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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">spbmedicalrecords</journal-id><journal-title-group><journal-title xml:lang="ru">Новые Санкт-Петербургские врачебные ведомости</journal-title><trans-title-group xml:lang="en"><trans-title>New St. Petersburg Medical Records</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1609-2201</issn><publisher><publisher-name>Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/1609-2201-2026-105-2-38-47</article-id><article-id custom-type="elpub" pub-id-type="custom">spbmedicalrecords-154</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>КЛИНИЧЕСКИЕ СЛУЧАИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASES</subject></subj-group></article-categories><title-group><article-title>Болезнь Фабри (описание клинического случая)</article-title><trans-title-group xml:lang="en"><trans-title>Fabry's disease (description of a 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/0009-0008-1286-1488</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пашков</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pashkov</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пашков Максим Вадимович, студент 5 курса</p><p>197022, Санкт-Петербург, ул. Льва Толстого, д. 6–8</p></bio><bio xml:lang="en"><p>Maxim V. Pashkov, 5th–year student</p><p>6–8 L'va Tolstogo St., Saint Petersburg, 197022</p></bio><email xlink:type="simple">pashkov-31.04@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8788-0076</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баранова</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Baranova</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Баранова Елена Ивановна, доктор медицинских наук, профессор, профессор кафедры терапии факультетской с курсом эндокринологии, кардиологии с клиникой имени акад. Г.Ф. Ланга</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Elena I. Baranova, Dr. of Sci. (med.), Professor, Department of Faculty Therapy with a course in Endocrinology, Cardiology with the Clinic named after Academician G. F. Lang</p><p>Saint Petersburg</p></bio><email xlink:type="simple">baranova.grant2015@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4869-2195</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Трусов</surname><given-names>И. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Trusov</surname><given-names>I. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Трусов Иван Сергеевич, кандидат медицинских наук, доцент кафедры факультетской терапии с курсом эндокринологии, кардиологии с клиникой им. акад. Г. Ф. Ланга</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Ivan S. Trusov, Cand. of Sci. (Med.), Associate professor of the Department of Faculty Therapy with a course in endocrinology and Cardiology at the clinic named after Academician G. F. Lang, Head of the Cardiology Department No. 1 of the Clinic of the Research Institute of Cardiovascular Diseases</p><p>Saint Petersburg</p></bio><email xlink:type="simple">dr.getsuga@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1264-1425</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Метлинская</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Metlinskaya</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Метлинская Анна Ивановна, врач-кардиолог кардиологического отделения №1 НИИ сердечно-сосудистых заболеваний НКИЦ</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Anna I. Metlinskaya, Cardiologist at the Cardiology Department No. 1 of the Research Institute of Cardiovascular Diseases</p><p>Saint Petersburg</p></bio><email xlink:type="simple">shaban_anea@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2698-7977</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кацап</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Katsap</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кацап Анна Александровна, кандидат медицинских наук, доцент кафедры факультетской терапии с курсом эндокринологии, кардиологии с клиникой им. акад. Г. Ф. Ланга</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Anna A. Katsap, Cand. of Sci. (Med.), Associate Professor of the Faculty's Department of Therapy with a course in Endocrinology and Cardiology at the clinic named after Academician G. F. Lang</p><p>Saint Petersburg</p></bio><email xlink:type="simple">annakatsap@inbox.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-3527-8884</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маршалковская</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Marshalkovskaya</surname><given-names>Е. А.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Маршалковская Екатерина Александровна, клинический ординатор 2 года обучения, кафедра терапии факультетской с курсом эндокринологии, кардиологии с клиникой им. акад. Г. Ф. Ланга</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Ekaterina A. Marshalkovskaya, clinical resident for 2 years of study, Faculty Department of Therapy with a course in endocrinology, cardiology with a clinic named after Academician G. F. Lang</p><p>Saint Petersburg</p></bio><email xlink:type="simple">marshalkovskaya00@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8857-7992</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нифонтов</surname><given-names>С. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Nifontov</surname><given-names>S. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нифонтов Сергей Евгеньевич, врач ультразвуковой диагностики отделения функциональной диагностики №1</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Sergey E. Nifontov, doctor of ultrasound diagnostics at the Department of Functional Diagnostics No. 1</p><p>Saint Petersburg</p></bio><email xlink:type="simple">Sergioni@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>11</day><month>10</month><year>2026</year></pub-date><volume>0</volume><issue>2</issue><fpage>38</fpage><lpage>47</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Пашков М.В., Баранова Е.И., Трусов И.С., Метлинская А.И., Кацап А.А., Маршалковская Е.А., Нифонтов С.Е., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Пашков М.В., Баранова Е.И., Трусов И.С., Метлинская А.И., Кацап А.А., Маршалковская Е.А., Нифонтов С.Е.</copyright-holder><copyright-holder xml:lang="en">Pashkov M.V., Baranova E.I., Trusov I.S., Metlinskaya A.I., Katsap A.A., Marshalkovskaya Е.А., Nifontov S.E.</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.docved.ru/jour/article/view/154">https://www.docved.ru/jour/article/view/154</self-uri><abstract><p>В статье приводится описание клинического случая орфанного наследственного Х-сцепленного заболевания – болезни Фабри, характеризующегося накоплением сфинголипидов в различных органах и развитием их дисфункции. Данное заболевание может встретиться в практике врачей различных специальностей и от ранней диагностики зависит своевременная ферментозаместительная терапия и прогноз пациента. Цель статьи – описать клинический случай кардиологической манифестации болезни Фабри у женщины. В статье рассмотрен патогенез болезни Фабри, симптомы заболевания, особенности терапии и критерии ее эффективности.</p></abstract><trans-abstract xml:lang="en"><p>The article describes a clinical case of Fabry’s disease – orphan hereditary X-linked disease, characterized by the accumulation of sphingolipids in various organs and the development of their dysfunction. This disease can occur in the practice of doctors of various specialties, and the patient's prognosis depends on early diagnosis and enzyme replacement therapy. The purpose of the article is to describe a clinical case of cardiological manifestation of Fabry's disease in a woman. The article discusses the pathogenesis of Fabry's disease, the symptoms of the disease, the management and criteria for treatment effectiveness.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>болезнь Фабри</kwd><kwd>глоботриазилцерамиды</kwd><kwd>лизосомальные болезни накопления</kwd><kwd>Х-сцепленное заболевание</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Fabry's disease</kwd><kwd>globotriazylceramides</kwd><kwd>lysosomal storage diseases</kwd><kwd>X-linked disease</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">Pande S., Varzideh F., Gambardella J. et al. Fabry disease cardiomyopathy: A state-of-the-art review // Prog Cardiovasc Dis. 2025. Vol. 92. P. 43–65.</mixed-citation><mixed-citation xml:lang="en">Pande S., Varzideh F., Gambardella J. et al. Fabry disease cardiomyopathy: A state-of-the-art review. 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