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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">emcardio</journal-id><journal-title-group><journal-title xml:lang="ru">Неотложная кардиология и кардиоваскулярные риски</journal-title><trans-title-group xml:lang="en"><trans-title>Emergency Cardiology and Cardiovascular Risks journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2616-633X</issn><publisher><publisher-name>Белорусский государственный медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">emcardio-217</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 случай</subject></subj-group></article-categories><title-group><article-title>Аллергическая пурпура в практике терапевта</article-title><trans-title-group xml:lang="en"><trans-title>Allergic purpura in the therapeutical practice</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>Романчук</surname><given-names>Л. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Romanchuk</surname><given-names>L. N.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пырочкин</surname><given-names>В. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Pyrochkin</surname><given-names>V. M.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Карпович</surname><given-names>Ю. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Karpovich</surname><given-names>Y. I.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чалая</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Chalaya</surname><given-names>E. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Беляева</surname><given-names>А. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Belyaeva</surname><given-names>A. L.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Карпович</surname><given-names>Ю. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Karpovich</surname><given-names>Y. L.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Щетко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shchetko</surname><given-names>A. A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>УО «Гродненский государственный медицинский университет»</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-2"><institution>УЗ «Городская клиническая больница №3 г. Гродно»</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-3"><institution>ГУ «1134 военный клинический медицинский центр г. Гродно вооруженных сил Республики Беларусь»</institution><country>Belarus</country></aff><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>11</day><month>11</month><year>2025</year></pub-date><volume>3</volume><issue>2</issue><fpage>747</fpage><lpage>750</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Романчук Л.Н., Пырочкин В.М., Карпович Ю.И., Чалая Е.В., Беляева А.Л., Карпович Ю.Л., Щетко А.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Романчук Л.Н., Пырочкин В.М., Карпович Ю.И., Чалая Е.В., Беляева А.Л., Карпович Ю.Л., Щетко А.А.</copyright-holder><copyright-holder xml:lang="en">Romanchuk L.N., Pyrochkin V.M., Karpovich Y.I., Chalaya E.V., Belyaeva A.L., Karpovich Y.L., Shchetko A.A.</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://emcardio.bsmu.by/jour/article/view/217">https://emcardio.bsmu.by/jour/article/view/217</self-uri><abstract><p>В статье приводится к рассмотрению клинический случай васкулита Шенлейна-Геноха у пациента 53 лет как пример необходимости тщательного анализа анамнеза, объективного обследования пациента, дифференциальной диагностики с целью ранней постановки диагноза. Полиморфизм кожных проявлений и поражений внутренних органов может представлять сложность в диагностике аллергической пурпуры. Раннее назначение патогенетически обоснованного комплексного лечения позволяет стабилизировать воспалительный процесс, избежать возможного поражения внутренних органов, развития осложнений и рецидивов заболевания.</p></abstract><trans-abstract xml:lang="en"><p>The article describes the clinical case of the Henoch-Schönlein disease in a patient of 53 years as an example of the relevance of the anamnestic data careful analysis, objective examination of the patient and the differential diagnosis for early detection. Polymorphism of cutaneous manifestations and visceral lesions can cause difficulties in the diagnosis of allergic purpura. Early administration of pathogenetically justified combined treatment leads to stabilization of the inflammatory process, avoidance of possible destruction of the internal organs as well as development of complications and relapses.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>аллергическая пурпура</kwd><kwd>антикоагулянты</kwd><kwd>васкулит Шенлейна-Геноха</kwd><kwd>дезагрегантная</kwd><kwd>глюкокортикоидная терапия</kwd><kwd>иммунные комплексы</kwd><kwd>микротромбообразование</kwd></kwd-group><kwd-group xml:lang="en"><kwd>allergic purpura</kwd><kwd>anticoagulants</kwd><kwd>Henoch-Schönlein disease</kwd><kwd>disaggregant glucocorticoid therapy</kwd><kwd>hemorrhagic vasculitis</kwd><kwd>immune complexes</kwd><kwd>microthrombogenesis</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">Klinicheskiy protokol diagnostiki i lecheniya pacientov (vzrosloe naselenie) s revmaticheskimi zabolevaniyami pri okazanii medicinskoy pomosch’i v ambulatorny’h i stacionarny’h usloviyah rayonny’h, oblastny’h i respublikanskih organizaciy zdravoohraneniya : pril. k prikazu M-va zdravoohraneniya Resp. 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