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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">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/vsp.v17i1.1859</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-1869</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>ОБМЕН ОПЫТОМ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>EXCHANGE OF EXPERIENCE</subject></subj-group></article-categories><title-group><article-title>РОЛЬ НАРУШЕНИЙ ЭПИДЕРМАЛЬНОГО БАРЬЕРА ПРИ АТОПИЧЕСКОМ ДЕРМАТИТЕ: СОВРЕМЕННЫЕ КОНЦЕПЦИИ ПАТОГЕНЕЗА ЗАБОЛЕВАНИЯ</article-title><trans-title-group xml:lang="en"><trans-title>THE ROLE OF EPIDERMAL BARRIER IMPAIRMENTS IN ATOPIC DERMATITIS: MODERN CONCEPTS OF DISEASE PATHOGENESIS</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2252-8570</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мурашкин</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Murashkin</surname><given-names>Nikolay N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мурашкин Николай Николаевич - доктор медицинских наук, заведующий отделением дерматологии НМИЦ здоровья детей; профессор кафедры дерматовенерологии и косметологии ЦГМА; профессор кафедры педиатрии и детской ревматологии Первого МГМУ им. И.М. Сеченова.</p><p>119991, Москва, Ломоносовский пр-т, д. 2, стр. 1,  тел.: +7 (499) 134-08-89</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">m_nn2001@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8232-8936</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Амбарчян</surname><given-names>Э. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Ambarchian</surname><given-names>Eduard T.</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"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6034-8231</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Материкин</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Materikin</surname><given-names>Alexander 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-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4107-4642</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Епишев</surname><given-names>Р. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Epishev</surname><given-names>Roman 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-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр здоровья детей; Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center of Children’s Health; Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр здоровья детей</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center of Children’s Health</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>02</day><month>04</month><year>2018</year></pub-date><volume>17</volume><issue>1</issue><fpage>85</fpage><lpage>88</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мурашкин Н.Н., Амбарчян Э.Т., Материкин А.И., Епишев Р.В., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Мурашкин Н.Н., Амбарчян Э.Т., Материкин А.И., Епишев Р.В.</copyright-holder><copyright-holder xml:lang="en">Murashkin N.N., Ambarchian E.T., Materikin A.I., Epishev R.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://vsp.spr-journal.ru/jour/article/view/1869">https://vsp.spr-journal.ru/jour/article/view/1869</self-uri><abstract><p>Атопический дерматит является распространенным хроническим воспалительным заболеванием кожи, характеризуется рецидивирующим течением и прогрессирующим снижением качества жизни. Последние исследования в этой области демонстрируют многогранность патогенеза атопического дерматита. Взаимодействие таких факторов, как эпидермальная дисфункция, нарушения иммунной системы и последствия генетических мутаций, способствует не только развитию болезни, но и ее прогрессированию и хроническому течению. В статье представлены различные звенья этиопатогенеза атопического дерматита, описана роль липидов, благодаря чему перед специалистами открываются новые «мишени» для терапевтического воздействия.</p></abstract><trans-abstract xml:lang="en"><p>Atopic dermatitis is a common chronic inflammatory skin disease characterized by a recurring course and progressive decrease in the quality of life. Recent studies in this area demonstrate the multifaceted pathogenesis of atopic dermatitis. Interaction of such factors as epidermal dysfunction, immune system disorders, and the consequences of genetic mutations contributes not only to the development of the disease but also to its progression and chronic course. The article presents various components of the etiopathogenesis of atopic dermatitis, describes the role of lipids, thereby the new therapeutic targets are revealed to specialists.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>атопический дерматит</kwd><kwd>эпидермальный барьер</kwd><kwd>микробиом</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>atopic dermatitis</kwd><kwd>epidermal barrier</kwd><kwd>microbiome</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">ООО ЗелдисФарма</funding-statement><funding-statement xml:lang="en">Zeldis-Pharma LLC</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Dinulos JG, Trickett A, Crudele C. New science and treatment paradigms for atopic dermatitis. 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