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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 custom-type="elpub" pub-id-type="custom">healthcare-33</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>Лечение тоцилизумабом кортикостероид-резистентных форм аутоиммунной орбитопатии при болезни Грейвса</article-title><trans-title-group xml:lang="en"><trans-title>Treatment with tocilizumab for corticosteroid-resistant forms of autoimmune orbitopathy in Graves' disease</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мохорт</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Mokhort</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мохорт Tатьяна Вячеславовна — д. м. н., профессор</p><p>Пр. Дзержинского, 83, 220083, Минск</p><p>Cл. тел. +375 17 282-04-87</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Половинкина</surname><given-names>К. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Polovinkina</surname><given-names>K. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шишко</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Shishko</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мохорт</surname><given-names>Е. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Mokhort</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ереня</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Yurenya</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лихорад</surname><given-names>Н. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Likhorad</surname><given-names>N. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дягилева</surname><given-names>О. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Dyagileva</surname><given-names>A. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Белорусский государственный медицинский университет</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-2"><institution>Минский городской клинический эндокринологический центр</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-3"><institution>31-я городская клиническая больница</institution><country>Belarus</country></aff><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>22</day><month>09</month><year>2025</year></pub-date><volume>0</volume><issue>4</issue><fpage>46</fpage><lpage>52</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мохорт Т.В., Половинкина К.А., Шишко О.Н., Мохорт Е.Г., Ереня Е.В., Лихорад Н.М., Дягилева О.К., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Мохорт Т.В., Половинкина К.А., Шишко О.Н., Мохорт Е.Г., Ереня Е.В., Лихорад Н.М., Дягилева О.К.</copyright-holder><copyright-holder xml:lang="en">Mokhort T.V., Polovinkina K.A., Shishko V.N., Mokhort A.G., Yurenya A.V., Likhorad N.M., Dyagileva A.K.</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/33">https://healthcare.ejournal.by/jour/article/view/33</self-uri><abstract><p>B статье описан опыт применения тоцилизумаба у трех пациенток с аутоиммунной орбитопатией тяжелой степени, которые не имели ответа на лечение внутривенной пульс-терапией кортикостероидами. Aльтернативой для этих пациенток было только хирургическое вмешательство. Целью статьи являлась оценка эффективности и безопасности лечения тоцилизумабом данной патологии.</p></abstract><trans-abstract xml:lang="en"><p>The article describes the experience of tocilizumab using in three patients with severe autoimmune orbitopathy who did not respond to treatment with pulse corticosteroid therapy. The only alternative for these patients was surgery. Our goal was to evaluate the effectiveness and safety of treatment with tocilizumab for this pathology.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>аутоиммунная орбитопатия</kwd><kwd>болезнь Γрейвса</kwd><kwd>тоцилизумаб</kwd><kwd>кортикостероид-резистентные формы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>autoimmune orbitopathy</kwd><kwd>Graves´ disease</kwd><kwd>tocilizumab</kwd><kwd>corticosteroid-resistant forms</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">Bartalena L., Baldeschi L., Boboridis K. et al. European Group on Graves´ Orbitopathy (EUGOGO). The 2016 European Thyroid Association/European Group on Graves´ Orbitopathy Guidelines for the Management of Graves´ Orbitopathy. Eur. Thyroid J. 2016; 5 (1): 9—26.</mixed-citation><mixed-citation xml:lang="en">Bartalena L., Baldeschi L., Boboridis K. et al. European Group on Graves´ Orbitopathy (EUGOGO). 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