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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">nid</journal-id><journal-title-group><journal-title xml:lang="ru">Нефрология и диализ</journal-title><trans-title-group xml:lang="en"><trans-title>Nephrology and Dialysis</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1680-4422</issn><issn pub-type="epub">2618-9801</issn><publisher><publisher-name>Российское диализное общество</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">nid-3760</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>ШКОЛА НЕФРОЛОГА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>EDUCATIONAL MATERIALS</subject></subj-group></article-categories><title-group><article-title>Уроки, извлеченные из наблюдений больных васкулитами</article-title><trans-title-group xml:lang="en"><trans-title>Lessons to be learned from patients with vasculitis</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>Монтолиу</surname><given-names>Ж. .</given-names></name><name name-style="western" xml:lang="en"><surname>Montoliu</surname><given-names>J. .</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Амоедо</surname><given-names>М. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Amoedo</surname><given-names>M. L.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Панадес</surname><given-names>М. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Panades</surname><given-names>M. L.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рамос</surname><given-names>Ж. .</given-names></name><name name-style="western" xml:lang="en"><surname>Ramos</surname><given-names>J. .</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Служба нефрологии и патологии, Университетская клиника Arnau de Vilanova и отделение медицины Лейдского, Университета Лейда, Каталония, Испания</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2000</year></pub-date><pub-date pub-type="epub"><day>28</day><month>06</month><year>2025</year></pub-date><volume>2</volume><issue>4</issue><fpage>347</fpage><lpage>351</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Монтолиу Ж..., Амоедо М.Л., Панадес М.Л., Рамос Ж..., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Монтолиу Ж..., Амоедо М.Л., Панадес М.Л., Рамос Ж...</copyright-holder><copyright-holder xml:lang="en">Montoliu J..., Amoedo M.L., Panades M.L., Ramos J...</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://journal.nephro.ru/jour/article/view/3760">https://journal.nephro.ru/jour/article/view/3760</self-uri><abstract><p>Введение Классификация васкулитов традиционно является предметом дискуссии. Тем не менее ряд предложенных классификаций получил широкое распространение [<xref ref-type="bibr" rid="cit1">1</xref>], и недавно на конференции в Chapel Hill [<xref ref-type="bibr" rid="cit2">2</xref>] был достигнут консенсус. Принятая там классификация в общем рассматривается как вполне приемлемая с клинической и гистологической точек зрения. Однако исключения из правила все еще остаются, и иногда васкулиты имеют атипичные или частично совпадающие (пересекающиеся) проявления. В настоящем сообщении мы описываем три таких случая. Этим мы хотим напомнить клиницистам-нефрологам о широком диапазоне клинических проявлений васкулитов. ** Публикуется по согласованию с автором и с разрешения Oxford University Press ** Перевод н.а. томилиной</p></abstract></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Fauci A.S., Haynes B.F., Katz P. The spectrum of va; Clinical, pathologic immunologic and therapeutic cor (ions. Aim Intern Mod 1978: 89: 660 676.</mixed-citation><mixed-citation xml:lang="en">Fauci A.S., Haynes B.F., Katz P. The spectrum of va; Clinical, pathologic immunologic and therapeutic cor (ions. Aim Intern Mod 1978: 89: 660 676.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">JenncUf J.C., Falk R.J., Andrassy K. et al. Nomcnclal systemic vasculitis. The proposal of an international coi conference. Arthritis Rheum 1994; 37: 187-192.</mixed-citation><mixed-citation xml:lang="en">JenncUf J.C., Falk R.J., Andrassy K. et al. Nomcnclal systemic vasculitis. The proposal of an international coi conference. Arthritis Rheum 1994; 37: 187-192.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Klein R.G., Hunder G.G., Stanson A.W., Sheps S.O. Large involvement in giant cell (temporal) arteritis. Ann Intel 1975; 83: 806-812.</mixed-citation><mixed-citation xml:lang="en">Klein R.G., Hunder G.G., Stanson A.W., Sheps S.O. Large involvement in giant cell (temporal) arteritis. Ann Intel 1975; 83: 806-812.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Chmelewski W.L., McKnight K.M., Agudelo C.A., Wis. Presenting features and outcomes in patients undergoin poral artery biopsy. A review of 98 patients. Arch Intel 1992; 152: 1690-1695.</mixed-citation><mixed-citation xml:lang="en">Chmelewski W.L., McKnight K.M., Agudelo C.A., Wis. Presenting features and outcomes in patients undergoin poral artery biopsy. A review of 98 patients. Arch Intel 1992; 152: 1690-1695.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Hunder G.G., Bloch D.A., Michel B.A. et al. The American (of Rheumatology 1990 criteria for the classification ofgi: arteritis. Arthritis Rheum 1990; 33: 1122-1128.</mixed-citation><mixed-citation xml:lang="en">Hunder G.G., Bloch D.A., Michel B.A. et al. The American (of Rheumatology 1990 criteria for the classification ofgi: arteritis. Arthritis Rheum 1990; 33: 1122-1128.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Chuang T.Y., Hunder G.G. Clinical manifestations of gi, (temporal) arteritis. Clin Rheum Dis 1980; 6: 389-403.</mixed-citation><mixed-citation xml:lang="en">Chuang T.Y., Hunder G.G. Clinical manifestations of gi, (temporal) arteritis. Clin Rheum Dis 1980; 6: 389-403.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Canton C.G., Bernis C., Paraiso V. et al. Renal failure in lei arteritis. Am J Nephrol 1992; 12:380-383.</mixed-citation><mixed-citation xml:lang="en">Canton C.G., Bernis C., Paraiso V. et al. Renal failure in lei arteritis. Am J Nephrol 1992; 12:380-383.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Pascual J., Quereda C., Liano F. et al. End-stage renal after necrotising glomerulonephritis in an elderly patier temporal arteritis. Nephron 1994; 66: 236-237.</mixed-citation><mixed-citation xml:lang="en">Pascual J., Quereda C., Liano F. et al. End-stage renal after necrotising glomerulonephritis in an elderly patier temporal arteritis. Nephron 1994; 66: 236-237.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">O’Neill W.M, Hammar S.P., Bloomer H.A. Giant cell a with visceral angiitis. Arch Intern Meci 1976: 136: 1157-1.</mixed-citation><mixed-citation xml:lang="en">O’Neill W.M, Hammar S.P., Bloomer H.A. Giant cell a with visceral angiitis. Arch Intern Meci 1976: 136: 1157-1.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Case Records of the Massachusetts General Hospital 38-1973. N EngI J Meci 1973; 289: 628-634.</mixed-citation><mixed-citation xml:lang="en">Case Records of the Massachusetts General Hospital 38-1973. N EngI J Meci 1973; 289: 628-634.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Ellingh J., Kristensen I.B. Fatal renal failure in polyn rheumatica caused by disseminated giant cell arteritis. J Rheunuilnl 1980: 9: 206-208.</mixed-citation><mixed-citation xml:lang="en">Ellingh J., Kristensen I.B. Fatal renal failure in polyn rheumatica caused by disseminated giant cell arteritis. J Rheunuilnl 1980: 9: 206-208.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Truong L., Kopelman P.G., Williams G.S., Pirani C.L. Tei arteritis and renal disease. Case report and review literature. Am J Mod 1985; 78: 171 175.</mixed-citation><mixed-citation xml:lang="en">Truong L., Kopelman P.G., Williams G.S., Pirani C.L. Tei arteritis and renal disease. Case report and review literature. Am J Mod 1985; 78: 171 175.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Lie T. When is arteritis of the temporal arteritis not lei arleritis? J Rheumalol 1994; 21: 186-189.</mixed-citation><mixed-citation xml:lang="en">Lie T. When is arteritis of the temporal arteritis not lei arleritis? J Rheumalol 1994; 21: 186-189.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Jennette J.C., Falk R.J. The pathology of vasculitis involvi kidney. Am J Kidney Dis 1994; 24: 130-141.</mixed-citation><mixed-citation xml:lang="en">Jennette J.C., Falk R.J. The pathology of vasculitis involvi kidney. Am J Kidney Dis 1994; 24: 130-141.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Baranger T.A., Audrian M.A., Castagne A., Barrier J.H. et al. Absence of antineutrophil cytoplasmic antibodies ii cell arteritis. J Rheumatol 1994; 21: 871-873.</mixed-citation><mixed-citation xml:lang="en">Baranger T.A., Audrian M.A., Castagne A., Barrier J.H. et al. Absence of antineutrophil cytoplasmic antibodies ii cell arteritis. J Rheumatol 1994; 21: 871-873.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Nassberger L. Lack of antineutrophil cytoplasmic antibo marker for giant cell arteritis. J Rlieumalol 1993; 20: 408.</mixed-citation><mixed-citation xml:lang="en">Nassberger L. Lack of antineutrophil cytoplasmic antibo marker for giant cell arteritis. J Rlieumalol 1993; 20: 408.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Shih D.J., Korbet S.M., Rydel J.J., Schwartz M.M. Renal va. associated with eiprofloxacin. Am J Kidney Dis 1995; 26: 5.</mixed-citation><mixed-citation xml:lang="en">Shih D.J., Korbet S.M., Rydel J.J., Schwartz M.M. Renal va. associated with eiprofloxacin. Am J Kidney Dis 1995; 26: 5.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Choe U., Rothschild B.M., Laitman L. Ciprofloxacin-induci culitis. N EngI J Med 1989; 320: 257-258.</mixed-citation><mixed-citation xml:lang="en">Choe U., Rothschild B.M., Laitman L. Ciprofloxacin-induci culitis. N EngI J Med 1989; 320: 257-258.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Stubbings J., Sheehan-Dare R., Walton S. Cutaneous va: due to eiprofloxacin. Br Mod J 1992; 305: 29.</mixed-citation><mixed-citation xml:lang="en">Stubbings J., Sheehan-Dare R., Walton S. Cutaneous va: due to eiprofloxacin. Br Mod J 1992; 305: 29.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Pace J.L., Gatt P. Fatal vasculitis associated with ofloxac MedJ 1989:299: 658.</mixed-citation><mixed-citation xml:lang="en">Pace J.L., Gatt P. Fatal vasculitis associated with ofloxac MedJ 1989:299: 658.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Lien Y.H.H., Hansen R., Kern W.F. et al. Ciprofloxacin-ir granulomatous interstitial nephritis and localized elastolys J Kidney Dis 1993; 22: 598-602.</mixed-citation><mixed-citation xml:lang="en">Lien Y.H.H., Hansen R., Kern W.F. et al. Ciprofloxacin-ir granulomatous interstitial nephritis and localized elastolys J Kidney Dis 1993; 22: 598-602.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Rippelmeyer D.J., Synhavsky A. eiprofloxacin and allergic stitial nephritis. Ann Intern Med 1988: 109: 170.</mixed-citation><mixed-citation xml:lang="en">Rippelmeyer D.J., Synhavsky A. eiprofloxacin and allergic stitial nephritis. Ann Intern Med 1988: 109: 170.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">American Society of Nephrology. National Kidney Foun &amp; American College of Physicians. Medical Knowledg Assessment Program in Nephrology and Hypertension S 1994. p 109.</mixed-citation><mixed-citation xml:lang="en">American Society of Nephrology. National Kidney Foun &amp; American College of Physicians. Medical Knowledg Assessment Program in Nephrology and Hypertension S 1994. p 109.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">D’Agati V.D., Appel G. Polyartcritis nodosa, Wegener grar atosis, Churg-Strauss syndrome temporal arteritis, Tal arteritis and lymphomatoid granulomatosis. In: Tishe Brenner BM (ed). Remit Pdlhology. Willi Clinical and Fun Correlations. 2 edn. Lippincott, Philadelphia, 1994:1087.</mixed-citation><mixed-citation xml:lang="en">D’Agati V.D., Appel G. Polyartcritis nodosa, Wegener grar atosis, Churg-Strauss syndrome temporal arteritis, Tal arteritis and lymphomatoid granulomatosis. In: Tishe Brenner BM (ed). Remit Pdlhology. Willi Clinical and Fun Correlations. 2 edn. Lippincott, Philadelphia, 1994:1087.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">O’Donoghue D.J., Short C.D., Brenchley C., Lawler W., Ba F.W. Sequential development of systemic vasculitis anc neutrophil cytoplasmic antibodies complicating anti-glom basement membrane disease. Clin Nephrol 1989: 32: 251.</mixed-citation><mixed-citation xml:lang="en">O’Donoghue D.J., Short C.D., Brenchley C., Lawler W., Ba F.W. Sequential development of systemic vasculitis anc neutrophil cytoplasmic antibodies complicating anti-glom basement membrane disease. Clin Nephrol 1989: 32: 251.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Bosch X., Mirapeix E., Font J. et al. Prognostic implicat anti-neutrophil cytoplasmic autoantibodies with myelope ase specificity in anti-glomerular basement membrane d Clin Nephrol’99; 36: 107-113.</mixed-citation><mixed-citation xml:lang="en">Bosch X., Mirapeix E., Font J. et al. Prognostic implicat anti-neutrophil cytoplasmic autoantibodies with myelope ase specificity in anti-glomerular basement membrane d Clin Nephrol’99; 36: 107-113.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Montoliu J., Short A.K., Esnaull V.L., Lockwood C.M. Antineutrophil cytoplasm antibodies and antiglomerular basement membrane antibodies: two coexisting distinct autoreactivities detectable in patients with rapidly progressive glonierulonephrilis. Am J Kidiw Dis 1995: 26: 439-445.</mixed-citation><mixed-citation xml:lang="en">Montoliu J., Short A.K., Esnaull V.L., Lockwood C.M. Antineutrophil cytoplasm antibodies and antiglomerular basement membrane antibodies: two coexisting distinct autoreactivities detectable in patients with rapidly progressive glonierulonephrilis. Am J Kidiw Dis 1995: 26: 439-445.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Bonsib S.M., Goeken J.A., Kemp J.D., Chandran P., Shadiir C., Wilson L. Coexistent antineutrophil cytoplasmic antibody and antiglomerular basement antibody associated disease: report of six cases. Mod Pathol 1993: 6: 526-530</mixed-citation><mixed-citation xml:lang="en">Bonsib S.M., Goeken J.A., Kemp J.D., Chandran P., Shadiir C., Wilson L. Coexistent antineutrophil cytoplasmic antibody and antiglomerular basement antibody associated disease: report of six cases. Mod Pathol 1993: 6: 526-530</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Niles J.L., Bottinger E.P., Saurma G.R. et al. The syndrome of lung hemorrage and nephritis is usually an ANCA-associated condition. Arch Inlerii Afed 1996: 156: 440-445</mixed-citation><mixed-citation xml:lang="en">Niles J.L., Bottinger E.P., Saurma G.R. et al. The syndrome of lung hemorrage and nephritis is usually an ANCA-associated condition. Arch Inlerii Afed 1996: 156: 440-445</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Bolton W.K. Goodpasture’s syndrome. Kidney Int 1996: 50: 1753-1766</mixed-citation><mixed-citation xml:lang="en">Bolton W.K. Goodpasture’s syndrome. Kidney Int 1996: 50: 1753-1766</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">D’Agati V., Chander P., Nash M., Mancilla-Jimenez R. Idiopathic microscopic polyarteritis nodosa: ultrastuctural observations on the renal and vascular lesions. Am J Kidney Dis 1986; 7: 95-110</mixed-citation><mixed-citation xml:lang="en">D’Agati V., Chander P., Nash M., Mancilla-Jimenez R. Idiopathic microscopic polyarteritis nodosa: ultrastuctural observations on the renal and vascular lesions. Am J Kidney Dis 1986; 7: 95-110</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Ito Y., Fukatsu A., Baba M. et al. Pathogenic significance of interleukin-6 in a patient with antiglomerular basement membrane antibody-induced glomerulonephritis with multinucleated giant cells. Am J Kidney Dis 1995: 26: 72-79</mixed-citation><mixed-citation xml:lang="en">Ito Y., Fukatsu A., Baba M. et al. Pathogenic significance of interleukin-6 in a patient with antiglomerular basement membrane antibody-induced glomerulonephritis with multinucleated giant cells. Am J Kidney Dis 1995: 26: 72-79</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
