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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">healthcare</journal-id><journal-title-group><journal-title xml:lang="ru">Здравоохранение. Healthcare</journal-title><trans-title-group xml:lang="en"><trans-title>Healthcare</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1027-7218</issn><publisher><publisher-name>Republican Scientific and Practical Center for Medical Technologies, Informatization, Management and Health Economics</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.65249/1027-7218-2026-1-65-73</article-id><article-id custom-type="elpub" pub-id-type="custom">healthcare-243</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>СЛУЧАИ ИЗ КЛИНИЧЕСКОЙ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CASES FROM CLINICAL PRACTICE</subject></subj-group></article-categories><title-group><article-title>Системная красная волчанка: разбор клинического случая</article-title><trans-title-group xml:lang="en"><trans-title>Systemic lupus erythematosus: analysis of the clinical case</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9915-2965</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сорока</surname><given-names>Н. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Soroka</surname><given-names>N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сорока Николай Федорович – д. м. н., профессор, врач-ревматолог, руководитель Республиканского ревматологического центра</p><p>Ул. Семашко, 8, 220045, г. Минск</p><p>Сл. тел. +375 17 277-27-93</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Минский научно-практический центр хирургии, трансплантологии и гематологии</institution><country>Belarus</country></aff><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>14</day><month>02</month><year>2026</year></pub-date><volume>0</volume><issue>1</issue><fpage>65</fpage><lpage>73</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сорока Н.Ф., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Сорока Н.Ф.</copyright-holder><copyright-holder xml:lang="en">Soroka N.</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://healthcare.ejournal.by/jour/article/view/243">https://healthcare.ejournal.by/jour/article/view/243</self-uri><abstract><p>Статья посвящена проблеме полиморбидности при системной красной волчанке (СКВ). Подробно описан клинический случай СКВ хронического течения, на определенном этапе болезни протекавший с перипартальной кардиомиопатией и острым повреждением почек. Наличие у пациентки СКВ затрудняло своевременную диагностику сопутствующей патологии, так как развитие перипартальной кардиомиопатии изначально расценивали как волчаночный кардит, а острое повреждение почек гемодинамической и лекарственной природы – как волчаночный нефрит.</p></abstract><trans-abstract xml:lang="en"><p>The article is devoted to the problem of polymorbidity of systemic lupus erythematosus (SLE). A clinical case of SLE with a chronic course, which at a certain stage of the disease occurred with peripartal cardiomyopathy and acute kidney injury, is described in detail. The presence of SLE in the patient made it difficult to diagnose concomitant pathology timely, since the development of peripartal cardiomyopathy was initially regarded as lupus carditis, as well as acute hemodynamic and medicinal kidney injury as lupus nephritis.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>системная красная волчанка</kwd><kwd>перипартальная кардиомиопатия</kwd><kwd>острое повреждение почек.</kwd></kwd-group><kwd-group xml:lang="en"><kwd>systemic lupus erythematosus</kwd><kwd>peripartal cardiomyopathy</kwd><kwd>acute kidney injury.</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">Siegel, C. H. Systemic lupus erythematosus: a review / C. H. Siegel, L. R. Sammaritano // JAMA. – 2024. – Vol. 331 (17). –P. 1480–1491.</mixed-citation><mixed-citation xml:lang="en">Siegel C.H., Sammaritano L.R. Systemic lupus erythematosus. 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