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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">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2020-11-22-31</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-1539</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>Статьи</subject></subj-group></article-categories><title-group><article-title>Головная боль при ревматических заболеваниях</article-title><trans-title-group xml:lang="en"><trans-title>Headache in rheumatic diseases</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>Мешков</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Meshkov</surname><given-names>A. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к. м. н., врач-ревматолог</p><p> г. Москва</p></bio><bio xml:lang="en"><p>Moscow</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>Лукина</surname><given-names>Г. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lukina</surname><given-names>G. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д. м. н., проф., зав. научно-исследовательским отделом ревматологии, рук. Московского городского ревматологического центра</p><p> г. Москва</p></bio><bio xml:lang="en"><p>Moscow</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>Новиков</surname><given-names>П. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Novikov</surname><given-names>P. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к. м. н., зав. ревматологическим отделением клиники ревматологии, нефрологии и профпатологии им. Е. М. Тареева</p><p> г. Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Федоров</surname><given-names>К. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedorov</surname><given-names>K. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-ревматолог</p><p>г. Херне</p></bio><bio xml:lang="en"><p>Herne</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБУЗ г. Москвы «Московский клинический научно-практический центр имени А. С. Логинова» Департамента здравоохранения г. Москвы</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A. S. Loginov Moscow Clinical Scientific Center</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет имени И. М. Сеченова (Сеченовский университет)» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I. M. Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Ревматологический центр католической клиники «Сент-Элизабет» ГмбХ</institution><country>Германия</country></aff><aff xml:lang="en"><institution>Rhine-Ruhr Rheumatology Centre of St. Elisabeth Catholic Hospitals</institution><country>Germany</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>15</day><month>07</month><year>2020</year></pub-date><volume>1</volume><issue>11</issue><issue-title>Неврология и психиатрия</issue-title><fpage>22</fpage><lpage>31</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мешков А.Д., Лукина Г.В., Новиков П.И., Федоров К.Е., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Мешков А.Д., Лукина Г.В., Новиков П.И., Федоров К.Е.</copyright-holder><copyright-holder xml:lang="en">Meshkov A.D., Lukina G.V., Novikov P.I., Fedorov K.E.</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-alphabet.com/jour/article/view/1539">https://www.med-alphabet.com/jour/article/view/1539</self-uri><abstract><p>Головная боль – частый, но не всегда адекватно диагностируемый симптом ревматических болезней. Головная боль может быть проявлением внутричерепной патологии (воспалительный процесс, тромбоз и др.) или же экстракраниального заболевания, например воспалительного или дегенеративного процесса анатомически близких структур (орган зрения, шея, придаточные пазухи носа и др.). Кроме того, у пациентов с ревматическими болезнями могут быть такие же причины первичной головной боли, как и в популяции в целом. В то время как первичная головная боль обычно является доброкачественной по течению, другие варианты головной боли могут быть признаками дебюта болезни или ее прогрессирования, а также развития осложнений. Важным является понимание как причин головной боли, связанной с ревматическими болезнями, так и механизмов ее развития, что позволит улучшить диагностику и лечение ревматических болезней в целом.</p></abstract><trans-abstract xml:lang="en"><p>Headaches are a common, but under-recognized symptom of rheumatic diseases. They can result from intracranial (inflammation, thrombosis, etc.) or extracranial pathology, such as irritation, or degeneration of anatomically related structures such as the eyes, neck, and sinuses. In addition, patients with rheumatologic disorders have the same tendencies as the general population to develop primary headaches. While the latter are benign in nature, the former type of headaches may signal disease manifestation, progression, or complication. Information on headache syndromes related to rheumatologic disorders as well as understanding of underlying disease processes and mechanisms is important. This will help to improve diagnostics and treatment of rheumatic diseases.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>головная боль</kwd><kwd>артериит</kwd><kwd>васкулит</kwd><kwd>антинейтрофильные цитоплазматические антитела</kwd><kwd>гигантоклеточный артериит</kwd><kwd>системная красная волчанка</kwd><kwd>системная склеродермия</kwd><kwd>первичный васкулит ЦНС</kwd><kwd>синдром обратимой церебральной вазоконстрикции</kwd></kwd-group><kwd-group xml:lang="en"><kwd>headache</kwd><kwd>arteritis</kwd><kwd>vasculitis</kwd><kwd>antineutrophil cytoplasmic antibodies</kwd><kwd>giant cell arteritis</kwd><kwd>lupus erythematosus</kwd><kwd>systemic scleroderma</kwd><kwd>primary vasculitis of central nervous system</kwd><kwd>reversible cerebral vasoconstriction syndrome</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">Arend W. et al. 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