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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">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.v10i4.770</article-id><article-id custom-type="elpub" pub-id-type="custom">ppharm-209</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>ДИСКУССИОННЫЕ ВОПРОСЫ ФАРМАКОТЕРАПИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>DEBATABLE ISSUES OF PHARMACOTHERAPY</subject></subj-group></article-categories><title-group><article-title>ОПЫТ ПРИМЕНЕНИЯ МОНОКЛОНАЛЬНЫХ АНТИТЕЛ К TNF α — АДАЛИМУМАБА — У РЕБЕНКА С ЮВЕНИЛЬНЫМ ИДИОПАТИЧЕСКИМ АРТРИТОМ</article-title><trans-title-group xml:lang="en"><trans-title>EXPERIENCE OF APPLYING MONOCLONAL ANTIBODIES TO TNF α — ADALIMUMAB — IN A CHILD WITH JUVENILE IDIOPATHIC ARTHRITIS</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>Алексеева</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Alexeeva</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, заведующая ревматологическим отделением Научного центраздоровья детей РАМН</p></bio><bio xml:lang="en"><p>PhD, Professor, head of the rheumatology department at the Scientific Center of Children’s Health</p></bio><email xlink:type="simple">alekatya@ya.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>Исаева</surname><given-names>К. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Isaeva</surname><given-names>K. B.</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>Денисова</surname><given-names>Р. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Denisova</surname><given-names>R. V.</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>Слепцова</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Sleptsova</surname><given-names>T. V.</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>Валиева</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Valiyeva</surname><given-names>S. I.</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>Бзарова</surname><given-names>Т. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Bzarova</surname><given-names>T. M.</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>Митенко</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Mitenko</surname><given-names>E. V.</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>Чомахидзе</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Chomakhidze</surname><given-names>A. M.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научный центр здоровья детей РАМН, Москва&#13;
Первый Московский государственный медицинский университет им. И.М. Сеченова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Center of Children’s Health, Moscow&#13;
The First Sechenov Moscow State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научный центр здоровья детей РАМН, 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><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>14</day><month>08</month><year>2013</year></pub-date><volume>10</volume><issue>4</issue><issue-title>Педиатрическая фармакология</issue-title><fpage>149</fpage><lpage>153</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Алексеева Е.И., Исаева К.Б., Денисова Р.В., Слепцова Т.В., Валиева С.И., Бзарова Т.М., Митенко Е.В., Чомахидзе А.М., 2013</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="ru">Алексеева Е.И., Исаева К.Б., Денисова Р.В., Слепцова Т.В., Валиева С.И., Бзарова Т.М., Митенко Е.В., Чомахидзе А.М.</copyright-holder><copyright-holder xml:lang="en">Alexeeva E.I., Isaeva K.B., Denisova R.V., Sleptsova T.V., Valiyeva S.I., Bzarova T.M., Mitenko E.V., Chomakhidze A.M.</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/209">https://www.pedpharma.ru/jour/article/view/209</self-uri><abstract/><trans-abstract xml:lang="en"><p>The article offers successful application of a preparation of human monoclonal antibodies to tumor necrosis factor (TNF) α – adalimumab – in the setting of a severe course of juvenile idiopathic arthritis characterized by inefficiency of the standard antirheumatic therapy and secondary resistance to chimeric antibodies to TNF α. Adalimumab treatment secured overcoming of the secondary infliximab inefficiency, rapid disease activity decrease, peripheral joints’ function recovery and the patient’s functional activity increase in a short space of time. The drug averted the patient’s steadily progressing incapacitation and induced the clinical-laboratory disease remission development.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>ювенильный идиопатический артрит</kwd><kwd>адалимумаб</kwd><kwd>лечение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>juvenile idiopathic arthritis</kwd><kwd>adalimumab</kwd><kwd>treatment</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">Furst D. E., Schiff M. H., Fleischmann R. M., Strand V., Birbara C. A., Сompagnone D. et al. 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