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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">10.47360/1995-4484-2023-34-41</article-id><article-id custom-type="elpub" pub-id-type="custom">rsp-3275</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>ПРОБЛЕМЫ РЕВМАТОЛОГИИ В ПЕРИОД ПАНДЕМИИ КОРОНОВИРУСНОЙ БОЛЕЗНИ 2019</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PROBLEMS OF RHEUMATOLOGY DURING THE 2019 CORONAVIRUS PANDEMIC</subject></subj-group></article-categories><title-group><article-title>Мультифокальный остеонекроз как последствие новой коронавирусной инфекции</article-title><trans-title-group xml:lang="en"><trans-title>Multifocal osteonecrosis as a consequence of a new coronavirus infection</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7410-9784</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Клименко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Klimenko</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117997, Российская Федерация, Москва, ул. Островитянова, 1 </p></bio><bio xml:lang="en"><p>117997, Russian Federation, Moscow, Ostrovitianova str., 1 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6890-8777</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Демидова</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Demidova</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Демидова Наталья Александровна117997, Российская Федерация, Москва, ул. Островитянова, 1 </p></bio><bio xml:lang="en"><p>117997, Russian Federation, Moscow, Ostrovitianova str., 1 </p></bio><email xlink:type="simple">ndemidova03@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8266-6022</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Андрияшкина</surname><given-names>Д. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Andryashkina</surname><given-names>D. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117997, Российская Федерация, Москва, ул. Островитянова, 1 </p></bio><bio xml:lang="en"><p>117997, Russian Federation, Moscow, Ostrovitianova str., 1 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0652-2884</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бабадаева</surname><given-names>Н. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Babadayeva</surname><given-names>N. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117997, Российская Федерация, Москва, ул. Островитянова, 1 </p><p> 119049, Российская Федерация, Москва, Ленинский просп., 8 </p></bio><bio xml:lang="en"><p>117997, Russian Federation, Moscow, Ostrovitianova str., 1 </p><p>119049, Russian Federation, Moscow, Leninsky avenue, 8 </p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9152-3234</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кондрашов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kondrashov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117997, Российская Федерация, Москва, ул. Островитянова, 1 </p></bio><bio xml:lang="en"><p>117997, Russian Federation, Moscow, Ostrovitianova str., 1 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0457-8921</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Саакян</surname><given-names>Ю. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Saakyan</surname><given-names>Yu. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117997, Российская Федерация, Москва, ул. Островитянова, 1 </p></bio><bio xml:lang="en"><p>117997, Russian Federation, Moscow, Ostrovitianova str., 1 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.I. Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России;&#13;
ГБУЗ «Городская клиническая больница № 1 имени&#13;
Н.И. Пирогова Департамента здравоохранения г. Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.I. Pirogov Russian National Research Medical University;&#13;
City Clinical Hospital No 1 named after N.I. Pirogov of Moscow Healthcare Department</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>02</day><month>03</month><year>2023</year></pub-date><volume>61</volume><issue>1</issue><fpage>34</fpage><lpage>41</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Клименко А.А., Демидова Н.А., Андрияшкина Д.Ю., Бабадаева Н.М., Кондрашов А.А., Саакян Ю.М., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Клименко А.А., Демидова Н.А., Андрияшкина Д.Ю., Бабадаева Н.М., Кондрашов А.А., Саакян Ю.М.</copyright-holder><copyright-holder xml:lang="en">Klimenko A.A., Demidova N.A., Andryashkina D.Y., Babadayeva N.M., Kondrashov A.A., Saakyan Y.M.</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/3275">https://rsp.mediar-press.net/rsp/article/view/3275</self-uri><abstract><p> Влияние перенесенной коронавирусной инфекции на опорно-двигательный аппарат до сих пор  остается актуальной проблемой. В постковидном  периоде могут возникать артралгии, миалгии,  поствирусный артрит, аутоиммунные нарушения, а также остеонекроз. В данной статье рассмотрен  случай дебюта мультифокального остеонекроза  после перенесенной коронавирусной инфекции. </p></abstract><trans-abstract xml:lang="en"><p>The impact of the transferred coronavirus infection on the musculoskeletal system still remains an urgent problem. Аrthralgia, myalgia, arthritis, autoimmune disorders and also osteonecrosis are may be development of the postCOVID period. This article discusses the case of the debut of multifocal osteonecrosis after a coronavirus infection.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>COVID-19</kwd><kwd>асептический некроз головки бедренной кости</kwd><kwd>остеонекроз</kwd><kwd>мультифокальный остеонекроз</kwd><kwd>постковидный синдром</kwd><kwd>болевой синдром</kwd><kwd>нестероидные противовоспалительные препараты</kwd><kwd>глюкокортикоиды</kwd><kwd>дексаметазон</kwd></kwd-group><kwd-group xml:lang="en"><kwd>COVID-19</kwd><kwd>avascular necrosis of femur head</kwd><kwd>osteonecrosis</kwd><kwd>multifocal osteonecrosis</kwd><kwd>post-acute COVID-19 syndrome</kwd><kwd>pain syndromes</kwd><kwd>nonsteroidal anti-inflammatory drugs</kwd><kwd>glucocorticoids</kwd><kwd>dexamethasone</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">Cipollaro L, Giordano L, Padulo J, Oliva F, Maffulli N. 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