспалительная боль в спине</kwd><kwd>методы визуализации</kwd></kwd-group><kwd-group xml:lang="en"><kwd>psoriatic arthritis</kwd><kwd>spine involvement</kwd><kwd>inflammatory back pain</kwd><kwd>spondyloarthritis</kwd><kwd>visualization methods</kwd></kwd-group><funding-group xml:lang="ru"><funding-statement>Исследование проводилось в рамках выполнения научной темы № 1021051503111-9 «Совершенствование диагностики и фармакотерапии спондилоартритов на основании сравнительных результатов изучения прогностических (в том числе молекулярно-биологических, молекулярно-генетических, клинико-визуализационных) факторов прогрессирования заболевания и уровня качества жизни больных».</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">Gladman DD, Antoni C, Mease P, Clegg DO, Nach P. 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