<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<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">mvjr</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский вестник Юга России</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Herald of the South of Russia</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2219-8075</issn><issn pub-type="epub">2618-7876</issn><publisher><publisher-name>The Rostov State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">mvjr-1170</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>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Склеродермия: особенности течения и возможности лечения. Обзор литературы</article-title><trans-title-group xml:lang="en"><trans-title>Scleroderma: features of the current and possibility treatments. Review references</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>Гурский</surname><given-names>Г. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Gursky</surname><given-names>G. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кафедра кожных и венерических болезней</p><p>344022, г. Ростов-на-Дону, пер. Нахичеванский, 29</p></bio><bio xml:lang="en"><p>Department of Skin and Venereal Diseases</p><p>29 Nakhichevansky st., Rostov-on-Don, 344022</p></bio><email xlink:type="simple">kenho@mail.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>Гребенников</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Grebennikov</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кафедра кожных и венерических болезней</p><p>344022, г. Ростов-на-Дону, пер. Нахичеванский, 29</p></bio><bio xml:lang="en"><p>Department of Skin and Venereal Diseases</p><p>29 Nakhichevansky st., Rostov-on-Don, 344022</p></bio><email xlink:type="simple">kenho@mail.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>Хоронько</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Horonko</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кафедра фармакологии и клинической фармакологии</p></bio><bio xml:lang="en"><p>Department of Pharmacology and Clinical Pharmacology</p><p>29 Nakhichevansky st., Rostov-on-Don, 344022</p></bio><email xlink:type="simple">kenho@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Ростовский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rostov State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2011</year></pub-date><pub-date pub-type="epub"><day>30</day><month>03</month><year>2011</year></pub-date><volume>0</volume><issue>1</issue><fpage>4</fpage><lpage>9</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Гурский Г.Э., Гребенников В.А., Хоронько В.В., 2011</copyright-statement><copyright-year>2011</copyright-year><copyright-holder xml:lang="ru">Гурский Г.Э., Гребенников В.А., Хоронько В.В.</copyright-holder><copyright-holder xml:lang="en">Gursky G.E., Grebennikov V.A., Horonko V.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.medicalherald.ru/jour/article/view/1170">https://www.medicalherald.ru/jour/article/view/1170</self-uri><abstract><p>Представлены данные из различных литературных источников об особенностях течения ограниченной склеродермии (ОС). Обсуждается гипотеза – ОС и системная склеродермия (ССД) представляют собой разновидности одного патологического процесса, что подтверждается однонаправленностью метаболических сдвигов, общностью патогистологических изменений кожи при обеих формах болезни, а также случаями трансформации локализованного процесса в прогрессирующий системный склероз. Обсуждается частота встречаемости, преобладание тех или иных форм ОС, длительность жизни больных, клинические проявления и длительность течения ОС и ее связь с другими патологическими процессами. Рассматриваются различные схемы лечения ОС, которые носят многокурсовой и многокомпонентный характер.</p></abstract><trans-abstract xml:lang="en"><p>Data from various references about features of a current limited склеродермии (OS) is presented interfaced. The hypothesis that OS and system scleroderma (SSD) represent versions of one pathological process that proves to be true presence an one-orientation of metabolic shifts, a generality skin changes at both forms of illness, and also cases of transformation of the localised process in a progressing system sclerosis Is discussed. Frequency of occurrence, prevalence of those or other forms of OS, longevity of patients, clinical displays and duration of a current of OS and its communication with other pathological processes is discussed. Various schemes of treatment of OS which have multicourse and multicomponent character are considered.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ограниченная склеродермия (ОС)</kwd><kwd>антибиотики и химиотерапевтические средства (метотрексат)</kwd><kwd>кортикостероиды</kwd><kwd>фотохимиотерапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Localized Scleroderma (OS)</kwd><kwd>antibiotics and chemotherapeutic agents (metotrexate)</kwd><kwd>corticosteroides</kwd><kwd>photochemotherapy</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">Гусева Н. Г. Системная склеродермия: клиника, диагностика, лечение // Рос. журн. кож. и вен. болезней. – 2002. – № 4. - С. 5–15.</mixed-citation><mixed-citation xml:lang="en">Гусева Н. Г. Системная склеродермия: клиника, диагностика, лечение // Рос. журн. кож. и вен. болезней. – 2002. – № 4. - С. 5–15.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Connolly M.K. Pulmonary Arterial Hypertension in Scleroderma: A New Treatment// «Scleroderma Voice». – 2002. – № 2 // www.scleroderma.org/medical/pulmonary_articles/ Connolly_2002.shtm – 32k.</mixed-citation><mixed-citation xml:lang="en">Connolly M.K. Pulmonary Arterial Hypertension in Scleroderma: A New Treatment// «Scleroderma Voice». – 2002. – № 2 // www.scleroderma.org/medical/pulmonary_articles/ Connolly_2002.shtm – 32k.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Sjogren RW. Gastrointestinal features of scleroderma // Curr Opin Rheumatol. – 1996. – Nov;8(6):569-75. // www.ncbi.nlm.nih.gov/pubmed/9018461.</mixed-citation><mixed-citation xml:lang="en">Sjogren RW. Gastrointestinal features of scleroderma // Curr Opin Rheumatol. – 1996. – Nov;8(6):569-75. // www.ncbi.nlm.nih.gov/pubmed/9018461.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Pathak R. Gabor A.J. Scleroderma and central nervous system vasculitis// Stroke. – 1991. – Vol 22. – P. 410–413.</mixed-citation><mixed-citation xml:lang="en">Pathak R. Gabor A.J. Scleroderma and central nervous system vasculitis// Stroke. – 1991. – Vol 22. – P. 410–413.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Галлямова Ю.А. Очаговая склеродермия// Лечащий врач. – 2008. – № 05// www.lvrach.ru/doctore/2008/05/5157128/ – 59k.</mixed-citation><mixed-citation xml:lang="en">Галлямова Ю.А. Очаговая склеродермия// Лечащий врач. – 2008. – № 05// www.lvrach.ru/doctore/2008/05/5157128/ – 59k.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Zulian F. Systemic manifestations in localized scleroderma // Current Rheumatology Reports. – 2004. – Volume 6, Number 6. – P. 417–424.</mixed-citation><mixed-citation xml:lang="en">Zulian F. Systemic manifestations in localized scleroderma // Current Rheumatology Reports. – 2004. – Volume 6, Number 6. – P. 417–424.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Болотная Л.А., Сербина И.М. Современная патогенетическая терапия склеродермии // «Международный медицинский журнал». – 1999. - № 3. – С. 56–58.</mixed-citation><mixed-citation xml:lang="en">Болотная Л.А., Сербина И.М. Современная патогенетическая терапия склеродермии // «Международный медицинский журнал». – 1999. - № 3. – С. 56–58.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Коробейникова Э.А., Мартынова Л.М., Анисимова А.В. Клинические аспекты ограниченной склеродермии // Рос. журн. кожн. и вен. бол. – 2004. – № 3. – С. 27–29.</mixed-citation><mixed-citation xml:lang="en">Коробейникова Э.А., Мартынова Л.М., Анисимова А.В. Клинические аспекты ограниченной склеродермии // Рос. журн. кожн. и вен. бол. – 2004. – № 3. – С. 27–29.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Furst A. Scleroderma: a fascinating, troubling disease // Advanced Practice Nursing journal. – 2004. – № 4 (2).</mixed-citation><mixed-citation xml:lang="en">Furst A. Scleroderma: a fascinating, troubling disease // Advanced Practice Nursing journal. – 2004. – № 4 (2).</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Болотная Л.А., Шахова Ф.Б., Сербина И.М. Новое в патогенезе и терапии ограниченной склеродермии// II Вестн. дерматол. венерол. – 2004. - № 2. – С. 31–34.</mixed-citation><mixed-citation xml:lang="en">Болотная Л.А., Шахова Ф.Б., Сербина И.М. Новое в патогенезе и терапии ограниченной склеродермии// II Вестн. дерматол. венерол. – 2004. - № 2. – С. 31–34.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Alexandrescu D.T., Bhagwati N. S., Wiernik P. H. Chemotherapy-induced scleroderma: a pleiomorphic syndrome// Clinical and Experimental Dermatology. – 22 Feb 2005. – Volume 30 Issue 2. – P. 141–145.</mixed-citation><mixed-citation xml:lang="en">Alexandrescu D.T., Bhagwati N. S., Wiernik P. H. Chemotherapy-induced scleroderma: a pleiomorphic syndrome// Clinical and Experimental Dermatology. – 22 Feb 2005. – Volume 30 Issue 2. – P. 141–145.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Gliddon AE et al., Prevention of vascular damage in scleroderma and autoimmune Raynaud’s phenomenon: a multicenter, randomized, double-blind, placebo-controlled trial of the angiotensin-converting enzyme inhibitor quinapril. // Arthritis Rheum. – 2007. – Nov;56(11):3837-46.</mixed-citation><mixed-citation xml:lang="en">Gliddon AE et al., Prevention of vascular damage in scleroderma and autoimmune Raynaud’s phenomenon: a multicenter, randomized, double-blind, placebo-controlled trial of the angiotensin-converting enzyme inhibitor quinapril. // Arthritis Rheum. – 2007. – Nov;56(11):3837-46.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Довжанский С. И. Клинико-иммунологические параллели при ограниченной и системной склеродермии // Рос. журн. кожн. и вен. бол. – 2002. ж № 4. – С. 26–29.</mixed-citation><mixed-citation xml:lang="en">Довжанский С. И. Клинико-иммунологические параллели при ограниченной и системной склеродермии // Рос. журн. кожн. и вен. бол. – 2002. ж № 4. – С. 26–29.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Asano Y., Ihn H., Jinnin M., Mimura Y., Tamaki K. Involvement of v5 Integrin in the Establishment of Autocrine TGF-Signaling in Dermal Fibroblasts Derived from Localized Scleroderma// Journal of Investigative Dermatology. – 2006. – №126. – P. 1761–1769.</mixed-citation><mixed-citation xml:lang="en">Asano Y., Ihn H., Jinnin M., Mimura Y., Tamaki K. Involvement of v5 Integrin in the Establishment of Autocrine TGF-Signaling in Dermal Fibroblasts Derived from Localized Scleroderma// Journal of Investigative Dermatology. – 2006. – №126. – P. 1761–1769.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Milenkovica S., Petrovicc L., Risimica D., et al. Choroidal Sclerosis in Localized Scleroderma (Morphea en Plaque)// Ophthalmic Res. – 2008. – № 40. P. 101–104.</mixed-citation><mixed-citation xml:lang="en">Milenkovica S., Petrovicc L., Risimica D., et al. Choroidal Sclerosis in Localized Scleroderma (Morphea en Plaque)// Ophthalmic Res. – 2008. – № 40. P. 101–104.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Carlson J.A., Chen, Ko-Ron, Cutaneous Vasculitis Update: Neutrophilic Muscular Vessel and Eosinophilic, Granulomatous, and Lymphocytic Vasculitis Syndromes// The American Journal of Dermatopathology. – February 2007. – Volume 29, Issue 1. – P. 32–43.</mixed-citation><mixed-citation xml:lang="en">Carlson J.A., Chen, Ko-Ron, Cutaneous Vasculitis Update: Neutrophilic Muscular Vessel and Eosinophilic, Granulomatous, and Lymphocytic Vasculitis Syndromes// The American Journal of Dermatopathology. – February 2007. – Volume 29, Issue 1. – P. 32–43.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Потекаев Н.С., Потекаев Н.Н. Болезнь Лайма и обусловленные ею поражения кожи // Вестник дерматологии и венерологии. – 2006. – № 6. – С. 3–9.</mixed-citation><mixed-citation xml:lang="en">Потекаев Н.С., Потекаев Н.Н. Болезнь Лайма и обусловленные ею поражения кожи // Вестник дерматологии и венерологии. – 2006. – № 6. – С. 3–9.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Bonifati C, Impara G, Morrone A, Pietrangeli A, Carducci M. Simultaneous occurrence of linear scleroderma and homolateral segmental vitiligo // J Eur Acad Dermatol Venereol. – 2006. – № 20 (1): 63–5.</mixed-citation><mixed-citation xml:lang="en">Bonifati C, Impara G, Morrone A, Pietrangeli A, Carducci M. Simultaneous occurrence of linear scleroderma and homolateral segmental vitiligo // J Eur Acad Dermatol Venereol. – 2006. – № 20 (1): 63–5.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Christen-Zaech S.; Hakim M. D.; Afsar F.S., Paller A.S., Pediatric morphea (localized scleroderma): Review of 136 patients// Journal of the American Academy of Dermatology. – September 2008. – Volume 59, Issue 3. – P. 385–396// www.journals.elsevierhealth.com/periodicals/ymjd/article/PIIS01909622080... – 35k.</mixed-citation><mixed-citation xml:lang="en">Christen-Zaech S.; Hakim M. D.; Afsar F.S., Paller A.S., Pediatric morphea (localized scleroderma): Review of 136 patients// Journal of the American Academy of Dermatology. – September 2008. – Volume 59, Issue 3. – P. 385–396// www.journals.elsevierhealth.com/periodicals/ymjd/article/PIIS01909622080... – 35k.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Dehen L, Roujeau JC, Cosnes A, et al. Internal involvement in localized scleroderma // Medicine (Baltimore). – 1994. – V. 73. – P. 241–245.</mixed-citation><mixed-citation xml:lang="en">Dehen L, Roujeau JC, Cosnes A, et al. Internal involvement in localized scleroderma // Medicine (Baltimore). – 1994. – V. 73. – P. 241–245.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">González-López MA, Drake M, González-Vela MC, Armesto S, Llaca HF, Val-Bernal JF. Generalized morphea and primary biliary cirrhosis coexisting in a male patient // J. Dermatol. – 2006. – V.33 (10): 709–13.</mixed-citation><mixed-citation xml:lang="en">González-López MA, Drake M, González-Vela MC, Armesto S, Llaca HF, Val-Bernal JF. Generalized morphea and primary biliary cirrhosis coexisting in a male patient // J. Dermatol. – 2006. – V.33 (10): 709–13.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Göring HD, Panzner M, Lakotta W, Ziemer A. Coincidence of scleroderma and primary biliary cirrhosis. Results of a systematic study of a dermatologic patient sample// Hautarzt. – 1998, May. – V.49(5). – P. 361–366.</mixed-citation><mixed-citation xml:lang="en">Göring HD, Panzner M, Lakotta W, Ziemer A. Coincidence of scleroderma and primary biliary cirrhosis. Results of a systematic study of a dermatologic patient sample// Hautarzt. – 1998, May. – V.49(5). – P. 361–366.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Hayakawa I, Hasegawa M, Takehara K, Sato S. Anti-DNA topoisomerase IIalpha autoantibodies in localized scleroderma // Arthritis Rheum. – 2004. – V. 50 (1). – P. 227–232.</mixed-citation><mixed-citation xml:lang="en">Hayakawa I, Hasegawa M, Takehara K, Sato S. Anti-DNA topoisomerase IIalpha autoantibodies in localized scleroderma // Arthritis Rheum. – 2004. – V. 50 (1). – P. 227–232.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Zulian F, Vallongo C, Woo P, et al. Localized scleroderma in childhood is not just a skin disease // Arthritis &amp; Rheumatism. – 2005. – V. 52. – P. 2872–2881.</mixed-citation><mixed-citation xml:lang="en">Zulian F, Vallongo C, Woo P, et al. Localized scleroderma in childhood is not just a skin disease // Arthritis &amp; Rheumatism. – 2005. – V. 52. – P. 2872–2881.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Laxer RM, Feldman BM. General and local scleroderma in children and dermatomyositis and associated syndromes. // Curr Opin Rheumatol. – 1997 Sep. – V. 9(5). – P. 458–464.</mixed-citation><mixed-citation xml:lang="en">Laxer RM, Feldman BM. General and local scleroderma in children and dermatomyositis and associated syndromes. // Curr Opin Rheumatol. – 1997 Sep. – V. 9(5). – P. 458–464.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Laxer RM, Zulian F. Localized scleroderma // Curr Opin Rheumatol. – 2006. – V. 18 (6). – P. 606–613.</mixed-citation><mixed-citation xml:lang="en">Laxer RM, Zulian F. Localized scleroderma // Curr Opin Rheumatol. – 2006. – V. 18 (6). – P. 606–613.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Peterson LS, Nelson AM, Su WPD. Classification of morphea (localized scleroderma) // Mayo Clin Proc. – 1995. – V. 70. – P. 1068–1076.</mixed-citation><mixed-citation xml:lang="en">Peterson LS, Nelson AM, Su WPD. Classification of morphea (localized scleroderma) // Mayo Clin Proc. – 1995. – V. 70. – P. 1068–1076.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Болотная Л.А., Сербина И.М. Современная патогенетическая терапия склеродермии // Международ. мед. Журнал. – 1999. – № 3. – C. 56–58.</mixed-citation><mixed-citation xml:lang="en">Болотная Л.А., Сербина И.М. Современная патогенетическая терапия склеродермии // Международ. мед. Журнал. – 1999. – № 3. – C. 56–58.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Смирнов А.В., Курников Г.Ю., Пересторонина В.С. КВЧ-терапия в лечении ограниченной склеродермии // Миллиметровые волны в биологии и медицине. – 2000. – № 2(18). - C. 34–35.</mixed-citation><mixed-citation xml:lang="en">Смирнов А.В., Курников Г.Ю., Пересторонина В.С. КВЧ-терапия в лечении ограниченной склеродермии // Миллиметровые волны в биологии и медицине. – 2000. – № 2(18). - C. 34–35.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Коколина В.Ф., Харыбина Е.И., И.Л., Уколова Е.С.Киреева Клинико-иммунологические особенности и модификация комплексного лечения при очаговой склеродермии наружных гениталий у девочек с помощью курсовой низкоинтенсивной лазерной терапии // Педиатрия. – 2001. – № 3. – C. 106–108.</mixed-citation><mixed-citation xml:lang="en">Коколина В.Ф., Харыбина Е.И., И.Л., Уколова Е.С.Киреева Клинико-иммунологические особенности и модификация комплексного лечения при очаговой склеродермии наружных гениталий у девочек с помощью курсовой низкоинтенсивной лазерной терапии // Педиатрия. – 2001. – № 3. – C. 106–108.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Gruss,-C-J; Von-Kobyletzki,-G; Behrens-Williams,-S-C et al. Effects of low dose ultraviolet A-1 phototherapy on morphea» // Photodermatol-Photoimmunol-Photomed. – 2001 Aug. – V. 17(4). – P. 149-55</mixed-citation><mixed-citation xml:lang="en">Gruss,-C-J; Von-Kobyletzki,-G; Behrens-Williams,-S-C et al. Effects of low dose ultraviolet A-1 phototherapy on morphea» // Photodermatol-Photoimmunol-Photomed. – 2001 Aug. – V. 17(4). – P. 149-55</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Kreuter,-A; Gambichler, -Т; Avermaete, A. et al. Combined treatment with calcipotriol ointment and low-dose ultraviolet A1 phototherapy in childhood morphea // Pediatr-Dermatol. – 2001 May-Jun. – V.18 (3). – P. 241–245.</mixed-citation><mixed-citation xml:lang="en">Kreuter,-A; Gambichler, -Т; Avermaete, A. et al. Combined treatment with calcipotriol ointment and low-dose ultraviolet A1 phototherapy in childhood morphea // Pediatr-Dermatol. – 2001 May-Jun. – V.18 (3). – P. 241–245.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Gliddon AE, Doré CJ, Black CM et al., Prevention of vascular damage in scleroderma and autoimmune Raynaud’s phenomenon: a multicenter, randomized, double-blind, placebo-controlled trial of the angiotensin-converting enzyme inhibitor quinapril. // Arthritis Rheum. – 2007, Nov. – V. 56(11). – P. 3837–3846.</mixed-citation><mixed-citation xml:lang="en">Gliddon AE, Doré CJ, Black CM et al., Prevention of vascular damage in scleroderma and autoimmune Raynaud’s phenomenon: a multicenter, randomized, double-blind, placebo-controlled trial of the angiotensin-converting enzyme inhibitor quinapril. // Arthritis Rheum. – 2007, Nov. – V. 56(11). – P. 3837–3846.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Bruns A., Lacerda C.G., de Assis Goulart L.S., Trevisani V.M.F. The treatment of localized scleroderma in childhood // Pediatric Rheumatology Online Journal// www.pedrheumonlinejournal.org/SeptOct/pdf/localized%20scleroderma.pdf.</mixed-citation><mixed-citation xml:lang="en">Bruns A., Lacerda C.G., de Assis Goulart L.S., Trevisani V.M.F. The treatment of localized scleroderma in childhood // Pediatric Rheumatology Online Journal// www.pedrheumonlinejournal.org/SeptOct/pdf/localized%20scleroderma.pdf.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Cassidy JT, Petty RE: The sclerodermas and related disease. // Textbook of Pediatrics Rheumatology. – 4th ed. – Philadelphia, Pennsylvania, W.B. Saunders. – 2001. – P. 505–541.</mixed-citation><mixed-citation xml:lang="en">Cassidy JT, Petty RE: The sclerodermas and related disease. // Textbook of Pediatrics Rheumatology. – 4th ed. – Philadelphia, Pennsylvania, W.B. Saunders. – 2001. – P. 505–541.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Unterberger I., Trinka E, Engelhardt K, A Muigg1, P Eller1, M Wagner3, N Sepp2, G Bauer1 . Linear scleroderma «en coup de sabre» coexisting with plaque-morphea: neuroradiological manifestation and response to corticosteroids // Journal of Neurology Neurosurgery and Psychiatry. – 2003. – V.74. – P. 661–664.</mixed-citation><mixed-citation xml:lang="en">Unterberger I., Trinka E, Engelhardt K, A Muigg1, P Eller1, M Wagner3, N Sepp2, G Bauer1 . Linear scleroderma «en coup de sabre» coexisting with plaque-morphea: neuroradiological manifestation and response to corticosteroids // Journal of Neurology Neurosurgery and Psychiatry. – 2003. – V.74. – P. 661–664.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Kreuter A., Gambichler T., Breuckmann F., et al. Pulsed High-Dose Corticosteroids Combined With Low-Dose Methotrexate in Severe Localized Scleroderma// Arch Dermatol. – 2005. – V. 141. – P. 847–852.</mixed-citation><mixed-citation xml:lang="en">Kreuter A., Gambichler T., Breuckmann F., et al. Pulsed High-Dose Corticosteroids Combined With Low-Dose Methotrexate in Severe Localized Scleroderma// Arch Dermatol. – 2005. – V. 141. – P. 847–852.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Falanga V, Medsger TA: D-пеницилламин in the treatment of localized scleroderma // Arch Dermatol. – 1990. – V.126. – P. 609–612.</mixed-citation><mixed-citation xml:lang="en">Falanga V, Medsger TA: D-пеницилламин in the treatment of localized scleroderma // Arch Dermatol. – 1990. – V.126. – P. 609–612.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Hilário MO. Esclerodermia. //Oliveira SK, Azevedo EC. Reumatologia Pediátrica. – Rio de Janeiro: Revinter, 2000, p295.</mixed-citation><mixed-citation xml:lang="en">Hilário MO. Esclerodermia. //Oliveira SK, Azevedo EC. Reumatologia Pediátrica. – Rio de Janeiro: Revinter, 2000, p295.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Uziel Y, Feldman BM, Krafchik BR, Yeung RS, Laxer RM: MTX and corticosteroid therapy for pediatric localized scleroderma // J Pediatr. – 2000. – V. 136(1). – P. 91–95.</mixed-citation><mixed-citation xml:lang="en">Uziel Y, Feldman BM, Krafchik BR, Yeung RS, Laxer RM: MTX and corticosteroid therapy for pediatric localized scleroderma // J Pediatr. – 2000. – V. 136(1). – P. 91–95.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Cunningham BB; Landells IDR, Langman C, et al: Topical calcipotriene for morphea/linear scleroderma // J Am Acad Dermatol. – 1998. – V.39. – P. 211–215.</mixed-citation><mixed-citation xml:lang="en">Cunningham BB; Landells IDR, Langman C, et al: Topical calcipotriene for morphea/linear scleroderma // J Am Acad Dermatol. – 1998. – V.39. – P. 211–215.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Eubanks LE, Mc Burney EI, Galen W, Reed R: Linear Scleroderma in Children // Int J Dermatol. – 1996. – V.35(5). – P. 330–336.</mixed-citation><mixed-citation xml:lang="en">Eubanks LE, Mc Burney EI, Galen W, Reed R: Linear Scleroderma in Children // Int J Dermatol. – 1996. – V.35(5). – P. 330–336.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Kerscher M, Volkenandt M, Gruss C, et al: Low-dose UVA1 phototherapy for treatment of localized scleroderma // J Am Acad Dermatol. – 1998. – V.38. – P. 21–26.</mixed-citation><mixed-citation xml:lang="en">Kerscher M, Volkenandt M, Gruss C, et al: Low-dose UVA1 phototherapy for treatment of localized scleroderma // J Am Acad Dermatol. – 1998. – V.38. – P. 21–26.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Kochanek KS, Goldermann R, Lehmann, et al: PUVA phototherapy in disabling pansclerotic morphea of children. – 1995, p 423.</mixed-citation><mixed-citation xml:lang="en">Kochanek KS, Goldermann R, Lehmann, et al: PUVA phototherapy in disabling pansclerotic morphea of children. – 1995, p 423.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Gruss C, Stucker M, Von Kobyletzki G, et al: Low-dose UVA1 phototherapy in disabling pansclerotic morphea of childhood // Br J Dermatol. – 1997. – V.136. – P. 293–294.</mixed-citation><mixed-citation xml:lang="en">Gruss C, Stucker M, Von Kobyletzki G, et al: Low-dose UVA1 phototherapy in disabling pansclerotic morphea of childhood // Br J Dermatol. – 1997. – V.136. – P. 293–294.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Kreuter A, et al: Linear scleroderma “en coup de sabre” treated with topical calcipotriol and psoralen plus UVA // J Eur Acad Dermatol Venereol. – 2003. – V.17(5). – P. 601–602.</mixed-citation><mixed-citation xml:lang="en">Kreuter A, et al: Linear scleroderma “en coup de sabre” treated with topical calcipotriol and psoralen plus UVA // J Eur Acad Dermatol Venereol. – 2003. – V.17(5). – P. 601–602.</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Kreuter A, et al: Combined treatment with Calcipotriol ointment and low-dose ultraviolet A1 phototherapy in childhood morphea // Pediatric Dermatology. – 2001. – V.18(3). – P. 241–245.</mixed-citation><mixed-citation xml:lang="en">Kreuter A, et al: Combined treatment with Calcipotriol ointment and low-dose ultraviolet A1 phototherapy in childhood morphea // Pediatric Dermatology. – 2001. – V.18(3). – P. 241–245.</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Walch F, Ullrich H, Schitz G, et al: Treatment of severe localized scleroderma by plasmapheresis – report of three cases // Br J Dermatol. – 1995. – V.133. – P. 605–609.</mixed-citation><mixed-citation xml:lang="en">Walch F, Ullrich H, Schitz G, et al: Treatment of severe localized scleroderma by plasmapheresis – report of three cases // Br J Dermatol. – 1995. – V.133. – P. 605–609.</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Lam G.K., Hummers L.K., Woods A., Wigley F.M. Efficacy and Safety of Etanercept in the Treatment of Scleroderma-Associated Joint Disease// J.Reumatol. vol. 34: NO. 7 july 2007.</mixed-citation><mixed-citation xml:lang="en">Lam G.K., Hummers L.K., Woods A., Wigley F.M. Efficacy and Safety of Etanercept in the Treatment of Scleroderma-Associated Joint Disease// J.Reumatol. vol. 34: NO. 7 july 2007.</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">Oliver SJ, Moreira A, Kaplan G. Immune stimulation in scleroderma patients treated with thalidomide.// Clin Immunol. 2000 Nov;97(2):109-20.</mixed-citation><mixed-citation xml:lang="en">Oliver SJ, Moreira A, Kaplan G. Immune stimulation in scleroderma patients treated with thalidomide.// Clin Immunol. 2000 Nov;97(2):109-20.</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">Man J. Dytoc M.T. Use of Imiquimod Cream 5% in the Treatment of Localized Morphea // Journal of Cutaneous Medicine and Surgery: Incorporating Medical and Surgical Dermatology. Volume 8, Number 3 / Июнь 2004 г.</mixed-citation><mixed-citation xml:lang="en">Man J. Dytoc M.T. Use of Imiquimod Cream 5% in the Treatment of Localized Morphea // Journal of Cutaneous Medicine and Surgery: Incorporating Medical and Surgical Dermatology. Volume 8, Number 3 / Июнь 2004 г.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
