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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Terapevticheskii arkhiv</journal-id><journal-title-group><journal-title xml:lang="en">Terapevticheskii arkhiv</journal-title><trans-title-group xml:lang="ru"><trans-title>Терапевтический архив</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0040-3660</issn><issn publication-format="electronic">2309-5342</issn><publisher><publisher-name xml:lang="en">LLC Obyedinennaya Redaktsiya</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">660868</article-id><article-id pub-id-type="doi">10.26442/00403660.2025.02.203117</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Consensuns</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Консенсус</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Russian Cross-disciplinary Consensus on the diagnosis and treatment of spondyloarthritis associated with inflammatory bowel diseases</article-title><trans-title-group xml:lang="ru"><trans-title>Российский междисциплинарный консенсус по диагностике и лечению спондилоартритов при воспалительных заболеваниях кишечника</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7958-5926</contrib-id><name-alternatives><name xml:lang="en"><surname>Lukina</surname><given-names>Galina V.</given-names></name><name xml:lang="ru"><surname>Лукина</surname><given-names>Галина Викторовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, проф., зав. отд. ревматологии, вед. науч. сотр. лаб. эволюции ревматоидного артрита</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7250-0977</contrib-id><name-alternatives><name xml:lang="en"><surname>Knyazev</surname><given-names>Oleg V.</given-names></name><name xml:lang="ru"><surname>Князев</surname><given-names>Олег Владимирович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, зав. отд-нием патологии кишечника</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4523-3337</contrib-id><name-alternatives><name xml:lang="en"><surname>Belousova</surname><given-names>Elena A.</given-names></name><name xml:lang="ru"><surname>Белоусова</surname><given-names>Елена Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, проф., зав. каф. гастроэнтерологии фак-та усовершенствования врачей, гл. гастроэнтеролог Московской области</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7069-2725</contrib-id><name-alternatives><name xml:lang="en"><surname>Abdulganieva</surname><given-names>Diana I.</given-names></name><name xml:lang="ru"><surname>Абдулганиева</surname><given-names>Диана Ильдаровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, проф., врач-терапевт высшей категории, гл. терапевт</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4074-5907</contrib-id><name-alternatives><name xml:lang="en"><surname>Aleksandrova</surname><given-names>Elena N.</given-names></name><name xml:lang="ru"><surname>Александрова</surname><given-names>Елена Николаевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, зав. лаб. клинической иммунологии</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6151-2021</contrib-id><name-alternatives><name xml:lang="en"><surname>Bakulin</surname><given-names>Igor G.</given-names></name><name xml:lang="ru"><surname>Бакулин</surname><given-names>Игорь Геннадьевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, проф., зав. каф. пропедевтики внутренних болезней, гастроэнтерологии и диетологии им. С.М. Рысса</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff5"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6317-1243</contrib-id><name-alternatives><name xml:lang="en"><surname>Barysheva</surname><given-names>Olga I.</given-names></name><name xml:lang="ru"><surname>Барышева</surname><given-names>Ольга Юрьевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, проф. каф. госпитальной терапии, зав. отд-нием гастроэнтерологии и нефрологии, гл. гастроэнтеролог Республики Карелия</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff6"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3674-8518</contrib-id><name-alternatives><name xml:lang="en"><surname>Borisova</surname><given-names>Maria А.</given-names></name><name xml:lang="ru"><surname>Борисова</surname><given-names>Мария Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>канд. мед. наук, ст. науч. сотр. отд. ревматологии</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1697-4670</contrib-id><name-alternatives><name xml:lang="en"><surname>Vykova</surname><given-names>Bella А.</given-names></name><name xml:lang="ru"><surname>Выкова</surname><given-names>Бэлла Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>канд. мед. наук, зав. отд-нием гастроэнтерологии</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff7"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5493-6045</contrib-id><name-alternatives><name xml:lang="en"><surname>Godzenko</surname><given-names>Alla А.</given-names></name><name xml:lang="ru"><surname>Годзенко</surname><given-names>Алла Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, доц. по специальности «ревматология», проф. каф. ревматологии</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff8"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6302-7767</contrib-id><name-alternatives><name xml:lang="en"><surname>Gubonina</surname><given-names>Irina V.</given-names></name><name xml:lang="ru"><surname>Губонина</surname><given-names>Ирина Владимировна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>канд. мед. наук, доц., зав. гастроэнтерологическим отд.</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff9"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1771-6246</contrib-id><name-alternatives><name xml:lang="en"><surname>Dubinina</surname><given-names>Tatiana V.</given-names></name><name xml:lang="ru"><surname>Дубинина</surname><given-names>Татьяна Васильевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>канд. мед. наук, зав. лаб. аксиального спондилоартрита</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-7600-541X</contrib-id><name-alternatives><name xml:lang="en"><surname>Zhigalova</surname><given-names>Tatiana N.</given-names></name><name xml:lang="ru"><surname>Жигалова</surname><given-names>Татьяна Николаевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>канд. мед. наук, рук. Городского центра диагностики и лечения воспалительных заболеваний кишечника</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff10"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9443-1164</contrib-id><name-alternatives><name xml:lang="en"><surname>Zhilyaev</surname><given-names>Evgeny V.</given-names></name><name xml:lang="ru"><surname>Жиляев</surname><given-names>Евгений Валерьевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, проф., проф. каф. ревматологии, зам. глав. врача по лечебной работе, проф. каф. факультетской терапии им. акад. А.И. Нестерова</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff8"/><xref ref-type="aff" rid="aff11"/><xref ref-type="aff" rid="aff12"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3818-6205</contrib-id><name-alternatives><name xml:lang="en"><surname>Kagramanova</surname><given-names>Anna V.</given-names></name><name xml:lang="ru"><surname>Каграманова</surname><given-names>Анна Валерьевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>канд. мед. наук, ст. науч. сотр. отд. ревматологии</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0579-1131</contrib-id><name-alternatives><name xml:lang="en"><surname>Korotaeva</surname><given-names>Tatiana V.</given-names></name><name xml:lang="ru"><surname>Коротаева</surname><given-names>Татьяна Викторовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, нач. отд. спондилоартритов</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1262-932X</contrib-id><name-alternatives><name xml:lang="en"><surname>Kuzin</surname><given-names>Alexander V.</given-names></name><name xml:lang="ru"><surname>Кузин</surname><given-names>Александр Васильевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>канд. мед. наук, доц. по специальности «ревматология», доц. каф. ревматологии</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff8"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6581-7017</contrib-id><name-alternatives><name xml:lang="en"><surname>Livzan</surname><given-names>Maria A.</given-names></name><name xml:lang="ru"><surname>Ливзан</surname><given-names>Мария Анатольевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>чл.-кор. РАН, д-р мед. наук, проф., ректор, зав. каф. факультетской терапии и гастроэнтерологии</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff13"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6068-3080</contrib-id><name-alternatives><name xml:lang="en"><surname>Lila</surname><given-names>Aleksander M.</given-names></name><name xml:lang="ru"><surname>Лила</surname><given-names>Александр Михайлович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>чл.-кор. РАН, д-р мед. наук, проф., дир.</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0797-2051</contrib-id><name-alternatives><name xml:lang="en"><surname>Mazurov</surname><given-names>Vadim I.</given-names></name><name xml:lang="ru"><surname>Мазуров</surname><given-names>Вадим Иванович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>акад. РАН, д-р мед. наук, проф., засл. деят. науки РФ, гл. науч. консультант, дир. НИИ ревматологии, зав. каф. терапии, ревматологии, экспертизы временной нетрудоспособности и качества медицинской помощи им. Э.Э. Эйхвальда, первый вице-президент Общероссийской общественной организации «Ассоциация ревматологов России», гл. внештат. специалист-ревматолог Комитета по здравоохранению Санкт-Петербурга</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff5"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1598-8360</contrib-id><name-alternatives><name xml:lang="en"><surname>Nasonov</surname><given-names>Evgeny L.</given-names></name><name xml:lang="ru"><surname>Насонов</surname><given-names>Евгений Львович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>акад. РАН, д-р мед. наук, проф., науч. рук.</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2738-2956</contrib-id><name-alternatives><name xml:lang="en"><surname>Novikov</surname><given-names>Alexander A.</given-names></name><name xml:lang="ru"><surname>Новиков</surname><given-names>Александр Александрович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р биол. наук, вед. науч. сотр. лаб. клинической иммунологии, доц. каф. клинической лабораторной диагностики фак-та дополнительного профессионального образования</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff12"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5156-2842</contrib-id><name-alternatives><name xml:lang="en"><surname>Osipenko</surname><given-names>Marina F.</given-names></name><name xml:lang="ru"><surname>Осипенко</surname><given-names>Марина Федоровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, зав. каф. пропедевтики внутренних болезней</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff14"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9782-4860</contrib-id><name-alternatives><name xml:lang="en"><surname>Parfenov</surname><given-names>Asfold I.</given-names></name><name xml:lang="ru"><surname>Парфенов</surname><given-names>Асфольд Иванович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, проф., зав. отд. патологии кишечника</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1496-0689</contrib-id><name-alternatives><name xml:lang="en"><surname>Tarasova</surname><given-names>Larisa V.</given-names></name><name xml:lang="ru"><surname>Тарасова</surname><given-names>Лариса Владимировна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, проф., зав. каф. факультетской и госпитальной терапии медицинского фак-та, зав. гастроэнтерологическим отд-нием, зав. Республиканским гастроэнтерологическим центром Чувашии</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff15"/><xref ref-type="aff" rid="aff16"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4860-0112</contrib-id><name-alternatives><name xml:lang="en"><surname>Khlynova</surname><given-names>Olga V.</given-names></name><name xml:lang="ru"><surname>Хлынова</surname><given-names>Ольга Витальевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>чл.-кор. РАН, д-р мед. наук, зав. каф. госпитальной терапии и кардиологии</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff17"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1172-6221</contrib-id><name-alternatives><name xml:lang="en"><surname>Shapina</surname><given-names>Marina V.</given-names></name><name xml:lang="ru"><surname>Шапина</surname><given-names>Марина Владимировна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>канд. мед. наук, рук. отд. по изучению воспалительных и функциональных заболеваний кишечника</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff7"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8402-0743</contrib-id><name-alternatives><name xml:lang="en"><surname>Shchukina</surname><given-names>Oksana B.</given-names></name><name xml:lang="ru"><surname>Щукина</surname><given-names>Оксана Борисовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, проф. каф. общей врачебной практики</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff18"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3195-5187</contrib-id><name-alternatives><name xml:lang="en"><surname>Erdes</surname><given-names>Shandor F.</given-names></name><name xml:lang="ru"><surname>Эрдес</surname><given-names>Шандор Федорович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, проф., вед. науч. сотр. лаб. аксиального спондилоартрита</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1697-8989</contrib-id><name-alternatives><name xml:lang="en"><surname>Iakovlev</surname><given-names>Aleksei A.</given-names></name><name xml:lang="ru"><surname>Яковлев</surname><given-names>Алексей Александрович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>д-р мед. наук, проф., зав. каф. гастроэнтерологии и эндоскопии c курсом клинической фармакологии фак-та повышения квалификации и профессиональной переподготовки специалистов, зав. гастроэнтерологическим отд-нием клиники</p></bio><email>oleg7@bk.ru</email><xref ref-type="aff" rid="aff19"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Loginov Moscow Clinical Scientific Center</institution></aff><aff><institution xml:lang="ru">ГБУЗ «Московский клинический научно-практический центр им. А.С. Логинова» Департамента здравоохранения г. Москвы</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Nasonova Research Institute of Rheumatology</institution></aff><aff><institution xml:lang="ru">ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Vladimirsky Moscow Regional Research Clinical Institute</institution></aff><aff><institution xml:lang="ru">ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского»</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Ministry of Health of the Republic of Tatarstan</institution></aff><aff><institution xml:lang="ru">Министерство здравоохранения Республики Татарстан</institution></aff></aff-alternatives><aff-alternatives id="aff5"><aff><institution xml:lang="en">Mechnikov North-Western State Medical University</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff6"><aff><institution xml:lang="en">Baranov Republican Hospital</institution></aff><aff><institution xml:lang="ru">ГБУЗ РК «Республиканская больница им. В.А. Баранова»</institution></aff></aff-alternatives><aff-alternatives id="aff7"><aff><institution xml:lang="en">Ryzikh National Medical Research Centre for Coloproctology</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр колопроктологии им. А.Н. Рыжих» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff8"><aff><institution xml:lang="en">Russian Medical Academy of Continuous Professional Education</institution></aff><aff><institution xml:lang="ru">ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff9"><aff><institution xml:lang="en">Scandinavia Multidisciplinary Clinic (AVA-PETER LLC)</institution></aff><aff><institution xml:lang="ru">Многопрофильная клиника «Скандинавия» (ООО «АВА-ПЕТЕР»)</institution></aff></aff-alternatives><aff-alternatives id="aff10"><aff><institution xml:lang="en">City Clinical Hospital No. 31</institution></aff><aff><institution xml:lang="ru">ГУЗ «Городская клиническая больница №31»</institution></aff></aff-alternatives><aff-alternatives id="aff11"><aff><institution xml:lang="en">European Medical Center JSC</institution></aff><aff><institution xml:lang="ru">АО «Европейский медицинский центр»</institution></aff></aff-alternatives><aff-alternatives id="aff12"><aff><institution xml:lang="en">Pirogov Russian National Research Medical University (Pirogov University)</institution></aff><aff><institution xml:lang="ru">ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России (Пироговский Университет)</institution></aff></aff-alternatives><aff-alternatives id="aff13"><aff><institution xml:lang="en">Omsk State Medical University</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Омский государственный медицинский университет» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff14"><aff><institution xml:lang="en">Novosibirsk State Medical University</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff15"><aff><institution xml:lang="en">Ulyanov Chuvash State University</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Чувашский государственный университет им. И.Н. Ульянова»</institution></aff></aff-alternatives><aff-alternatives id="aff16"><aff><institution xml:lang="en">Republican Clinical Hospital</institution></aff><aff><institution xml:lang="ru">БУ ЧР «Республиканская клиническая больница» Минздрава Чувашской Республики</institution></aff></aff-alternatives><aff-alternatives id="aff17"><aff><institution xml:lang="en">Academician Vagner Perm State Medical University</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Пермский государственный медицинский университет им. акад. Е.А. Вагнера» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff18"><aff><institution xml:lang="en">Pavlov First Saint Petersburg State Medical University</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff19"><aff><institution xml:lang="en">Rostov State Medical University</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-03-26" publication-format="electronic"><day>26</day><month>03</month><year>2025</year></pub-date><volume>97</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru">Вопросы гастроэнтерологии</issue-title><fpage>198</fpage><lpage>213</lpage><history><date date-type="received" iso-8601-date="2025-02-22"><day>22</day><month>02</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-02-22"><day>22</day><month>02</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Consilium Medicum</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, ООО "Консилиум Медикум"</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Consilium Medicum</copyright-holder><copyright-holder xml:lang="ru">ООО "Консилиум Медикум"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-sa/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://ter-arkhiv.ru/0040-3660/article/view/660868">https://ter-arkhiv.ru/0040-3660/article/view/660868</self-uri><abstract xml:lang="en"><p>The Russian Cross-disciplinary Consensus on the diagnositic and treatment of spondyloarthritis (SpA) in inflammatory bowel diseases (IBD) was prepared on the initiative of the Loginov Moscow Clinical Scientific Center, using the Delphic system. Its purpose was to consolidate the opinions of experts on the most actual issues of diagnosis and treatment of concomitant immuno-inflammatory diseases (SpA and IBD). An interdisciplinary approach is provided by the participation of leading gastroenterologists and rheumatologists. The working group analyzed domestic and foreign publications on the problem of curation of patients with SpA and IBD. There have been 17 statements and 2 treatment algorithms formulated. Statements 1–3 reflect the fundamental principles of management of patients with SpA and IBD. The principles of early diagnosis of SpA and IBD, including the diagnosis of complications of therapy, are described below. Eleven statements are devoted to current methods of treatment, on the basis of which 2 treatment algorithms have been developed. The statements of the Consensus were submitted to the Expert Council for consideration, edits were made, after which an online vote took place. This paper presents current recommendations for the management, diagnosis and treatment of patients with SpA and IBD.</p></abstract><trans-abstract xml:lang="ru"><p>Российский междисциплинарный консенсус по диагностике и лечению спондилоартритов (СпА) при воспалительных заболеваниях кишечника (ВЗК) подготовлен по инициативе ГБУЗ «МКНЦ им. А.С. Логинова» по Дельфийской системе. Его целью явилась консолидация мнений отечественных специалистов по наиболее актуальным вопросам диагностики и лечения сочетанных иммуновоспалительных заболеваний (СпА и ВЗК). Междисциплинарный подход обеспечен участием ведущих гастроэнтерологов и ревматологов. Рабочей группой проанализированы отечественные и иностранные публикации, посвященные проблеме курации пациентов со СпА и ВЗК. Сформулировано 17 положений и 2 алгоритма лечения. Положения 1–3 отражают основополагающие принципы ведéния пациентов со СпА и ВЗК. Далее изложены принципы ранней диагностики СпА и ВЗК, в том числе и диагностики осложнений терапии. Одиннадцать положений посвящены современным методам лечения пациентов, на основании которых разработаны 2 алгоритма лечения. Положения консенсуса были представлены на рассмотрение экспертного совета, внесены правки, после чего состоялось онлайн-голосование. В данной работе представлены актуальные рекомендации по ведéнию, диагностике и лечению пациентов со СпА и ВЗК.</p></trans-abstract><kwd-group xml:lang="en"><kwd>consensus</kwd><kwd>inflammatory bowel diseases</kwd><kwd>spondyloartritis</kwd><kwd>treatment</kwd><kwd>diagnostics</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>консенсус</kwd><kwd>воспалительные заболевания кишечника</kwd><kwd>спондилоартрит</kwd><kwd>лечение</kwd><kwd>диагностика</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Насонов Е.Л., Абдулганиева Д.И., Файрушина И.Ф. 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