zabmedvestnikЗабайкальский медицинский вестникTransbaikalian Medical Bulletin1998-6173Читинская государственная медицинская академия10.52485/19986173_2026_2_199zabmedvestnik-589Research ArticleНАУЧНЫЕ ОБЗОРЫ, ИЛЛЮСТРИРОВАННЫЕ КЛИНИЧЕСКИМ НАБЛЮДЕНИЕМSCIENTIFIC REVIEWS ILLUSTRATED WITH CLINICAL CASE STUDIESКЛИНИКО-ДИАГНОСТИЧЕСКИЕ ОСОБЕННОСТИ РАССЕЯННОГО СКЛЕРОЗА В ДЕТСКОМ ВОЗРАСТЕCLINICAL AND DIAGNOSTIC FEATURES OF PEDIATRIC MULTIPLE SCLEROSISБогомоловаИ. К.BogomolovaI. K.

Богомолова Ирина Кимовна, д.м.н., профессор, заведующий кафедрой педиатрии лечебного и стоматологического факультетов

WOS Research ID: R-2691-2017, Scopus Author ID: 57205157038, ID РИНЦ: 276798

672000, г. Чита, ул. Горького, д. 39 а

Doctor of Medical Sciences, Professor, Head of the Department of Pediatrics of the Medical and Dental Faculties

WOS Research ID: R-2691-2017, Scopus Author ID: 57205157038, RSCI ID: 276798.

39a Gorky St., Chita, Russia, 672000

bogomolova_ik@mail.ruhttps://orcid.org/0009-0000-0741-2671ШильниковаТ. Н.ShilʼnikovaT. N.

Шильникова Татьяна Николаевна, ассистент кафедры неврологии, нейрохирургии и медицинской генетики

672000, г. Чита, ул. Горького, д. 39 а

Assistant Professor of the Department of Neurology, Neurosurgery and Medical Genetics 

39a Gorky St., Chita, Russia, 672000

shilnikova78@mail.ruЛеонтьеваЕ. В.LeontʼevaE. V.

Леонтьева Елена Викторовна, к.м.н, главный внештатный детский невролог Министерства здравоохранения Забайкальского края, заведующий отделением неврологии и детской нейрореабилитации

672000, г. Чита, ул. Горького, д. 39 а

Candidate of Medical Sciences, Chief Freelance Pediatric Neurologist of the Ministry of Health of the Trans-Baikal Territory, Head of the Department of Neurology and Pediatric Neurorehabilitation.

39a Gorky St., Chita, Russia, 672000

leonteva.lena.74@mail.ruКошовкинаН. Н.KoshovkinaN. N.

Кошовкина Надежда Николаевна, ординатор по специальности «Педиатрия»

672000, г. Чита, ул. Горького, д. 39 а

Resident of the specialty of "Pediatrics" 

39a Gorky St., Chita, Russia, 672000

koshovkinaa@mail.ruСудаковаК. И.SudakovaK. I.

Судакова Кристина Игоревна, ординатор по специальности «Педиатрия» 

672000, г. Чита, ул. Горького, д. 39 а

Resident of the specialty of "Pediatrics" 

39a Gorky St., Chita, Russia, 672000

kristina.belokrylova@gmail.comРубанН. В.RubanN. V.

Рубан Наталья Васильевна, ординатор по специальности «Педиатрия»

672000, г. Чита, ул. Горького, д. 39 а

Resident of the specialty of "Pediatrics"

39a Gorky St., Chita, Russia, 672000

ruban.natalja2001@yandex.ruФГБОУ ВО «Читинская государственная медицинская академия» Министерства здравоохранения РФРоссияChita State Medical AcademyRussian FederationФГБОУ ВО «Читинская государственная медицинская академия» Министерства здравоохранения РФ; ГУЗ Краевая детская клиническая больница г.ЧитаРоссияChita State Medical Academy; Chita Regional Children's Clinical HospitalRussian Federation20263007202602199207Copyright © Богомолова И.К., Шильникова Т.Н., Леонтьева Е.В., Кошовкина Н.Н., Судакова К.И., Рубан Н.В., 20262026Богомолова И.К., Шильникова Т.Н., Леонтьева Е.В., Кошовкина Н.Н., Судакова К.И., Рубан Н.В.Bogomolova I.K., Shilʼnikova T.N., Leontʼeva E.V., Koshovkina N.N., Sudakova K.I., Ruban N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.zabmedvestnik.ru/jour/article/view/589

Рассеянный склероз занимает одно из ведущих мест среди причин инвалидности у лиц молодого возраста. В Забайкальском крае отмечается рост заболеваемости рассеянным склерозом среди детского населения, что привлекает особое внимание специалистов. Диагностика рассеянного склероза у детей имеет определенные сложности, связанные с клиническими особенностями дебюта (атипичность симптомов), дифференциальной диагностикой (схожесть с другими демиелинизирующими заболеваниями), особенностями картины МРТ. В статье рассматриваются особенности эпидемиологии, клинических проявлений и течения рассеянного склероза в детском возрасте. Обсуждаются возможные факторы риска развития заболевания. Описывается классический случай пациента с дебютом быстропрогрессирующего рассеянного склероза.

Multiple sclerosis occupies one of the leading places among the causes of disability in young people. In the Trans-Baikal Territory, there is an increase in the incidence of multiple sclerosis among the child population, which attracts special attention from specialists. The diagnosis of multiple sclerosis in children has certain difficulties associated with the clinical features of the onset (atypical symptoms), differential diagnosis (similarity with other demyelinating diseases), and features of the MRI picture. The article discusses the features of epidemiology, clinical manifestations and course of multiple sclerosis in childhood. Possible risk factors for the development of the disease are discussed. The classic case of a patient with the onset of rapidly progressive multiple sclerosis is described.

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The authors declare that there are no conflicts of interest present.