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Prospects for the treatment of systemic autoimmune rheumatic diseases. What intensive care physicians need to know

https://doi.org/10.47360/1995-4484-2026-109-125

Abstract

In the spectrum of rheumatic diseases, systemic autoimmune rheumatic diseases (SARDs) are of particular interest. Despite the dramatic improvement in the prognosis for SARD, associated with the improvement of the treatment strategy (treat-to-target) and the introduction of new effective anti-inflammatory drugs, more than 10% of patients with SARD develop severe organ pathology, potentially requiring treatment in intensive care units (ICUs). This article presents an analysis of the clinical and pathological manifestations that define the “severe” course of SARS. The prospects for pharmacotherapy for patients with SARS in the ICU setting are also discussed. The article opens a series of planned publications in the journal concerning the diagnosis and treatment of severe complications of SARDs.

About the Authors

E. L. Nasonov
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

Evgeny L. Nasonov

115522, Moscow, Kashirskoye Highway, 34A


Competing Interests:

none



M. A. Lysenko
Moscow Regional Clinical Research Center Hospital No. 52 of the Moscow Health Department
Russian Federation

Maryana A. Lysenko

123182, Moscow, Pekhotnaya str., 3


Competing Interests:

none



Z. Yu. Mutovina
Moscow Regional Clinical Research Center Hospital No. 52 of the Moscow Health Department
Russian Federation

Zinaida Yu. Mutovina

123182, Moscow, Pekhotnaya str., 3


Competing Interests:

none



A. I. Zagrebneva
Moscow Regional Clinical Research Center Hospital No. 52 of the Moscow Health Department
Russian Federation

Alena I. Zagrebneva

123182, Moscow, Pekhotnaya str., 3


Competing Interests:

none



E. V. Nikolaeva
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

Ekaterina V. Nikolaeva

115522, Moscow, Kashirskoye Highway, 34A


Competing Interests:

none



L. P. Ananyeva
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

Lidia P. Ananyeva

115522, Moscow, Kashirskoye Highway, 34A


Competing Interests:

none



T. V. Beketova
V.A. Nasonova Research Institute of Rheumatology; Central State Medical Academy of the Administrative Directorate of the President of the Russian Federation; Moscow Polytechnic University
Russian Federation

Tatiana V. Beketova

115522, Moscow, Kashirskoye Highway, 34A; 121359, Moscow, Marshala Timoshenko str., 19, building 1A; 107023, Moscow, Bolshaya Semyonovskaya str., 38


Competing Interests:

none



T. M. Reshetnyak
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

Tatiana M. Reshetnyak

115522, Moscow, Kashirskoye Highway, 34A


Competing Interests:

none



S. K. Solovyev
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

Sergey K. Solovyev

115522, Moscow, Kashirskoye Highway, 34A


Competing Interests:

none



E. A. Aseeva
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

Elena A. Aseeva

115522, Moscow, Kashirskoye Highway, 34A


Competing Interests:

none



A. A. Klimenko
N.I. Pirogov Russian National Research Medical University
Russian Federation

Alesya A. Klimenko

17997, Moscow, Ostrovitianova str., 1


Competing Interests:

none



A. V. Volkov
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

Alexander V. Volkov

115522, Moscow, Kashirskoye Highway, 34A


Competing Interests:

none



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Nasonov E.L., Lysenko M.A., Mutovina Z.Yu., Zagrebneva A.I., Nikolaeva E.V., Ananyeva L.P., Beketova T.V., Reshetnyak T.M., Solovyev S.K., Aseeva E.A., Klimenko A.A., Volkov A.V. Prospects for the treatment of systemic autoimmune rheumatic diseases. What intensive care physicians need to know. Rheumatology Science and Practice. 2026;64(2):109-125. (In Russ.) https://doi.org/10.47360/1995-4484-2026-109-125

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