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<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2687-0940</journal-id><journal-title-group><journal-title>Актуальные проблемы медицины</journal-title></journal-title-group><issn pub-type="epub">2687-0940</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.52575/2687-0940-2024-47-1-5-13</article-id><article-id pub-id-type="publisher-id">178</article-id><article-categories><subj-group subj-group-type="heading"><subject>ВНУТРЕННИЕ БОЛЕЗНИ</subject></subj-group></article-categories><title-group><article-title>&lt;strong&gt;Болезнь Помпе с поздним началом. О чем нужно знать практикующему врачу?&lt;/strong&gt;</article-title><trans-title-group xml:lang="en"><trans-title>&lt;strong&gt;Pompe Disease with a Late Onset. What Does a Practitioner Need to Know About?&lt;/strong&gt;</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Вишневский</surname><given-names>Валерий Иванович</given-names></name><name xml:lang="en"><surname>Vishnevskij</surname><given-names>Valery I.</given-names></name></name-alternatives><email>vishnevsky.orel@mail.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Терновых</surname><given-names>Татьяна Владиславовна</given-names></name><name xml:lang="en"><surname>Ternovykh</surname><given-names>Tatiana V.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Мельникова</surname><given-names>Евгения Александровна</given-names></name><name xml:lang="en"><surname>Melnikova</surname><given-names>Evgenia A.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Панина</surname><given-names>Юлия Николаевна</given-names></name><name xml:lang="en"><surname>Panina</surname><given-names>Yulia N.</given-names></name></name-alternatives><email>doc.panina@yandex.ru</email></contrib></contrib-group><pub-date pub-type="epub"><year>2024</year></pub-date><volume>47</volume><issue>1</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2024/1/АПМ_2024_5-13.pdf" /><abstract xml:lang="ru"><p>Представлен клинический случай наблюдения и лечения пациента с болезнью Помпе с поздним началом (БППН) &amp;ndash; редкой наследственной болезнью накопления, связанной с дефицитом фермента кислой мальтазы (кислой &amp;alpha;-глюкозидазы) в лизосомах. Первые признаки заболевания у пациента С. &amp;ndash; рецидивирующие боли в животе &amp;ndash; появились в 10-летнем возрасте. Диагноз болезнь Помпе с поздним началом был поставлен в одном из федеральных центров после тщательного лабораторного и молекулярно-генетического исследований. Заместительная ферментная терапия алглюкозидазой альфа дала положительные результаты: стабилизировалось состояние пациента, снизилась активность ряда показателей &amp;ndash; аспартатаминотрансферазы (АСТ), аланинаминотрансферазы (АЛТ), креатинфосфокиназы (КФК). Представленный доказанный клинический случай болезни Помпе с поздним началом с оценкой состояния пациента до лечения и результаты после ферментозаместительной терапии может быть полезным в практической работе широкого круга врачей &amp;ndash; терапевтам, гастроэнтерологам, неврологам, врачам общей практики и др.</p></abstract><trans-abstract xml:lang="en"><p>The article presents a clinical case of observation and treatment of a patient with late-onset Pompe disease (LОPD), a rare hereditary storage disease associated with a deficiency of the enzyme acid maltase (acid &amp;alpha;-glucosidase) in lysosomes. The first signs of the disease in patient S. &amp;ndash; recurrent abdominal pain &amp;ndash; appeared at the age of 10. The diagnosis of late-onset Pompe disease was made in one of the federal centers after careful laboratory and molecular genetic studies. Enzyme replacement therapy with Alglucosidase Alpha gave positive results: the patient&amp;#39;s condition stabilized, the activity of a number of indicators decreased &amp;ndash; aspartate aminotransferase (AST), alanine aminotransferase (ALT), creatine phosphokinase (CPK). The presented proven clinical case of late-onset Pompe disease with an assessment of the patient&amp;rsquo;s condition before treatment and the results after enzyme replacement therapy can be useful in the practical work of a wide range of doctors - internists, gastroenterologists, neurologists, general practitioners, etc.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>болезнь Помпе</kwd><kwd>болезнь Помпе с поздним началом</kwd><kwd>кислая α-глюкозидаза</kwd><kwd>заместительная ферментная терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Pompe disease</kwd><kwd>late-onset Pompe disease</kwd><kwd>acid α-glucosidase</kwd><kwd>enzyme replacement therapy</kwd></kwd-group></article-meta></front><back><ack><p>Работа выполнена без внешних источников финансирования.</p></ack><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Курбатов С.А., Никитин С.С., Захарова Е.Ю. 2015. Болезнь Помпе с поздним началом c фенотипом поясно-конечностной миодистрофии. 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