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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">10.47360/1995-4484-2024-237-243</article-id><article-id custom-type="elpub" pub-id-type="custom">rsp-3554</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>КЛИНИЧЕСКИЙ СЛУЧАЙ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL OBSERVATION</subject></subj-group></article-categories><title-group><article-title>Рецидивирующий полихондрит (клинические наблюдения)</article-title><trans-title-group xml:lang="en"><trans-title>Relapsing polychondritis (clinical observations)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7655-8727</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Скрябина</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Skryabina</surname><given-names>Е. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>410012, Саратов, ул. Большая Казачья, 112</p></bio><bio xml:lang="en"><p>Elena N. Skryabina</p><p>410012, Saratov, Bolshaya Kazachya str., 112</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/0000-0003-0701-8476</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Александрова</surname><given-names>О. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Aleksandrova</surname><given-names>О. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>410012, Саратов, ул. Большая Казачья, 112</p></bio><bio xml:lang="en"><p>Olga L. Aleksandrova</p><p>410012, Saratov, Bolshaya Kazachya str., 112</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/0009-0003-1802-9565</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Романова</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Romanova</surname><given-names>I. А.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Романова Ирина Александровна</p><p>410012, Саратов, ул. Большая Казачья, 112</p></bio><bio xml:lang="en"><p>Irina A. Romanova</p><p>410012, Saratov, Bolshaya Kazachya str., 112</p></bio><email xlink:type="simple">irina-charitonova@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/0000-0002-3463-7734</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ребров</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Rebrov</surname><given-names>А. Р.</given-names></name></name-alternatives><bio xml:lang="ru"><p>410012, Саратов, ул. Большая Казачья, 112</p></bio><bio xml:lang="en"><p>Andrey P. Rebrov</p><p>410012, Saratov, Bolshaya Kazachya str., 112</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/0000-0002-0313-1191</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никитина</surname><given-names>Н. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikitina</surname><given-names>N. М.</given-names></name></name-alternatives><bio xml:lang="ru"><p>410012, Саратов, ул. Большая Казачья, 112</p></bio><bio xml:lang="en"><p>Natalia M. Nikitina</p><p>410012, Saratov, Bolshaya Kazachya str., 112</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Саратовский государственный медицинский университет имени В.И. Разумовского» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saratov State Medical University named after V.I. Razumovsky</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>29</day><month>04</month><year>2024</year></pub-date><volume>62</volume><issue>2</issue><fpage>237</fpage><lpage>243</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Скрябина Е.Н., Александрова О.Л., Романова И.А., Ребров А.П., Никитина Н.М., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Скрябина Е.Н., Александрова О.Л., Романова И.А., Ребров А.П., Никитина Н.М.</copyright-holder><copyright-holder xml:lang="en">Skryabina Е.N., Aleksandrova О.L., Romanova I.А., Rebrov А.Р., Nikitina N.М.</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/3554">https://rsp.mediar-press.net/rsp/article/view/3554</self-uri><abstract><p>Рецидивирующий полихондрит (РПХ) – аутоиммунное заболевание, проявляющееся как повторными приступами, так и персистирующим воспалительным процессом с прогрессирующим разрушением хрящевых структур, в частности, хондритом ушей, носа, гортани, бронхов, суставов. РПХ является редким заболеванием (в мире описано около 1000 случаев). Диагностика РПХ и выбор тактики его лечения представляют большие сложности, что связано с редкостью патологии, волнообразным, непредсказуемым течением, отсутствием специфических лабораторных маркеров.</p><p>Представленные в статье клинические наблюдения подтверждают сложность диагностики РПХ. До верификации заболевания оба пациента неоднократно обращались к разным специалистам: диагноз у первой пациентки был выставлен спустя 3 месяца после появления характерных симптомов РПХ, у второго пациента – спустя 1,5 года. Поздняя диагностика и отсутствие унифицированного подхода к лечению явились причиной развития у второго пациента прогностически неблагоприятного поражения – хондрита и перихондрита гортани.</p></abstract><trans-abstract xml:lang="en"><p>Relapsing polychondritis (RPC) is an autoimmune disease manifested by both repeated attacks and a persistent inflammatory process with progressive destruction of cartilaginous structures, in particular, chondritis of the ears, nose, larynx, bronchi, and joints. RPC is a rare disease (about 1000 cases have been described worldwide). Diagnosis of RPC and the choice of treatment tactics are very difficult, which is associated with the rarity of the pathology, undulating, unpredictable course, and the lack of specific laboratory markers.</p><p>The clinical observations presented in the article confirm the complexity of diagnosing RPC. Before the disease was verified, both patients repeatedly consulted different specialists: the first patient was diagnosed 3 months after the onset of characteristic symptoms of RPC, and the second patient – 1.5 years later. Late diagnosis and the lack of a unified approach to treatment were the reason for the development of prognostically unfavorable lesions in the second patient – chondritis and perichondritis of the larynx.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рецидивирующий полихондрит</kwd><kwd>поражение хряща</kwd><kwd>редкое заболевание</kwd></kwd-group><kwd-group xml:lang="en"><kwd>relapsing polychondritis</kwd><kwd>cartilage damage</kwd><kwd>rare disease</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">Longo L, Greco A, Rea A, LoVasco VR, De Virgilio A, De Vincentiis M. Relapsing polychondritis: A clinical update. 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