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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-2014-1-73-76</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-1226</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>ТРУДНЫЙ ДИАГНОЗ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>DIFFICULT DIAGNOSIS</subject></subj-group></article-categories><title-group><article-title>Трудный диагноз. Болезнь Ниманна - пика, тип С</article-title><trans-title-group xml:lang="en"><trans-title>Difficult diagnosis. Niemann - Pick disease, type C</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>Намазова-баранова</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Namazova-baranova</surname><given-names>L. S.</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>Геворкян</surname><given-names>А. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Gevorkyan</surname><given-names>A. K.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вашакмадзе</surname><given-names>Н. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Vashakmadze</surname><given-names>N. D.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Высоцкая</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Vysotskaya</surname><given-names>L. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мамедьяров</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Mamedyarov</surname><given-names>A. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маргиева</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Margieva</surname><given-names>T. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научный центр здоровья детей РАМН, Москва; Первый Московский государственный медицинский университет им. И.М. Сеченова; Российский научный исследовательский медицинский университет им. Н.И. Пирогова, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Center of Children's Health RAMS, Moscow ; First Moscow State Medical University named after I.M.Sechenov; Pirogov Russian National Research Medical University, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научный центр здоровья детей РАМН, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Center of Children's Health RAMS, Moscow ; First Moscow State Medical University named after I.M.Sechenov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Научный центр здоровья детей РАМН, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Center of Children's Health RAMS, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2014</year></pub-date><volume>0</volume><issue>1</issue><fpage>73</fpage><lpage>76</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Намазова-баранова Л.С., Геворкян А.К., Вашакмадзе Н.Д., Высоцкая Л.С., Мамедьяров А.М., Маргиева Т.В., 2014</copyright-statement><copyright-year>2014</copyright-year><copyright-holder xml:lang="ru">Намазова-баранова Л.С., Геворкян А.К., Вашакмадзе Н.Д., Высоцкая Л.С., Мамедьяров А.М., Маргиева Т.В.</copyright-holder><copyright-holder xml:lang="en">Namazova-baranova L.S., Gevorkyan A.K., Vashakmadze N.D., Vysotskaya L.S., Mamedyarov A.M., Margieva T.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://www.med-sovet.pro/jour/article/view/1226">https://www.med-sovet.pro/jour/article/view/1226</self-uri><abstract><p>В условиях современных диагностических возможностей и повышения уровня знаний врачей все чаще выявляют болезни, которые ранее считались крайне редкими. Наряду с достижениями фармакологической промышленности, своевременная диагностика и назначение адекватной терапии позволяют во многих случаях сохранить жизнь ребенку и замедлить прогрессирование болезни. Статья посвящена редкой, генетически обусловленной патологии из группы лизосомных болезней, наследуемой аутосомно-рецессивно, — болезни Ниманна - Пика, тип С. Подробно представлены варианты клинического течения и методы диагностики.</p></abstract><trans-abstract xml:lang="en"><p>Modern diagnostic capabilities and improved medical knowledge allow to detect more diseases that were previously considered extremely rare. Along with the achievements of the pharmaceutical industry, timely diagnosis and adequate therapy often save the child's life and slow the progression of the disease. The article focuses on a rare genetic lysosomal storage disease which is inherited in autosomal recessive fashion  - Niemann - Pick disease, type C. Types of clinical course and diagnostic methods are described in detail.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>лизосомные болезни</kwd><kwd>болезнь Ниманна -Пика</kwd><kwd>тип С</kwd><kwd>диагностика</kwd><kwd>клиническое течение</kwd><kwd>лечение</kwd><kwd>дети</kwd><kwd>lysosomal storage diseases</kwd><kwd>Niemann - Pick</kwd><kwd>type C</kwd><kwd>diagnosis</kwd><kwd>clinical course</kwd><kwd>treatment</kwd><kwd>children</kwd><kwd>lysosomal storage diseases</kwd><kwd>Niemann - Pick</kwd><kwd>type C</kwd><kwd>diagnosis</kwd><kwd>clinical course</kwd><kwd>treatment</kwd><kwd>children</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">Vanier M.T., Millat G. Niemann-Pick disease type C. Clin. Genet. 2003; 64: 269-281.</mixed-citation><mixed-citation xml:lang="en">Vanier M.T., Millat G. Niemann-Pick disease type C. Clin. 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