Basics of clinical rheumatology

Abstract

Questions of the organization of rheumatological assistance to the population of Russia concerned the advanced medical community since the beginning of the last century. The last quarter of the XX century was marked by the development of new classifications of rheumatic diseases, which approved the grouping of those nosological forms in them, which are really close to the predominant lesion of the musculoskeletal system and connective tissue, the systemic nature of the pathological process characteristic of these diseases, the frequent family genetic predisposition, the incidence of female persons, etc. So, in the International classification of diseases and causes of death (ICD-X revision of the who 1990). XIII class is designated as a disease of the skeletal system and connective tissue and covers the inflammatory arthropathies and arthrosis systemic connective tissue diseases, including systemic vasculitis, dorsopathies, osteopathy and chondropathy.
 The need to combine these diseases was dictated on the one hand, purely practical tasks of timely diagnosis of numerous similar clinical manifestations of diseases and differential therapy, and on the other — the understanding of the social significance of pathology.
 In the last 50 years, the state system of anti-rheumatic service has been established, providing highly specialized assistance to numerous patients with rheumatic diseases.
 Work of polyclinic and stationary links of the state help to numerous adult patients with rheumatic diseases is regulated by the order "on measures for improvement of the organization of rheumatological medical care to the population of the Russian Federation" (27.06.2007); it was approved and directed for implementation to all subjects of the Russian Federation.
 The previous manual was published in 2004 and quickly sold (Fundamentals of clinical rheumatology. Under the editorship of Professor V. G. Lychev. – Moscow: Medical book, N. Novgorod: publishing house of the ngma, 2004). This manual is a revised, revised and expanded edition based, inter alia, on the material of the national guide to rheumatology (Rheumatology: national guide. Edited by E. L. Nasonov, V. A. Nasonova M.: GEOTAR-Media, 2008.), standards and clinical guidelines for the management of patients with rheumatological diseases, as well as taking into account the new Federal state standard of higher professional medical education.