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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 pub-id-type="doi">10.28996/2618-9801-2026-2-247-251</article-id><article-id custom-type="elpub" pub-id-type="custom">nid-4013</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>НЕФРОЛОГИЯ В КАРТИНКАХ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>IMAGES IN NEPHROLOGY</subject></subj-group></article-categories><title-group><article-title>Комбинированный вариант поражения почек, ассоциированного с моноклональными иммуноглобулинами, как дебют множественной миеломы</article-title><trans-title-group xml:lang="en"><trans-title>Combined variant of monoclonal immunoglobulin-associated kidney injury as a debut of multiple myeloma</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6946-6816</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воробьева</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vorobyeva</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Воробьева Ольга Алексеевна – кандидат медицинских наук, заведующая отделением патологии почки и сложного морфологического диагноза.</p><p>192071, Санкт-Петербург, проспект Славы, д. 32</p></bio><bio xml:lang="en"><p>Olga A. Vorobyeva</p><p>32 Slavy Ave, Saint-Petersburg, 192071</p></bio><email xlink:type="simple">olvorob70@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/0000-0002-0987-3567</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ничик</surname><given-names>Т. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Nichik</surname><given-names>T. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ничик Татьяна Евгеньевна – кандидат медицинских наук, заведующая нефрологическим отделением.</p><p>443095, Самара, ул. Ташкентская, д. 159</p></bio><bio xml:lang="en"><p>Tatyana E. Nichik</p><p>159 Tashkentskaya Str, Samara, 443095</p></bio><email xlink:type="simple">nichik66@inbox.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3185-7934</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Николаева</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikolaeva</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Николаева Анна Сергеевна – кандидат медицинских наук, заведующая гематологическим отделением.</p><p>443095, Самара, ул. Ташкентская, д. 159</p></bio><bio xml:lang="en"><p>Anna S. Nikolaeva</p><p>159 Tashkentskaya Str, Samara, 443095</p></bio><email xlink:type="simple">elufann@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-0959-4649</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жулькова</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhulkova</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Жулькова Светлана Валерьевна – врач-нефролог нефрологического отделения.</p><p>443095, Самара, ул. Ташкентская, д. 159</p></bio><bio xml:lang="en"><p>Svetlana V. Zhulkova</p><p>159 Tashkentskaya Str, Samara, 443095</p></bio><email xlink:type="simple">s.zhulkova@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ООО «Национальный центр клинической морфологической диагностики»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Center of Clinical Morphological Diagnostics</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГБУЗ «Самарская областная клиническая больница им. В.Д. Середавина»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.D. Seredavin Regional Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>29</day><month>06</month><year>2026</year></pub-date><volume>28</volume><issue>2</issue><fpage>247</fpage><lpage>251</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Воробьева О.А., Ничик Т.Е., Николаева А.С., Жулькова С.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Воробьева О.А., Ничик Т.Е., Николаева А.С., Жулькова С.В.</copyright-holder><copyright-holder xml:lang="en">Vorobyeva O.A., Nichik T.E., Nikolaeva A.S., Zhulkova S.V.</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/4013">https://journal.nephro.ru/jour/article/view/4013</self-uri><abstract><p>.</p></abstract><kwd-group xml:lang="ru"><kwd>множественная миелома</kwd><kwd>моноклональный иммуноглобулин</kwd><kwd>поражение почек</kwd></kwd-group><kwd-group xml:lang="en"><kwd>multiple myeloma</kwd><kwd>monoclonal immunoglobulin</kwd><kwd>kidney injury</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">Leung N, Bridoux F, Hutchison CA, et al. 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