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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-2017-17-106-112</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-2155</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>ПОДАГРИЧЕСКИЙ АРТРИТ – СОВРЕМЕННЫЙ ВЗГЛЯД НА ПРОБЛЕМУ</article-title><trans-title-group xml:lang="en"><trans-title>GOUTY ARTHRITIS – MODERN VIEW OF THE PROBLEM</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>Мазуров</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Mazurov</surname><given-names>V. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Академик РАН, доктор медицинских наук, профессор.</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>RAS academician, MD, Prof.</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>Петрова</surname><given-names>М. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrova</surname><given-names>M. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат медицинских наук.</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>PhD in medicine.</p><p>Saint-Petersburg</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>Инамова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Inamova</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат медицинских наук.</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>PhD in medicine.</p><p>Saint-Petersburg</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>Мусейчук</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Museichuk</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="en"><p>Saint-Petersburg</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Северо-Западный государственный медицинский университет им. И.И. Мечникова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Mechnikov North-Western State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>09</day><month>11</month><year>2017</year></pub-date><volume>0</volume><issue>17</issue><fpage>106</fpage><lpage>112</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мазуров В.И., Петрова М.С., Инамова О.В., Мусейчук М.М., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Мазуров В.И., Петрова М.С., Инамова О.В., Мусейчук М.М.</copyright-holder><copyright-holder xml:lang="en">Mazurov V.I., Petrova M.S., Inamova O.V., Museichuk M.M.</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/2155">https://www.med-sovet.pro/jour/article/view/2155</self-uri><abstract><p>Подагра относится к достаточно частым ревматологическим  заболеваниям, значимость которых становится все более важной междисциплинарной проблемой.</p><p>Известно, что около 2,5% мужчин старше 30 лет и женщин старше 50 лет страдают подагрой. К 80-летнему возрасту заболевание регистрируется уже у 9% мужчин и 6% женщин. Рост заболеваемости, высокая коморбидность,  а также низкая комплаентность больных подагрой ставят все новые вопросы при выборе адекватной комплексной терапии.</p><p>Несмотря на то, что лечение этого заболевания хорошо известно и широко обсуждается в литературе, стойкой ремиссии подагры удается достичь очень редко. В литературе имеются данные о том, что менее ½ пациентов с подагрой получают уратснижающую терапию, при этом нередко препараты назначаются в дозах, явно недостаточных для получения эффекта [<xref ref-type="bibr" rid="cit1">1</xref>].</p></abstract><trans-abstract xml:lang="en"><p>Gout is a fairly common rheumatic disease, the significance of which becomes an increasingly important interdisciplinary problem. It is known that about 2.5% of men over the age of 30 and women over the age of 50 suffer from gout. By the age of 80 y.o. the disease is registered already in 9% of men and 6% women. The increased incidence, high comorbidity, and low compliance of patients with gout put new questions when the adequate complex therapy is sought.</p><p>Despite the fact that the treatment of this disease is well known and widely discussed in the literature, it’s possible to achieve remission of gout only in very rare cases. In the literature, there is evidence that less than ½ of patients with gout get ordinary therapy, while often drugs are prescribed in doses not sufficient to obtain the effect [<xref ref-type="bibr" rid="cit1">1</xref>].</p></trans-abstract><kwd-group xml:lang="ru"><kwd>подагра</kwd><kwd>гиперурикемия</kwd><kwd>фебуксостат</kwd><kwd>аллопуринол</kwd><kwd>рекомендации EULAR по лечению подагры</kwd></kwd-group><kwd-group xml:lang="en"><kwd>gout</kwd><kwd>hyperuricemia</kwd><kwd>febuxostat</kwd><kwd>allopurinol</kwd><kwd>EULAR recommendations for the treatment of gout</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">Richette P, Doherty M, Pascual E et al. 2016 updated EULAR evidence-based recommendations for the management of gout. 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