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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-2014-12-106-110</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-696</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>АТЕРОСКЛЕРОЗ И МЕТАБОЛИЧЕСКИЙ СИНДРОМ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ATHEROSCLEROSIS AND THE METABOLIC SYNDROME</subject></subj-group></article-categories><title-group><article-title>Консилиум у 9-летнего мальчика с уровнем холестерина 20 ммоль/л: от постановки диагноза к эффективному лечению</article-title><trans-title-group xml:lang="en"><trans-title>Case conference concerning 9-year-old boy having 20 mmol/lcholesterol: from diagnosis to effective 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>Сусеков</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Susekov</surname><given-names>AV</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>Лугинова</surname><given-names>З. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Luginova</surname><given-names>ZG</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>Мешков</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Meshkov</surname><given-names>AN</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>Соловьева</surname><given-names>Е. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Solovyova</surname><given-names>EY</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>Балахонова</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Balakhonova</surname><given-names>TV</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>Саидова</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Saidova</surname><given-names>MA</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>Коткина</surname><given-names>Т. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kotkina</surname><given-names>TI</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Щербакова</surname><given-names>М. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Scherbakova</surname><given-names>MY</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Давыдкин</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Davydkin</surname><given-names>VV</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дубовенко</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Dubovenko</surname><given-names>MA</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Постнов</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Postnov</surname><given-names>AY</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хасанова</surname><given-names>З. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Khasanova</surname><given-names>ZB</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коновалов</surname><given-names>Г. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Konovalov</surname><given-names>GA</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кухарчук</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kukharchuk</surname><given-names>VV</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">Институт клинической кардиологии им. А.Л. Мясникова<country>Россия</country></aff><aff xml:lang="en">Clinical lipidology laboratory, atherosclerosis department of the Institute of Clinical Cardiology named after A.L. Myasnikov<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Государственный научно-исследовательский центр профилактической медицины Минздрава России<country>Россия</country></aff><aff xml:lang="en">National Research Center for Preventive Medicine, Ministry of Health of the Russian Fderation<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">Лаборатория клинической липидологии отдела атеросклероза Института клинической кардиологии им. А.Л. Мясникова<country>Россия</country></aff><aff xml:lang="en">Clinical lipidology laboratory, atherosclerosis department of the Institute of Clinical Cardiology named after A.L. Myasnikov<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru">Лаборатория клинической липидологии отдела атеросклероза Института клинической кардиологии им. А.Л. Мясникова<country>Россия</country></aff><aff xml:lang="en">Clinical lipidology laboratory, atherosclerosis department of the Institute of Clinical Cardiology named after A.L. Myasnikov<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru">Научно-исследовательский институт питания РАМН<country>Россия</country></aff><aff xml:lang="en">Scientific Research Institute of Nutrition RAMS<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru">Московский научно-исследовательский институт педиатрии и детской хирургии Минздрава России<country>Россия</country></aff><aff xml:lang="en">Moscow Institute of Pediatrics and Pediatric Surgery, Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru">Московский научно-исследовательский институт педиатрии и детской хирургии Минздрава России<country>Россия</country></aff><aff xml:lang="en">Moscow Institute of Pediatrics and Pediatric Surgery, Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru">Российский кардиологический научно-производственный комплекс Минздрава России, Москва<country>Россия</country></aff><aff xml:lang="en">the Russian Cardiology Research and Production Complex, Ministry of Health of the Russian Federation, Moscow<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru">Клиника МедСи<country>Россия</country></aff><aff xml:lang="en">Medsi clinic<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>12</issue><fpage>106</fpage><lpage>110</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сусеков А.В., Лугинова З.Г., Мешков А.Н., Соловьева Е.Ю., Балахонова Т.В., Саидова М.А., Коткина Т.И., Щербакова М.Ю., Давыдкин В.В., Дубовенко М.А., Постнов А.Ю., Хасанова З.Б., Коновалов Г.А., Кухарчук В.В., 2014</copyright-statement><copyright-year>2014</copyright-year><copyright-holder xml:lang="ru">Сусеков А.В., Лугинова З.Г., Мешков А.Н., Соловьева Е.Ю., Балахонова Т.В., Саидова М.А., Коткина Т.И., Щербакова М.Ю., Давыдкин В.В., Дубовенко М.А., Постнов А.Ю., Хасанова З.Б., Коновалов Г.А., Кухарчук В.В.</copyright-holder><copyright-holder xml:lang="en">Susekov A., Luginova Z., Meshkov A., Solovyova E., Balakhonova T., Saidova M., Kotkina T., Scherbakova M., Davydkin V., Dubovenko M., Postnov A., Хасанова З.Б., Коновалов Г.А., Kukharchuk V.</copyright-holder><license 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/696">https://www.med-sovet.pro/jour/article/view/696</self-uri><abstract><p>Семейная гиперхолестеринемия (СГХ) - самая частая и самая тяжелая форма моногенных дислипидемий с ранним и быстро прогрессирующим развитием атеросклероза и его осложнений [1-4, 12, 14]. Без лечения больные с СГХ имеют такой же тяжелый прогноз, как пациенты со СПИДом. Для этого генетического заболевания впервые был описан молекулярный дефект - отсутствие или дисфункция ЛНП рецепторов (ЛНП-Р) печени, основного пути катаболизма холестерина у человека [2, 3, 12, 13]. В настоящей работе представлен разбор клинического случая этого заболевания у 9-летнего мальчика.</p></abstract><trans-abstract xml:lang="en"><p>Familial hypercholesterolemia (FHC) is the most common and most severe form of monogenic dyslipidemia with early and rapidly progressing atherosclerosis and its complications [1--4, 12, 14]. Without treatment,  the prognosis for patients with FHC is as heavy as for AIDS patients. For the first time the molecular defect - absence or dysfunction of the LDL receptor (LDL-R), the main route for cholesterol catabolism in humans [2, 3, 12, 13] - was described with regard to this genetic disease. The article analyzes a clinical case of the disease in a 9-year-old boy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>семейная гиперхолестеринемия</kwd><kwd>моногенная дислипидемия</kwd><kwd>наследование</kwd><kwd>холестерин</kwd><kwd>липопротеиды низкой плотности</kwd><kwd>familial hypercholesterolemia</kwd><kwd>monogenic dyslipidemia</kwd><kwd>inheritance</kwd><kwd>cholesterol</kwd><kwd>low density lipoprotein</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">Rader D, Cohen J, Hobbs H. Monogenic hypercholesterolaemia: new insights in pathogenesis and treatment. J Clin Invest, 2003, 111: 1795-1803.</mixed-citation><mixed-citation xml:lang="en">Rader D, Cohen J, Hobbs H. Monogenic hypercholesterolaemia: new insights in pathogenesis and treatment. 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