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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.v19i4.2443</article-id><article-id custom-type="elpub" pub-id-type="custom">ppharm-2192</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>Современные подходы к ведению детей с мукополисахаридозом I типа</article-title><trans-title-group xml:lang="en"><trans-title>Modern Approaches to the Management of Children with Mucopolysaccharidosis Type I</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>Байдакова</surname><given-names>Г. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Baidakova</surname><given-names>Galina V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow. </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><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>Alexander A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вахлова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vakhlova</surname><given-names>Irina V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Екатеринбург.</p></bio><bio xml:lang="en"><p>Yekaterinburg.</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вашакмадзе</surname><given-names>Н. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Vashakmadze</surname><given-names>Nato D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воскобоева</surname><given-names>Е. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Voskoboeva</surname><given-names>Elena Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Захарова</surname><given-names>Е. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharova</surname><given-names>Ekaterina Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузенкова</surname><given-names>Л. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuzenkova</surname><given-names>Ludmila M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Куцев</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kutsev</surname><given-names>Sergey I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ларионова</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Larionova</surname><given-names>Valentina I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург.</p></bio><bio xml:lang="en"><p>Saint Petersburg.</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лобжанидзе</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lobzhanidze</surname><given-names>Tina V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Михайлова</surname><given-names>Л. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikhailova</surname><given-names>Ludmila K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Михайлова</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikhailova</surname><given-names>Svetlana V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Моисеев</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Moiseev</surname><given-names>Sergey V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-10"/></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>Leyla S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Намазова-Баранова Лейла Сеймуровна - доктор медицинских наук, профессор, академик РАН, заведующая кафедрой факультетской педиатрии педиатрического факультета РНИМУ им. Н.И. Пирогова Минздрава России; руководитель НИИ педиатрии и охраны здоровья детей НКЦ №2 РНЦХ им. акад. Б.В. Петровского, президент Союза педиатров России.</p><p>119333, Москва, ул. Фотиевой, д. 10.</p><p>тел.: +7 (499) 400-47-33</p></bio><bio xml:lang="en"><p>Moscow; Belgorod.</p></bio><email xlink:type="simple">lsnamazova@yandex.ru</email><xref ref-type="aff" rid="aff-11"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никитин</surname><given-names>С. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikitin</surname><given-names>Sergey S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-12"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Печатникова</surname><given-names>Н. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Pechatnikova</surname><given-names>Natalya L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-13"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Полякова</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Polyakova</surname><given-names>Olga A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Семячкина</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Semyachkina</surname><given-names>Alla N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-14"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Удалова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Udalova</surname><given-names>Olga V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нижний Новгород.</p></bio><bio xml:lang="en"><p>Nizhny Novgorod.</p></bio><xref ref-type="aff" rid="aff-15"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>МГНЦ им. академика Н.П.Бочкова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Medical Genetic Research Center named after N.P. Bochkov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>НИИ педиатрии и охраны здоровья детей НКЦ №2 РНЦХ им. акад. Б.В. Петровского; Первый МГМУ им. И.М. Сеченова (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Sechenov First Moscow State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Уральский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ural State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>НИИ педиатрии и охраны здоровья детей НКЦ №2 РНЦХ им. акад. Б.В. Петровского; РНИМУ им. Н.И. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Первый МГМУ им. И.М. Сеченова (Сеченовский Университет); НМИЦ здоровья детей</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov First Moscow State Medical University; National Medical Research Center for Children's Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Институт экспериментальной медицины</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of Experimental Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Городская клиническая больница № 64 ДЗМ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>City clinical hospital № 64</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>НМИЦ травматологии и ортопедии имени Н.Н. Приорова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center for Traumatology and Orthopedics named after N.N. Priorov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>Российская детская клиническая больница</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Children’s Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-10"><aff xml:lang="ru"><institution>Первый МГМУ им. И.М. Сеченова (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov First Moscow State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-11"><aff xml:lang="ru"><institution>НИИ педиатрии и охраны здоровья детей НКЦ №2 РНЦХ им. акад. Б.В. Петровского; РНИМУ им. Н.И. Пирогова; Белгородский государственный национальный исследовательский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical University; Belgorod National Research University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-12"><aff xml:lang="ru"><institution>Общество специалистов по нервно-мышечным заболеваниям</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Association of neuro-muscular disorders specialists</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-13"><aff xml:lang="ru"><institution>Морозовская детская городская клиническая больница</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Morozov Children’s City Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-14"><aff xml:lang="ru"><institution>Московский НИИ педиатрии и детской хирургии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-15"><aff xml:lang="ru"><institution>ПИМУ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Privolzhsky Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>04</day><month>10</month><year>2022</year></pub-date><volume>19</volume><issue>4</issue><fpage>342</fpage><lpage>353</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Байдакова Г.В., Баранов А.А., Вахлова И.В., Вашакмадзе Н.Д., Воскобоева Е.Ю., Захарова Е.Ю., Кузенкова Л.М., Куцев С.И., Ларионова В.И., Лобжанидзе Т.В., Михайлова Л.К., Михайлова С.В., Моисеев С.В., Намазова-Баранова Л.С., Никитин С.С., Печатникова Н.Л., Полякова О.А., Семячкина А.Н., Удалова О.В., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Байдакова Г.В., Баранов А.А., Вахлова И.В., Вашакмадзе Н.Д., Воскобоева Е.Ю., Захарова Е.Ю., Кузенкова Л.М., Куцев С.И., Ларионова В.И., Лобжанидзе Т.В., Михайлова Л.К., Михайлова С.В., Моисеев С.В., Намазова-Баранова Л.С., Никитин С.С., Печатникова Н.Л., Полякова О.А., Семячкина А.Н., Удалова О.В.</copyright-holder><copyright-holder xml:lang="en">Baidakova G.V., Baranov A.A., Vakhlova I.V., Vashakmadze N.D., Voskoboeva E.Y., Zakharova E.Y., Kuzenkova L.M., Kutsev S.I., Larionova V.I., Lobzhanidze T.V., Mikhailova L.K., Mikhailova S.V., Moiseev S.V., Namazova-Baranova L.S., Nikitin S.S., Pechatnikova N.L., Polyakova O.A., Semyachkina A.N., Udalova O.V.</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/2192">https://www.pedpharma.ru/jour/article/view/2192</self-uri><abstract><p>В статье представлены современные сведения об эпидемиологии, этиологии и клинических проявлениях мукополисахаридоза (МПС) I типа у детей. МПС развивается в результате дефицита того или иного лизосомального фермента, что определяет тип болезни. В статье подробно рассмотрены вопросы патогенеза и классификации заболевания. Освещены основанные на доказательной медицине подходы к диагностике, в том числе дифференциальной, особое внимание уделено патогенетическому, симптоматическому, хирургическому лечению МПС.</p></abstract><trans-abstract xml:lang="en"><p>This article presents modern data on epidemiology, etiology, and clinical manifestations of mucopolysaccharidosis (MPS) type I in children. MPS develops due to deficiency of particular lysosomal enzyme which determines the disease type. The article considers in details disease's pathogenesis and classification. Evidence-based approaches to diagnosis (differential diagnosis included) are covered, moreover, special attention is paid to pathogenetic, symptomatic, and surgical treatment of MPS.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>мукополисахаридоз I типа</kwd><kwd>диагностика</kwd><kwd>лечение</kwd><kwd>прогноз</kwd><kwd>дети</kwd></kwd-group><kwd-group xml:lang="en"><kwd>mucopolysaccharidosis type I</kwd><kwd>diagnosis</kwd><kwd>treatment</kwd><kwd>prognosis</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">Muenzer J, Wraith JE, Clarke LA. Mucopolysaccharidosis I: management and treatment guidelines. Pediatrics. 2009;123(1):19-29. doi: https://doi.org/10.1542/peds.2008-0416</mixed-citation><mixed-citation xml:lang="en">Muenzer J, Wraith JE, Clarke LA. Mucopolysaccharidosis I: management and treatment guidelines. 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