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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">nogr</journal-id><journal-title-group><journal-title xml:lang="ru">Экспериментальная и клиническая гастроэнтерология</journal-title><trans-title-group xml:lang="en"><trans-title>Experimental and Clinical Gastroenterology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-8658</issn><publisher><publisher-name>«Global Media Technologies»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31146/1682-8658-ecg-205-9-303-307</article-id><article-id custom-type="elpub" pub-id-type="custom">nogr-2070</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 НАБЛЮДЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASES</subject></subj-group></article-categories><title-group><article-title>Гнездная алопеция как основное проявление целиакии</article-title><trans-title-group xml:lang="en"><trans-title>Alopecia areata as the main manifestation of celiac disease</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8159-4311</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ахмедова</surname><given-names>Эльвира Физулиевна</given-names></name><name name-style="western" xml:lang="en"><surname>Akhmedova</surname><given-names>E. F.</given-names></name></name-alternatives><email xlink:type="simple">elvira@ahmadova.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5873-1074</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белинская</surname><given-names>Виктория Александровна</given-names></name><name name-style="western" xml:lang="en"><surname>Belinskaya</surname><given-names>V. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Общество с ограниченной ответственностью «Поликлиника.ру»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Polyclinika.ru</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр колопроктологии им. А. Н. Рыжих» Минздрава России; ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center of Coloproctology named after A. N. Ryzhikh; Russian Medical Academy of Continuous Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>07</day><month>10</month><year>2022</year></pub-date><volume>0</volume><issue>9</issue><fpage>303</fpage><lpage>307</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ахмедова Э.Ф., Белинская В.А., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Ахмедова Э.Ф., Белинская В.А.</copyright-holder><copyright-holder xml:lang="en">Akhmedova E.F., Belinskaya V.A.</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.nogr.org/jour/article/view/2070">https://www.nogr.org/jour/article/view/2070</self-uri><abstract><p>В клиническом наблюдении представлено редкое проявление целиакии с первичной симптоматикой в виде гнездной алопеции, что послужило поводом для неверной постановки диагноза и длительного неэффективного лечения, приведшего к значительному снижению качества жизни. Глютеновая энтеропатия до сих пор является трудновыявляемым заболеванием в гастроэнтерологии и имеет множество клинических «масок», что требует мультидисциплинарного подхода в ведении пациента.</p></abstract><trans-abstract xml:lang="en"><p>Clinical case presents a rare manifestation of celiac disease with alopecia areata being the primary symptom. This was the reason for misdiagnosis and long-term treatment of the patient which led to a decrease in the quality of life. Gluten intolerance is still difficult to diagnose; it has many clinical “masks” and needs a multidisciplinary approach to patient management.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>целиакия</kwd><kwd>глютеновая энтеропатия</kwd><kwd>гнездная алопеция</kwd><kwd>аглютеновая диета</kwd><kwd>клинический случай</kwd></kwd-group><kwd-group xml:lang="en"><kwd>celiac disease</kwd><kwd>gluten intolerance</kwd><kwd>alopecia areata</kwd><kwd>gluten free diet</kwd><kwd>case report</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">Lazebnik L.B., Tkachenko Ye.I., Oreshko L. S., et al. Guidelines for diagnosis and treatment of celiac disease. Experimental and Clinical Gastroenterology. 2015;5(117):3-12. (In Russ.). PMID: 26387169. @@Лазебник Л. Б., Ткаченко Е. И., Орешко Л. С. и соавт. Рекомендации по диагностике и лечению целиакии взрослых. 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