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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-217-9-238-246</article-id><article-id custom-type="elpub" pub-id-type="custom">nogr-2474</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>Болезнь Уиппла: этиология, патогенез, клиника, диагностика и лечение</article-title><trans-title-group xml:lang="en"><trans-title>Whipple’s disease: etiology, pathogenesis, clinic, diagnosis and treatment</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9464-6560</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Куприянова</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kupriyanova</surname><given-names>I. N.</given-names></name></name-alternatives><email xlink:type="simple">237380@mail.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>Стафилова</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Stafilova</surname><given-names>M. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Уральский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education “Urals State Medical University” of the Ministry of Healthcare of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>17</day><month>01</month><year>2024</year></pub-date><volume>0</volume><issue>9</issue><fpage>238</fpage><lpage>246</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Куприянова И.Н., Стафилова М.В., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Куприянова И.Н., Стафилова М.В.</copyright-holder><copyright-holder xml:lang="en">Kupriyanova I.N., Stafilova M.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.nogr.org/jour/article/view/2474">https://www.nogr.org/jour/article/view/2474</self-uri><abstract><p>Болезнь Уиппла представляет инфекционное, системное и рецидивирующее заболевание, вызываемое грамположительной бактерией Tropheryma whipplei. Заболевание протекает с гетерогенной клинической картиной, представляющей сложности своевременной диагностики и при отсутствии антибактериальной терапии может привести к летальному исходу. Данный обзор посвящен вопросам этиологии, патогенеза, эпидемиологии, клинической картины, современной диагностике и терапии болезни Уиппла.</p></abstract><trans-abstract xml:lang="en"><p>Whipple’s disease is an infectious, systemic and recurrent disease caused by the gram-positive bacterium Tropheryma whipplei. The disease proceeds with a heterogeneous clinical picture, presenting difficulties of timely diagnosis and in the absence of antibacterial therapy can lethal outcome. This review is devoted to the etiology, pathogenesis, epidemiology, clinical picture, modern diagnosis and therapy of Whipple’s disease.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>болезнь Уиппла</kwd><kwd>Tropheryma whipplei</kwd><kwd>PAS-положительные макрофаги</kwd><kwd>ПЦР</kwd><kwd>антибиотикотерапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Whipple’s disease</kwd><kwd>Tropheryma whipplei</kwd><kwd>PAS-positive macrophages</kwd><kwd>PCR</kwd><kwd>antibiotic therapy</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">Dobbins W. O., 3rd. Whipple’s disease. Mayo Clinic proceedings.1988; 63(6): 623-624. doi: 10.1016/s0025-6196(12)64892-7.</mixed-citation><mixed-citation xml:lang="en">Dobbins W. O., 3rd. Whipple’s disease. 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