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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">urmj</journal-id><journal-title-group><journal-title xml:lang="ru">Уральский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Ural Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2949-4389</issn><publisher><publisher-name>Ural State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25694/URMJ.2018.04.145</article-id><article-id custom-type="elpub" pub-id-type="custom">urmj-749</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>ПРОЧИЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>OTHER ARTICLES</subject></subj-group></article-categories><title-group><article-title>Респираторный синдром в практике участкового педиатра: от простой клиники к сложному диагнозу. Клинический случай</article-title><trans-title-group xml:lang="en"><trans-title>Respiratory syndrome in the practice of the local pediatrician: from a simple clinic to a complex diagnosis. Clinical case</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>Падерина</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Paderina</surname><given-names>K. V.</given-names></name></name-alternatives><email xlink:type="simple">only-sunny@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>Царькова</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsarkova</surname><given-names>S. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ФГБОУ ВО «Уральский государственный медицинский университет» Министерства здравоохранения Российской федерации</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>14</day><month>04</month><year>2021</year></pub-date><volume>0</volume><issue>7</issue><fpage>198</fpage><lpage>208</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Падерина К.В., Царькова С.А., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Падерина К.В., Царькова С.А.</copyright-holder><copyright-holder xml:lang="en">Paderina K.V., Tsarkova S.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://www.umjusmu.ru/jour/article/view/749">https://www.umjusmu.ru/jour/article/view/749</self-uri><abstract><p>В статье рассмотрен клинический случай неполного синдрома Кавасаки у ребенка 8 лет. В течение первых двух недель наблюдения на амбулаторно-поликлиническом этапе ребе-нок лечился с диагнозом острая респираторная вирусная инфекция. При госпитализации проводилась дифференциальная диагностика с системной красной волчанкой и дермато-миозитом. Сложности в постановке диагноза заключались в отсутствии типичных клинических симптомов болезни Кавасаки на начальном этапе болезни. По данным эпидемиологических исследований частота синдрома Кавасаки в России составляет 2,7 на 100 тыс. детей. Заболевание нередко диагностируют в поздние сроки, вследствие чего лечение назначают несвоевременно и не всегда адекватно. Синдром Кавасаки - одна из причин приобретенных заболеваний сердечно-сосудистой системы у детей. Своевременно поставленный диагноз и адекватно назначенная терапия, позволяет избежать развития тяжелых осложнений.</p></abstract><trans-abstract xml:lang="en"><p>The article deals with the clinical case of incomplete Kawasaki syndrome in a child of 8 years. During the first two weeks of observation at an outpatient clinic stage, a child was diagnosed with an acute respiratory viral infection. During hospitalization, differential diagnosis was per-formed with systemic lupus erythematosus and dermatomyositis. Difficulties in diagnosing were the absence of typical clinical symptoms of Kawasaki's disease at the initial stage of the disease. According to epidemiological studies, the incidence of Kawasaki syndrome in Russia is 2.7 per 100,000 children [<xref ref-type="bibr" rid="cit3">3</xref>]. The disease is often diagnosed in late terms, as a result of which treatment is prescribed untimely and not always adequate [<xref ref-type="bibr" rid="cit3">3</xref>]. Kawasaki syndrome is one of the causes of acquired cardiovascular diseases in children [<xref ref-type="bibr" rid="cit3">3</xref>]. Timely diagnosed and adequately prescribed therapy, avoids the development of severe complications.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>респираторный синдром</kwd><kwd>лихорадка</kwd><kwd>синдром Кавасаки</kwd><kwd>сложный диагноз</kwd><kwd>respiratory syndrome</kwd><kwd>fever</kwd><kwd>Kawasaki syndrome</kwd><kwd>complex diagnosis</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">Детская ревматология. Атлас / Под ред. А. А. Баранова, Е. И. Алексеевой. - М.: Педиатръ, 2014. - 348 с.</mixed-citation><mixed-citation xml:lang="en">Детская ревматология. Атлас / Под ред. А. А. Баранова, Е. И. Алексеевой. - М.: Педиатръ, 2014. - 348 с.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Детская ревматология. Руководство для врачей/ Под ред. 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