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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">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2013-12-113-117</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-1173</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>РЕВМАТОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>RHEUMATOLOGY</subject></subj-group></article-categories><title-group><article-title>Болевой синдром в ревматологии</article-title><trans-title-group xml:lang="en"><trans-title>Pain syndrome in rheumatology</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>Шостак</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shostak</surname><given-names>N. А.</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>Правдюк</surname><given-names>Н. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Pravdyuk</surname><given-names>N. G.</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>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><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>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><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>РНИМУ им. Н.И. Пирогова, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2013</year></pub-date><volume>0</volume><issue>12</issue><fpage>113</fpage><lpage>117</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шостак Н.А., Правдюк Н.Г., Клименко А.А., Кондрашов А.А., 2013</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="ru">Шостак Н.А., Правдюк Н.Г., Клименко А.А., Кондрашов А.А.</copyright-holder><copyright-holder xml:lang="en">Shostak N.А., Pravdyuk N.G., Klimenko A.A., Kondrashov A.A.</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://www.med-sovet.pro/jour/article/view/1173">https://www.med-sovet.pro/jour/article/view/1173</self-uri><abstract><p>В статье представлены разновидности болевых синдромов при ревматических заболеваниях - остеоартрозе и подагре. Описаны наиболее распространенные и социально значимые клинические варианты остеоартроза - гонартроз и коксартроз, освещены подходы к терапии болевого синдрома при указанной патологии. Подробно освещен алгоритм ведения больного с подагрой. Рассмотрены основные медикаментозные подходы к лечению болевого синдрома при ревматических заболеваниях.</p></abstract><trans-abstract xml:lang="en"><p>The article tells about types of pain at such rheumatic diseases as osteoarthritis and gout. The most common and socially significant clinical types of osteoarthritis - gonarthrosis and coxarthrosis, and approaches to treatment of pain in these pathologies, are described. The process of treatment of gout patient is described in detail. The main approaches to medicine-based treatment of pain syndrome at rheumatic disease are highlighted.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>болевой синдром</kwd><kwd>остеоартроз</kwd><kwd>коксартроз</kwd><kwd>гонартроз</kwd><kwd>подагра</kwd><kwd>подагрический артрит</kwd><kwd>НПВП</kwd><kwd>диклофенак</kwd><kwd>pain syndrome</kwd><kwd>osteoarthritis</kwd><kwd>coxarthrosis</kwd><kwd>gonarthrosis</kwd><kwd>gout</kwd><kwd>gouty arthritis</kwd><kwd>NSAIDs</kwd><kwd>diclofenac</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">Алексеева Л.И., Зайцева Е.М. Субхондральная кость при остеоартрозе: новые возможности терапии. РМЖ, 2004;12(20):1133-1136.</mixed-citation><mixed-citation xml:lang="en">Алексеева Л.И., Зайцева Е.М. Субхондральная кость при остеоартрозе: новые возможности терапии. 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