Эозинофильный гранулематоз с полиангиитом: перекрестный синдром при эозинофильных заболеваниях
Васкулиты, ассоциированные с антинейтрофильными цитоплазматическими антителами (АНЦА, ААВ), представляют собой группу редких некротизирующих васкулитов, включающих три основные нозологии: гранулематоз с полиангиитом, микроскопический полиангиит и эозинофильный гранулематоз с полиангиитом (ЭГПА). Несмотря на принадлежность к общей группе, ЭГПА имеет существенные патофизиологические особенности, что отражается на подходах к его лечению и прогнозе. Современное определение ЭГПА, согласно ревизии номенклатуры васкулитов на Консенсусной конференции в Чапел-Хилл (2012), предусматривает наличие гранулематозного воспаления с обильной эозинофильной инфильтрацией и некротизирующего васкулита сосудов малого и среднего калибра у пациента с астмой и эозинофилией. В настоящем обзоре представлены современные знания об эозинофильных и AНЦA-опосредованных аспектах патогенеза ЭГПА, клинических проявлениях, критериях диагностики и подходах к терапии.Волгина Г.В., Фролова Н.Ф., Мутовина З.Ю., Исхаков Р.Т., Круглова Т.С., Усатюк С.С., Павлов Д.П., Фомина Д.С.
Ключевые слова
эозинофильный гранулематоз с полиангиитом
синдром Чарджа–Стросса
эозинофилы
гиперэозинофильные синдромы
АНЦА-ассоциированные васкулиты
классификация ЭГПА
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Об авторах / Для корреспонденции
Волгина Галина Владимировна – д.м.н., профессор кафедры нефрологии ФГБОУ ВО «Российский университет медицины» Минздрава РФ. Адрес: 111398 Москва, ул. Кусковская, д. 1А с4; e-mail: volginagv@mail.ru. ORCID: 0000-0002-7771-4074Фролова Надия Фяатовна – д.м.н., заместитель главного врача по нефрологической помощи, руководитель межокружного нефрологического центра, ГБУЗ «Московский клинический научно-исследовательский центр Больница № 52» ДЗМ. Адрес: 123182 Москва, ул. Пехотная, д. 3., доцент кафедры нефрологии ФГБОУ ВО «Российский университет медицины» Минздрава РФ. Адрес: 111398 Москва, ул., Кусковская д. 1А с4; e-mail: nadiya.frolova@yandex.ru. ORCID: 0000-0002-6086-5220
Мутовина Зинаида Юрьевна – к.м.н., заместитель главного врача по медицинской части «Городская клиническая больница № 52» ДЗМ. Адрес: 123182 Москва, улица Пехотная, д. 3, доцент кафедры терапии, кардиологии и функциональной диагностики ФГБУ ДПО «ЦГМА УДП РФ» с курсом нефрологии. Адрес: 121359 Москва, ул. Маршала Тимошенко, д.19, с.1А; e-mail: zmutovina@mail.ru. ORCID: 0000-0001-5809-6015
Фомина Дарья Сергеевна – д.м.н., профессор, заместитель директора по научно-клинической работе, ГБУЗ «Московский клинический научно-исследовательский центр Больница № 52» ДЗМ. Адрес: 123182 Москва, ул. Пехотная, д. 3, главный внештатный специалист аллерголог-иммунолог ДЗМ, профессор кафедры клинической иммунологии и аллергологии ФГАОУ ВО Первый МГМУ им. И.М. Сеченова Минздрава России. Адрес: 119048 Москва, ул. Трубецкая, д. 8, стр. 2; e-mail: daria_fomina@mail.ru. ORCID: 0000-0002-5083-6637
Исхаков Рустам Тимурович – заведующий отделением реанимации и интенсивной терапии для пациентов нефрологического профиля помощи, ГБУЗ «Московский клинический научно-исследовательский центр Больница № 52» ДЗМ. Адрес: 123182, г. Москва, ул. Пехотная, д. 3; e-mail: stamius@yandex.ru. ORCID: 0000-0003-2850-4465
Усатюк Сергей Сергеевич – заведующий 2-м нефрологическим отделением. ГБУЗ «Московский клинический научно-исследовательский центр Больница № 52» ДЗМ. Адрес: 123182 Москва, ул. Пехотная, д. 3; e-mail: usatuk-doc@mail.ru. ORCID: 0000-0002-8742-3860



