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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-2017-11-120-124</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-1927</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>ГАСТРОЭНТЕРОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>GASTROENTEROLOGY</subject></subj-group></article-categories><title-group><article-title>ДИФДИАГНОЗ СРК, ИЛИ ЕЩЕ РАЗ К ВОПРОСУ О «МУСОРНОЙ КОРЗИНЕ»</article-title><trans-title-group xml:lang="en"><trans-title>DIFFERENTIAL DIAGNOSIS  OF IRRITATED BOWEL SYNDROME  (IBS)  OR ONCE MORE ABOUT DUSTBIN</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>Егоров</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Egorov</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор.</p><p>Москва</p></bio><bio xml:lang="en"><p>MD, Prof.</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Попова</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Popova</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат медицинских наук.</p><p>Ижевск</p></bio><bio xml:lang="en"><p>PhD in medicine.</p><p>Izhevsk</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Институт интегративной семейной терапии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of Integrative Family Therapy</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Поликлиника ООО «АСПЭК-Медцентр»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Polyclinic of LLC ASPEK-Medcenter</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>03</day><month>07</month><year>2017</year></pub-date><volume>0</volume><issue>11</issue><fpage>120</fpage><lpage>124</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Егоров И.В., Попова М.А., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Егоров И.В., Попова М.А.</copyright-holder><copyright-holder xml:lang="en">Egorov I.V., Popova M.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/1927">https://www.med-sovet.pro/jour/article/view/1927</self-uri><abstract><p>Клинические критерии синдрома раздраженной толстой кишки очерчены и хорошо известны. Однако нередко врачипрактики приходят к данному суждению, не ориентируясь на критерии. Между тем диагноз хронического колита «вышел из моды», не ставится клиницистами, дабы не прослыть отставшими от современных тенденций. Это приводит к гипердиагностике одного состояния и гиподиагностике другого и, как следствие, к неверному лечебному подходу. Представленный ниже случай демонстрирует  ошибочно выставленный диагноз и те последствия, к которым это привело.</p></abstract><trans-abstract xml:lang="en"><p>The clinical criteria of the irritated bowel syndrome are well-defined and well-known. But often practicing doctors come to this judgement without support of criteria. Meanwhile diagnosis of chronic colitis is out of fashion, is not established by clinicians to prevent their acknowledgement as doctors lagging behind modern trends. This leads to hyperdiagnosis of one state and hypodiagnosis of the other state and, as a consequence, to the  erroneous therapeutic approach. The case further demonstrates an erroneous diagnosis and consequences to which it led.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>синдром раздраженного кишечника</kwd><kwd>хронический колит</kwd><kwd>меланоз толстой кишки</kwd><kwd>психосоматика</kwd></kwd-group><kwd-group xml:lang="en"><kwd>irritated bowel syndrome</kwd><kwd>chronic colitis</kwd><kwd>melanosis coli</kwd><kwd>psychosomatics</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">Александер Ф. Психосоматическая медицина. Принципы и применение. М.: Ин-т ОГИ, 2004. 336 с.</mixed-citation><mixed-citation xml:lang="en">Александер Ф. Психосоматическая медицина. Принципы и применение. М.: Ин-т ОГИ, 2004. 336 с.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Ардатская М.Д. Синдром раздраженного кишечника. Клиническая лекция. 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