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Вопросы современной педиатрии

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Современные подходы к диагностике и лечению PANS/PANDAS

https://doi.org/10.15690/vsp.v18i5.2055

Полный текст:

Аннотация

PANS — педиатрический острый нейропсихический синдром, который характеризуется внезапным началом обсессивно-компульсивного синдрома, сопровождается тревогой, эмоциональной лабильностью и другими симптомами. PANDAS, или педиатрические аутоиммунные нейропсихические расстройства, ассоциированные со стрептококковой инфекцией, являются подтипом PANS. В статье представлены современные данные об этиологии, патогенезе, диагностике и лечении PANS/PANDAS. Проанализированы варианты выбора противовоспалительной и иммунотропной терапии, включающей применение нестероидных противовоспалительных препаратов, глюкокортикостероидов, внутривенного иммуноглобулина, плазмафереза, ритуксимаба, мофетила микофенолата.

Об авторах

И. А. Костик
Детский санаторий — Реабилитационный центр Детские Дюны
Россия

Костик Инна Анатольевна - кандидат медицинских наук, невролог.

197701, Санкт-Петербург, г. Сестрорецк, 37-й км Приморского шоссе, д. 1, тел.: +7 (812) 246-22-88


М. М. Костик
Санкт-Петербургский государственный педиатрический медицинский университет; Национальный медицинский исследовательский центр им. В.А. Алмазова
Россия


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Для цитирования:


Костик И.А., Костик М.М. Современные подходы к диагностике и лечению PANS/PANDAS. Вопросы современной педиатрии. 2019;18(5):324-338. https://doi.org/10.15690/vsp.v18i5.2055

For citation:


Kostik I.A., Kostik M.M. Current Approaches to PANS/PANDAS Diagnostics and Management. Current Pediatrics. 2019;18(5):324-338. (In Russ.) https://doi.org/10.15690/vsp.v18i5.2055

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