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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-2018-17-253-259</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-2728</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>Гомозиготная семейная гиперхолестеринемия: современные аспекты патогенеза, диагностики и терапии</article-title><trans-title-group xml:lang="en"><trans-title>Homozygous familial hypercholesterolemia: modern aspects of pathogenesis, diagnostics and treatment</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>Зафираки</surname><given-names>В. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Zafiraki</surname><given-names>V. К.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зафираки Виталий Константинович – кандидат медицинских наук, доцент кафедры терапии №1 ФПК и ППС</p><p>Краснодар</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Космачева</surname><given-names>Е. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Kosmacheva</surname><given-names>Е. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Космачева Елена Дмитриевна – доктор медицинских наук, профессор, заместитель главного врача по медицинской части ГБУЗ «Научно-исследовательский институт – Краевая клиническая больница №1 имени профессора С.В. Очаповского» МЗ Краснодарского края; главный кардиолог ЮФО и Краснодарского края, заведующая кафедрой терапии №1 ФПК и ППС ФГБОУ ВО КубГМУ Минздрава России</p><p>Краснодар</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Захарова</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharova</surname><given-names>I. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Захарова Ирина Николаевна – доктор медицинских наук, профессор, заведующая кафедрой педиатрии с курсом поликлинической педиатрии имени академика Г.Н. Сперанского</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Корнева</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Korneva</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Корнева Виктория Алексеевна – кандидат медицинских наук, доцент кафедры факультетской терапии, фтизиатрии, инфекционных болезней и эпидемиологии</p><p>Петрозаводск</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сусеков</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Susekov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сусеков Андрей Владимирович – доктор медицинских наук, профессор кафедры клинической фармакологии, федеральное государственное бюджетное образовательное учреждение дополнительного профессионального образования «Российская медицинская академия непрерывного профессионального образования» Минздрава России</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Кубанский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГБУЗ «Научно-исследовательский институт – Краевая клиническая больница №1 им. профессора С.В. Очаповского» Минздрава Краснодарского края</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Research Institution – S.V. Ochapovsky Regional Clinical Hospital № 1</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Academy for Postgraduate Continuous Medical education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Петрозаводский государственный университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education «Petrozavodsk State University»</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Центральная клиническая больница Российской академии наук;&#13;
ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central Clinical hospital Academy of Medical Sciences;&#13;
Academy for Postgraduate Continuous Medical education</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>22</day><month>10</month><year>2018</year></pub-date><volume>0</volume><issue>17</issue><fpage>253</fpage><lpage>260</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Зафираки В.К., Космачева Е.Д., Захарова И.Н., Корнева В.А., Сусеков А.В., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Зафираки В.К., Космачева Е.Д., Захарова И.Н., Корнева В.А., Сусеков А.В.</copyright-holder><copyright-holder xml:lang="en">Zafiraki V.К., Kosmacheva Е.D., Zakharova I.N., Korneva V.A., Susekov A.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/2728">https://www.med-sovet.pro/jour/article/view/2728</self-uri><abstract><p>Гомозиготная семейная гиперхолестеринемия − редкое генетическое заболевание, которое характеризуется исключительно высоким уровнем липопротеинов низкой плотности в крови, кожным и сухожильным ксантоматозом, быстро прогрессирующим атеросклерозом, который часто манифестирует уже на втором десятилетии жизни и без лечения приводит к ранней смерти от заболеваний, связанных с атеросклерозом. Современная комбинированная липидснижающая терапия позволяет значительно увеличить продолжительность жизни этих больных.</p></abstract><trans-abstract xml:lang="en"><p>Homozygous familial hypercholesterolemia is a rare genetic disease featuring extremely high of low-density lipoprotein blood level, cutaneous and tendon xanthomas and accelerated atherosclerosis with often manifestions in the first 2 decades of life, resulting to premature death due to atherosclerosis-related diseases. Modern combined lipid-lowering therapy is able to increase life duration considerably for these patients.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>гомозиготная семейная гиперхолестеринемия</kwd><kwd>атеросклероз</kwd><kwd>липидснижающая терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>homozygous familial hypercholesterolemia</kwd><kwd>atherosclerosis</kwd><kwd>lipid-lowering therapy</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">Nordestgaard BG, Chapman MJ, Humphries SE et al. Familial hypercholesterolaemia is underdiagnosed and undertreated in the general population: guidance for clinicians to prevent coronary heart disease. European Heart Journal, 2015, 35: 1–14.</mixed-citation><mixed-citation xml:lang="en">Nordestgaard BG, Chapman MJ, Humphries SE et al. 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