<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<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">ppharm</journal-id><journal-title-group><journal-title xml:lang="ru">Педиатрическая фармакология</journal-title><trans-title-group xml:lang="en"><trans-title>Pediatric pharmacology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1727-5776</issn><issn pub-type="epub">2500-3089</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/pf.v13i3.1574</article-id><article-id custom-type="elpub" pub-id-type="custom">ppharm-1423</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>КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL RECOMMENDATIONS</subject></subj-group></article-categories><title-group><article-title>Ведение детей с болезнью Гоше. Современные клинические рекомендации</article-title><trans-title-group xml:lang="en"><trans-title>Managing Children with Gaucher Disease: Modern Clinical Recommendations</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>Баранов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Baranov</surname><given-names>A. A.</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>Намазова-Баранова</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Namazova-Baranova</surname><given-names>L. S.</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>Гундобина</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Gundobina</surname><given-names>O. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук, заведующая отделением восстановительного лечения детей с болезнями органов пищеварительной системы НИИ педиатрии НЦЗД Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, тел.: +7 (499) 134-01-69</p></bio><email xlink:type="simple">gundobina@nczd.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лукина</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lukina</surname><given-names>E. A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Геворкян</surname><given-names>А. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Gevorkyan</surname><given-names>A. K.</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>Савостьянов</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Savostyanov</surname><given-names>K. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пушков</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Pushkov</surname><given-names>A. A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вишнёва</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vishnyova</surname><given-names>E. A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мовсисян</surname><given-names>Г. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Movsisyan</surname><given-names>G. B.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научный центр здоровья детей, Москва, Российская Федерация&#13;
&#13;
Первый Московский государственный медицинский университет им. И.М. Сеченова, Москва, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Center of Children’s Health, Moscow, Russian Federation&#13;
&#13;
Sechenov First Moscow State Medical University, Moscow, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научный центр здоровья детей, Москва, Российская Федерация&#13;
&#13;
Первый Московский государственный медицинский университет им. И.М. Сеченова, Москва, Российская Федерация&#13;
&#13;
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Center of Children’s Health, Moscow, Russian Federation&#13;
&#13;
Sechenov First Moscow State Medical University, Moscow, Russian Federation&#13;
&#13;
Pirogov Russian National Research Medical University, Moscow, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Научный центр здоровья детей, Москва, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Center of Children’s Health, Moscow, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Гематологический научный центр, Москва, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Hematology Scientific Center, Moscow, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Научный центр здоровья детей, Москва, Российская Федерация&#13;
&#13;
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Center of Children’s Health, Moscow, Russian Federation&#13;
&#13;
Pirogov Russian National Research Medical University, Moscow, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>30</day><month>08</month><year>2016</year></pub-date><volume>13</volume><issue>3</issue><fpage>244</fpage><lpage>250</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Баранов А.А., Намазова-Баранова Л.С., Гундобина О.С., Лукина Е.А., Геворкян А.К., Савостьянов К.В., Пушков А.А., Вишнёва Е.А., Мовсисян Г.Б., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Баранов А.А., Намазова-Баранова Л.С., Гундобина О.С., Лукина Е.А., Геворкян А.К., Савостьянов К.В., Пушков А.А., Вишнёва Е.А., Мовсисян Г.Б.</copyright-holder><copyright-holder xml:lang="en">Baranov A.A., Namazova-Baranova L.S., Gundobina O.S., Lukina E.A., Gevorkyan A.K., Savostyanov K.V., Pushkov A.A., Vishnyova E.A., Movsisyan G.B.</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.pedpharma.ru/jour/article/view/1423">https://www.pedpharma.ru/jour/article/view/1423</self-uri><abstract><p>Статья посвящена болезни Гоше — достаточно редкой наследственной патологии. Авторами представлены современные эпидемиологические данные и особенности этиопатогенеза болезни Гоше, даны клинические характеристики различных типов данной нозологии. Подробно описан алгоритм и указаны ключевые этапы дифференциально-диагностического поиска. Тщательно изложены тактика и алгоритмы назначения ферментозаместительной терапии — патогенетического лечения данной наследственной ферментопатии, а также современные схемы ведения пациентов в соответствии с этапами оказания медицинской помощи.</p></abstract><trans-abstract xml:lang="en"><p>The focus of this article is Gaucher disease — a rare enough hereditary pathology. The authors present the most up-to-date epidemiological data and features of Gaucher disease etiopathogenesis. They offer clinical characteristics for the various types of this disease. The algorithm and crucial steps of differential diagnosis are described in detail. Also, the tactic and algorithms of enzymereplacing therapy (pathogenetic treatement of this hereditary enzymopathy) are carefully presented, together with the modern scheme of managing patients according to the corresponding health care delivery stages.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>болезнь Гоше</kwd><kwd>болезни накопления</kwd><kwd>обмен липидов</kwd><kwd>этиология</kwd><kwd>патогенез</kwd><kwd>дифференциальный диагноз</kwd><kwd>клиническое течение</kwd><kwd>лечение</kwd><kwd>ферментозаместительная терапия</kwd><kwd>дети</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Gaucher disease</kwd><kwd>storage diseases</kwd><kwd>lipid metabolism</kwd><kwd>etiology</kwd><kwd>pathogenesis</kwd><kwd>differential diagnosis</kwd><kwd>clinical course</kwd><kwd>treatment</kwd><kwd>enzyme-replacing therapy</kwd><kwd>children</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">Baldellou A, Andria G, Campbell PE, et al. Paediatric nonneuronopathic Gaucher disease: recommendations for treatment and monitoring. Eur J Pediatr. 2004;163:67–75.</mixed-citation><mixed-citation xml:lang="en">Baldellou A, Andria G, Campbell PE, et al. Paediatric nonneuronopathic Gaucher disease: recommendations for treatment and monitoring. Eur J Pediatr. 2004;163:67–75.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Charrow J, Esplin JA, Gribble TJ, et al. Gaucher disease: recommendations on diagnosis, evaluation, and monitoring. Arch Intern Med. 1998;158:1754–1760.</mixed-citation><mixed-citation xml:lang="en">Charrow J, Esplin JA, Gribble TJ, et al. Gaucher disease: recommendations on diagnosis, evaluation, and monitoring. Arch Intern Med. 1998;158:1754–1760.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Grabowski GA, Andria G, Baldellou A, et al. Pediatric nonneuronopathic Gaucher disease: presentation, diagnosis and assessment. Consensus statements. Eur J Pediatr. 2004;163:58–66.</mixed-citation><mixed-citation xml:lang="en">Grabowski GA, Andria G, Baldellou A, et al. Pediatric nonneuronopathic Gaucher disease: presentation, diagnosis and assessment. Consensus statements. Eur J Pediatr. 2004;163:58–66.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Vellodi A, Bembi B, de Villemeur TB, et al. Management of neuronopathic Gaucher disease: a European consensus. J Inherit Metab Dis. 2001;24:319–327.</mixed-citation><mixed-citation xml:lang="en">Vellodi A, Bembi B, de Villemeur TB, et al. Management of neuronopathic Gaucher disease: a European consensus. J Inherit Metab Dis. 2001;24:319–327.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Pastores GM, Weinreb NJ, Aerts H, Andria G, Cox TM, Giralt M, Grabowski GA, Mistry PK, Tylki-Szymanska A. Therapeutic goals in the treatment of Gaucher disease. Semin Hematol. 2004;41 (4 Suppl 5)4–14.</mixed-citation><mixed-citation xml:lang="en">Pastores GM, Weinreb NJ, Aerts H, Andria G, Cox TM, Giralt M, Grabowski GA, Mistry PK, Tylki-Szymanska A. Therapeutic goals in the treatment of Gaucher disease. Semin Hematol. 2004;41 (4 Suppl 5)4–14.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Kaplan PI, Baris H, De Meirleir L, Di Rocco M, El-B eshlawy A, Huemer M, Martins AM, Nascu I, Rohrbach M, Steinbach L, Cohen IJ. Revised recommendations for the management of Gaucher disease in children. Eur J Pediatr. 2013;Apr;172(4):447–58.</mixed-citation><mixed-citation xml:lang="en">Kaplan PI, Baris H, De Meirleir L, Di Rocco M, El-B eshlawy A, Huemer M, Martins AM, Nascu I, Rohrbach M, Steinbach L, Cohen IJ. Revised recommendations for the management of Gaucher disease in children. Eur J Pediatr. 2013;Apr;172(4):447–58.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Robertson PL, Maas M, Goldblatt J. Semiquantitative assessment of skeletal response to enzyme replacement therapy for Gaucher’s disease using the bone marrow burden score. AJR Am J Roentgenol. 2007;188:1521–1528.</mixed-citation><mixed-citation xml:lang="en">Robertson PL, Maas M, Goldblatt J. Semiquantitative assessment of skeletal response to enzyme replacement therapy for Gaucher’s disease using the bone marrow burden score. AJR Am J Roentgenol. 2007;188:1521–1528.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Neal J. Weinreb, Jack Goldblatt, Jacobo Villalobos, Joel Charrow, J. Alexander Cole, Marcelo Kerstenetzky, Stephan vom Dahl, Carla Hollak. Long-term clinical outcomes in type 1 Gaucher disease following 10 years of imiglucerase treatment. J Inherit Metab Dis. 2012 Sep 14.</mixed-citation><mixed-citation xml:lang="en">Neal J. Weinreb, Jack Goldblatt, Jacobo Villalobos, Joel Charrow, J. Alexander Cole, Marcelo Kerstenetzky, Stephan vom Dahl, Carla Hollak. Long-term clinical outcomes in type 1 Gaucher disease following 10 years of imiglucerase treatment. J Inherit Metab Dis. 2012 Sep 14.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Инструкция к лекарственному препарату: http://grls.rosminzdrav.ru/Grls_View_v2.aspx?idReg=10644&amp;t=</mixed-citation><mixed-citation xml:lang="en">Инструкция к лекарственному препарату: http://grls.rosminzdrav.ru/Grls_View_v2.aspx?idReg=10644&amp;t=</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Charrow J., Dulisse B., Grabowski G., Weinreb N. The effect of enzyme replacement therapy on bone crisis and bone pain in patients with type 1 Gaucher disease. Clinical Genetics, 2007;71: 205–211. doi: 10.1111/j.1399-0004.2007.00769.x</mixed-citation><mixed-citation xml:lang="en">Charrow J., Dulisse B., Grabowski G., Weinreb N. The effect of enzyme replacement therapy on bone crisis and bone pain in patients with type 1 Gaucher disease. Clinical Genetics, 2007;71: 205–211. doi: 10.1111/j.1399-0004.2007.00769.x</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Sims K., Pastores G., Weinreb N., Barranger J., Rosenbloom B., Packman S., Kaplan P., Mankin H., Xavier R., Angell J., Fitzpatrick M., Rosenthal D. Improvement of bone disease by imiglucerase (Cerezyme) therapy in patients with skeletal manifestations of type 1 Gaucher disease: results of a 48-month longitudinal cohort study. Clinical Genetics. 2008;73:430– 440. doi: 10.1111/j.1399-0004.2008.00978.x</mixed-citation><mixed-citation xml:lang="en">Sims K., Pastores G., Weinreb N., Barranger J., Rosenbloom B., Packman S., Kaplan P., Mankin H., Xavier R., Angell J., Fitzpatrick M., Rosenthal D. Improvement of bone disease by imiglucerase (Cerezyme) therapy in patients with skeletal manifestations of type 1 Gaucher disease: results of a 48-month longitudinal cohort study. Clinical Genetics. 2008;73:430– 440. doi: 10.1111/j.1399-0004.2008.00978.x</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Инструкция к лекарственному препарату: http://grls.rosminzdrav.ru/Grls_View_v2.aspx?idReg=36175&amp;t=</mixed-citation><mixed-citation xml:lang="en">Инструкция к лекарственному препарату: http://grls.rosminzdrav.ru/Grls_View_v2.aspx?idReg=36175&amp;t=</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Gonzalez DE, Turkia HB, Lukina EA, Kisinovsky I, Dridi M-FB, Elstein D, Zahrieh D, Crombez E, Bhirangi K, Barton NW, Zimran A. Enzyme replacement therapy with velaglucerase alfa in Gaucher disease: Results from a randomized, double-blind, multinational, Phase 3 study. Am J Hematol, 2013;88:166–171. doi: 10.1002/ ajh.23381</mixed-citation><mixed-citation xml:lang="en">Gonzalez DE, Turkia HB, Lukina EA, Kisinovsky I, Dridi M-FB, Elstein D, Zahrieh D, Crombez E, Bhirangi K, Barton NW, Zimran A. Enzyme replacement therapy with velaglucerase alfa in Gaucher disease: Results from a randomized, double-blind, multinational, Phase 3 study. Am J Hematol, 2013;88:166–171. doi: 10.1002/ ajh.23381</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Pastores GM, Rosenbloom B, Weinreb N, et al. A multicenter open-label treatment protocol (HGT-GCB-058) of velaglucerase alfa enzyme replacement therapy in patients with Gaucher disease type 1: safety and tolerability. Genetics in Medicine. 2014;16(5):359–366. doi:10.1038/gim.2013.154.</mixed-citation><mixed-citation xml:lang="en">Pastores GM, Rosenbloom B, Weinreb N, et al. A multicenter open-label treatment protocol (HGT-GCB-058) of velaglucerase alfa enzyme replacement therapy in patients with Gaucher disease type 1: safety and tolerability. Genetics in Medicine. 2014;16(5):359–366. doi:10.1038/gim.2013.154.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Giraldo P, et al. Safety and efficacy of velaglucerase alfa in children with type 1 Gaucher disease: 2-year experience. Poster presented at the American College of Medical Genetics (ACMG) Annual Clinical Genetics Meeting. Charlotte, North Carolina, USA. 2012, March 27–31.</mixed-citation><mixed-citation xml:lang="en">Giraldo P, et al. Safety and efficacy of velaglucerase alfa in children with type 1 Gaucher disease: 2-year experience. Poster presented at the American College of Medical Genetics (ACMG) Annual Clinical Genetics Meeting. Charlotte, North Carolina, USA. 2012, March 27–31.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
