Pediatrics. Consilium MedicumPediatrics. Consilium MedicumПедиатрия. Consilium Medicum2658-66302658-6622Consilium Medicum10050110.26442/26586630.2021.3.201074ArticlesСтатьиReview ArticleSleep disorders in children with rheumatic diseasesРасстройства сна у детей с ревматическими заболеваниямиhttps://orcid.org/0000-0002-4449-2786KelmansonIgor A.КельмансонИгорь Александрович
Russian Federation

D. Sci. (Med.), Prof., Almazov National Medical Research Centre, Saint Petersburg State Institute of Psychology and Social Work

д-р мед. наук, проф., проф. каф. детских болезней Института медицинского образования ФГБУ «НМИЦ им. В.А. Алмазова», проф. каф. клинической психологии СПб ГАОУ ВПО СПбГИПСР

iakelmanson@hotmail.comAlmazov National Medical Research CentreФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава РоссииSaint Petersburg State Institute of Psychology and Social WorkСПб ГАОУ ВПО «Санкт-Петербургский государственный институт психологии и социальной работы»1509202132852911002202210022022Copyright ©; 2021, Consilium MedicumCopyright ©; 2021, ООО "Консилиум Медикум"2021Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://pediatria.orscience.ru/2658-6630/article/view/100501

Rheumatic diseases (RD) are often diagnosed in childhood. Sleep disorders are commonly associated with RD in children. It is stressed that sleep disorders found in this type of clinical pathology cannot be exceptionally considered as an epiphenomenon typical to any form of chronic disease; rather, sleep disorders should be regarded as a part of the clinical manifestations of RD. An important role in the origins of this association is played by specific inflammatory mediators involved in the pathogenesis of various RD, which simultaneously affect the structure of sleep and contribute to sleep disorders. There are both nonspecific and characteristic variants of sleep disorders detected in some leading clinical forms of RD in children, in particular in juvenile rheumatoid (idiopathic) arthritis, systemic lupus erythematosus, systemic scleroderma, seronegative spondyloarthropathies, fibromyalgia. There is a relationship between the severity of sleep disorders, the activity of RD, the degree of emotional disorders and pain symptoms in children. Approaches to the correction of sleep disorders in children in the context of the treatment of RD are substantiated.

Ревматические заболевания (РЗ) нередко диагностируются в детском возрасте. С ними часто ассоциированы расстройства сна у детей. Отмечается, что расстройства сна, обнаруживаемые при данном виде патологии, не являются исключительно эпифеноменами, связанными с хроническими заболеваниями, а входят в структуру клинических проявлений РЗ. Важную роль в формировании данной ассоциации играют специфические медиаторы воспаления, вовлеченные в патогенез различных РЗ, которые одновременно влияют на структуру сна и формирование его расстройств. Существуют как неспецифические, так и характерные варианты расстройств сна, выявляемые при некоторых важнейших клинических формах РЗ у детей, в частности при ювенильном ревматоидном (идиопатическом) артрите, системной красной волчанке, системной склеродермии, серонегативных спондилоартропатиях, фибромиалгии. Имеется взаимосвязь выраженности расстройств сна, активности РЗ, степени эмоциональных нарушений и болевой симптоматики у детей. Обосновываются подходы к коррекции расстройств сна у детей в контексте лечения РЗ.

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