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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">ophthalmology</journal-id><journal-title-group><journal-title xml:lang="ru">Офтальмология</journal-title><trans-title-group xml:lang="en"><trans-title>Ophthalmology in Russia</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1816-5095</issn><issn pub-type="epub">2500-0845</issn><publisher><publisher-name>Ophthalmology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18008/1816-5095-2016-4-282-289</article-id><article-id custom-type="elpub" pub-id-type="custom">ophthalmology-340</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>КЛИНИЧЕСКИЙ СЛУЧАЙ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CASE REPORT</subject></subj-group></article-categories><title-group><article-title>Двусторонний гемофтальм — первый симптом болезни Бехчета (Клинический случай)</article-title><trans-title-group xml:lang="en"><trans-title>Bilateral Hemophthalmus — the First Symptom of Behcet’s Disease (Clinical Case)</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>Яценко</surname><given-names>О. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Yatsenko</surname><given-names>O. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., доцент кафедры офтальмологии</p></bio><bio xml:lang="en"><p>MD, assistant professorophthalmology</p></bio><email xlink:type="simple">face@neicon.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>Велибекова</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Velibekova</surname><given-names>O. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>клинический ординатор</p></bio><bio xml:lang="en"><p>postgraduate,</p></bio><email xlink:type="simple">o.velibekova@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>Самойленко</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Samoilenko</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., заведующий 3 офтальмологическим отделением</p></bio><bio xml:lang="en"><p>PhD, Chief of the ophthalmology department of the Branch № 1</p></bio><email xlink:type="simple">doctorsamoylenko@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тихонова</surname><given-names>И. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Tikhonova</surname><given-names>I. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-офтальмолог</p></bio><bio xml:lang="en"><p>ophthalmologist</p></bio><email xlink:type="simple">mpsf88@ya.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бурденко</surname><given-names>И. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Burdenko</surname><given-names>I. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-офтальмолог</p></bio><bio xml:lang="en"><p>ophthalmologist</p></bio><email xlink:type="simple">burdenko.irina@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Панина</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Panina</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-офтальмолог</p></bio><bio xml:lang="en"><p>ophthalmologist</p></bio><email xlink:type="simple">e-n-panina@ya.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Кафедра офтальмологии ГБОУ ДПО «Российская медицинская академия&#13;
последипломного образования» Министерства здравоохранения России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>”Russian Medical Academy of Postgraduate Education”</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Филиал № 1 ГКБ им. С.П. Боткина</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow State Healthcare Institution ”City clinical hospital named S.P.Botkin”</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>22</day><month>12</month><year>2016</year></pub-date><volume>13</volume><issue>4</issue><fpage>282</fpage><lpage>289</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Яценко О.Ю., Велибекова О.С., Самойленко А.И., Тихонова И.М., Бурденко И.Г., Панина Е.Н., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Яценко О.Ю., Велибекова О.С., Самойленко А.И., Тихонова И.М., Бурденко И.Г., Панина Е.Н.</copyright-holder><copyright-holder xml:lang="en">Yatsenko O.Y., Velibekova O.S., Samoilenko A.I., Tikhonova I.M., Burdenko I.G., Panina E.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://www.ophthalmojournal.com/opht/article/view/340">https://www.ophthalmojournal.com/opht/article/view/340</self-uri><abstract><p>РЕЗЮМЕ    Болезнь Бехчета (ББ) — системное хроническое идиопатическое воспалительное заболевание неизвестной этиологии с рецидивирующим течением.В развитии заболевания предполагают комбинации различных факторов, среди которых наиболее важны генетические и инфекционные. Поражение глаз является одним из самых частых и серьезных симптомов болезни Бехчета. По данным литературы поражение глаз встречается у 54–90% больных.При болезни Бехчета описаны передний, задний и панувеит, ангиит сосудов сетчатки, окклюзия ветвей ЦВС, эписклерит, склерит, кератит, передняя ишемическая нейропатия, параличэкстраокулярных мышц, отек макулы. В 95% процесс двусторонний, но клинические признаки чаще всего асимметричны. Глазная патология в наибольшем количестве случаев развивается через 2–3 года после появления первых симптомов ББ. Мы невстретили в литературе ни одного случая болезни Бехчета, начавшегося с гемофтальма. Учитывая вышесказанное, представляется интересным описать клинический случай болезни Бехчета, дебютом которого был двусторонний гемофтальм у пациента 38 лет. Интерес данного наблюдения обусловлен особенностью проявления клинических симптомов. У больного первоначальноотмечен двусторонний гемофтальм, по поводу которого пациент дважды (в 2013 и 2014 гг.) находился на лечении. При первой госпитализации зрение восстановилось практически полностью. При повторной госпитализации, на фоне проводимого лечения, положительный эффект оказался менее выраженным. В дальнейшем пациенту была проведена двусторонняя витрэктомия (в 2014 г.). В апреле 2015 года появились рецидивирующие язвы сначала в ротовой полости, а через 3 месяца — в паху, а также болезненность в суставах. Выявлены признаки перенесенного увеита слева. Пациент консультирован в институте ревматологии, где был установлен диагноз — Болезнь Бехчета. В статье приводятся клинические данные, а также результаты дополнительного обследования (ОКТ, ФАГ, УЗИ), результаты биохимического исследования крови и иммунного статуса.</p></abstract><trans-abstract xml:lang="en"><p>Behcet’s disease (BD) — a systemic chronic idiopathic inflammatory recurrent disease of unknown etiology. The development of the disease involve a combination of various factors, among them the most important is genetic and infectious. Eye lesion is one of the most frequent and severe symptoms of Behcet’s disease. According to the literature, eye lesion appears in 54–90% cases. There are several types of Behcet’s disease: the front, posterior and panuveitis, retinal vasculitis, occlusion of the branches of the central retinal vein, episcleritis, scleritis, keratitis, anterior ischemic neuropathy, paralysis of the extraocular muscles, swelling of the macula. In 95% cases the process is bilateral, but the clinical signs are often asymmetrical. Ocular pathology usually develops after 2–3 years the onset of symptoms BD. We havn’t met in the literature any case of Behcet’s disease, which has begun with hemophthalmia. Taking all these points together it seems to us interesting to present a clinical case of Behcet’s disease which has debuted with a bilateral hemophthalmus. This article describes a clinical case of Behcet’s disease in a patient of 38 years old. The interest of this observation is caused by feature of the appearance of clinical symptoms. Bilateral hemophthalmus has originally appeared, twice (in 2013 and 2014) and has been treated. During the next hospitalization the treatment has produced the positive effect was less  pronounced. After that, patient has undergone bilateral vitrectomy (2014). In April 2015 there were recurrent mouth ulcers, and 3 months later groin ulcers has appeared, pain in the joints. The ophthalmologist examination has shown commenmorative signs of left uveitis. The patient was counseled at the Institute of Rheumatology, where were determined the diagnosis of Behcet’s disease.This paper shows the clinical data and the results of additional tests (OCT, fluorescein angiography, ultrasonography), the results of blood biochemical examination and immune status.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>болезнь Бехчета</kwd><kwd>гемофтальм</kwd><kwd>ФАГ</kwd><kwd>витрэктомия</kwd><kwd>язва слизистой оболочки полости рта</kwd><kwd>язва паховой области</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Behcet’s disease</kwd><kwd>hemophthalmus</kwd><kwd>fluorescein angiography</kwd><kwd>vitrectomy</kwd><kwd>ulcer of the oral mucosa and groin area</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">Ermakova NA [The clinical unit, diagnostics, pathogenesis and treatment of ocular symptoms of Behcet’s disease]. 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