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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Neuromuscular Diseases</journal-id><journal-title-group><journal-title xml:lang="en">Neuromuscular Diseases</journal-title><trans-title-group xml:lang="ru"><trans-title>Нервно-мышечные болезни</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2222-8721</issn><issn publication-format="electronic">2413-0443</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">124</article-id><article-id pub-id-type="doi">10.17650/2222-8721-2015-5-3-50-61</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>ORIGINAL REPORTS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Positive experience of the usage of Rituximab in management of refractory myasthenia gravis in Russia</article-title><trans-title-group xml:lang="ru"><trans-title>Российский опыт успешного применения ритуксимаба при рефрактерных формах миастении гравис</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shcherbakova</surname><given-names>N. I.</given-names></name><name xml:lang="ru"><surname>Щербакова</surname><given-names>Н. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>shnata@inbox.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Suponeva</surname><given-names>N. A.</given-names></name><name xml:lang="ru"><surname>Супонева</surname><given-names>Н. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shvedkov</surname><given-names>V. V.</given-names></name><name xml:lang="ru"><surname>Шведков</surname><given-names>В. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shabalina</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Шабалина</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kostyreva</surname><given-names>M. V.</given-names></name><name xml:lang="ru"><surname>Костырева</surname><given-names>М. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Rudnichenko</surname><given-names>V. A.</given-names></name><name xml:lang="ru"><surname>Рудниченко</surname><given-names>В. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Galkina</surname><given-names>O. I.</given-names></name><name xml:lang="ru"><surname>Галкина</surname><given-names>О. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Federal State Budgetary Research Institution “Research Center for Neurology”</institution></aff><aff><institution xml:lang="ru">ФГБНУ «Научный центр неврологии»</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">80 Volokolamskoe Shosse, Moscow, 125367, Russia</institution></aff><aff><institution xml:lang="ru">Россия, 125367, Москва, Волоколамское шоссе, 80</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2015-09-21" publication-format="electronic"><day>21</day><month>09</month><year>2015</year></pub-date><volume>5</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>50</fpage><lpage>61</lpage><history><date date-type="received" iso-8601-date="2015-09-21"><day>21</day><month>09</month><year>2015</year></date><date date-type="accepted" iso-8601-date="2015-09-21"><day>21</day><month>09</month><year>2015</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2015, Shcherbakova N.I., Suponeva N.A., Shvedkov V.V., Shabalina A.A., Kostyreva M.V., Rudnichenko V.A., Galkina O.I.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2015, Щербакова Н.И., Супонева Н.А., Шведков В.В., Шабалина А.А., Костырева М.В., Рудниченко В.А., Галкина О.И.</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="en">Shcherbakova N.I., Suponeva N.A., Shvedkov V.V., Shabalina A.A., Kostyreva M.V., Rudnichenko V.A., Galkina O.I.</copyright-holder><copyright-holder xml:lang="ru">Щербакова Н.И., Супонева Н.А., Шведков В.В., Шабалина А.А., Костырева М.В., Рудниченко В.А., Галкина О.И.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://nmb.abvpress.ru/jour/article/view/124">https://nmb.abvpress.ru/jour/article/view/124</self-uri><abstract xml:lang="en"><p/></abstract><trans-abstract xml:lang="ru"><p/></trans-abstract><kwd-group xml:lang="en"><kwd>refractory myasthenia</kwd><kwd>rituximab</kwd><kwd>selective B cell targeted therapy</kwd><kwd>B-cell depletion (CD20)</kwd><kwd>variations of autoantibodies to acetylcholine receptor (AChR) levels</kwd><kwd>AChR positive myasthenia gravis</kwd><kwd>QMG Score</kwd><kwd>MGFA clinical classification</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>рефрактерная миастения</kwd><kwd>ритуксимаб</kwd><kwd>селективная В-клеточная таргетная терапия</kwd><kwd>истощение В-лимфо- цитов (CD20)</kwd><kwd>изменения уровня антител к ацетилхолиновым рецепторам (АХР)</kwd><kwd>АХР-позитивная миастения</kwd><kwd>оценочная шкала злокачественной миастении (QMG Score)</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">1. 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