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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">gastro-j</journal-id><journal-title-group><journal-title xml:lang="ru">Российский журнал гастроэнтерологии, гепатологии, колопроктологии</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal of Gastroenterology, Hepatology, Coloproctology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1382-4376</issn><issn pub-type="epub">2658-6673</issn><publisher><publisher-name>«Gastro» LLC</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">gastro-j-1053</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>КЛИНИЧЕСКИЙ РАЗБОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL ANALYSIS</subject></subj-group></article-categories><title-group><article-title>Клиническое наблюдение пациентки 65 лет с артралгией и болью в животе</article-title><trans-title-group xml:lang="en"><trans-title>Clinical case of 65 year-old patient with arthralgia and abdominal pain</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>Шептулина</surname><given-names>А. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Sheptulina</surname><given-names>A. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шептулина Анна Фароковна – аспирант кафедры пропедевтики внутренних болезней </p><p>119991, Москва, ул. Погодинская, д. 1, стр. 1. </p></bio><bio xml:lang="en"><p>Sheptulina Anna F — post-graduate student, Chair of internal diseases propedeutics, medical faculty</p><p>119991, Moscow, Pogodinskaya street, 1, bld 1. </p></bio><email xlink:type="simple">sheptulina.anna@gmail.com</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>Ивашкин</surname><given-names>В. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivashkin</surname><given-names>V. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ивашкин Владимир Трофимович – академик РАН, доктор медицинских наук, профессор, заведующий кафедрой пропедевтики внутренних болезней </p></bio><bio xml:lang="en"><p>Ivashkin Vladimir T — academician of the Russian Academy of Science, MD, PhD, professor, head of the Chair of internal diseases propedeutics, medical faculty</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>Некрасова</surname><given-names>Т. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Nekrasova</surname><given-names>T. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Некрасова Татьяна Петровна – кандидат медицинских наук, доцент кафедры патологической анатомии </p></bio><bio xml:lang="en"><p>Nekrasova Tatiana P — MD, associate professor, Chair of pathological anatomy</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university», Ministry of Healthcare of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>29</day><month>09</month><year>2015</year></pub-date><volume>25</volume><issue>4</issue><fpage>59</fpage><lpage>70</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шептулина А.Ф., Ивашкин В.Т., Некрасова Т.П., 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="ru">Шептулина А.Ф., Ивашкин В.Т., Некрасова Т.П.</copyright-holder><copyright-holder xml:lang="en">Sheptulina A.F., Ivashkin V.T., Nekrasova T.P.</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.gastro-j.ru/jour/article/view/1053">https://www.gastro-j.ru/jour/article/view/1053</self-uri><abstract><p>Цель публикации. В рубрике «Клинический разбор» будут представлены клинические наблюдения пациентов, находившихся на стационарном лечении в Клинике пропедевтики внутренних болезней, гастроэнтерологии и гепатологии им. В.Х. Василенко. Каждое клиническое наблюдение сопровождается комментариями, отражающими этапность проведения дифференциально-диагностического поиска. Рубрика открывается клиническим наблюдением пациентки, у которой отмечался системный характер поражения с вовлечением нескольких органов.</p></abstract><trans-abstract xml:lang="en"><p>The aim of the publication. The «Clinical discussion» section will present clinical cases of the Vasilenko Clinic of internal diseases propedeutics, gastroenterology and hepatology, Sechenov First Moscow state medical university. Each clinical case is accompanied by the comments reflecting stepwise differential diagnostic approach. The section is opened by clinical case of the patient with systemic disease and multiply organ involvement.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>боль в животе</kwd><kwd>артралгии</kwd><kwd>фиброз</kwd></kwd-group><kwd-group xml:lang="en"><kwd>abdominal pain</kwd><kwd>arthralgia</kwd><kwd>fibrosis</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">Stone J.H., Yoh Zen M.P. H., Deshpande V. IgG4- related disease. N Engl J Med 2012; 366:539-51.</mixed-citation><mixed-citation xml:lang="en">Stone J.H., Yoh Zen M.P.  H., Deshpande V. IgG4- related disease. N Engl J Med 2012; 366:539-51.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Kleger A., Seufferlein T., Wagner M., Tannapfel A., Hoffmann T.K., Mayerle J. 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