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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">medbio</journal-id><journal-title-group><journal-title xml:lang="ru">Медико-биологические проблемы жизнедеятельности</journal-title><trans-title-group xml:lang="en"><trans-title>Medical and Biological Problems of Life Activity</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-2088</issn><publisher><publisher-name>Республиканский научно-практический центр радиационной медицины и экологии человека</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.58708/2074-2088.2025-3(35)-63-74</article-id><article-id custom-type="elpub" pub-id-type="custom">medbio-479</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>КЛИНИЧЕСКАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>Регистр первичных иммунодефицитов в Республике Беларусь: 20-летний опыт</article-title><trans-title-group xml:lang="en"><trans-title>Registry of primary immunodeficiencies in the Republic of Belarus: 20-year experience</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белевцев</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Belevtsev</surname><given-names>M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шарапова</surname><given-names>С. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Sharapova</surname><given-names>S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гурьянова</surname><given-names>И. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Guryanova</surname><given-names>I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жаранкова</surname><given-names>Ю. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Zharankova</surname><given-names>Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Полякова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Polyakova</surname><given-names>E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алешкевич</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Aleshkevich</surname><given-names>S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сакович</surname><given-names>И. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Sakovich</surname><given-names>I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Купчинская</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kupchinskaya</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Володащик</surname><given-names>Т. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Volodashchik</surname><given-names>T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Скоповец</surname><given-names>Е. Я.</given-names></name><name name-style="western" xml:lang="en"><surname>Skopovets</surname><given-names>E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вертелко</surname><given-names>В. P.</given-names></name><name name-style="western" xml:lang="en"><surname>Vertelko</surname><given-names>V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бобрик</surname><given-names>П. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Bobrik</surname><given-names>P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шитикова</surname><given-names>М. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Shitikova</surname><given-names>M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цеханович</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsehanovich</surname><given-names>D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жерко</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zherko</surname><given-names>L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Углова</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Uglova</surname><given-names>T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Солнцева</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Solntseva</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Саливончик</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Salivonchik</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Гомель</p></bio><bio xml:lang="en"><p>г. Гомель</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зыблева</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zybleva</surname><given-names>S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Гомель</p></bio><bio xml:lang="en"><p>г. Гомель</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хурс</surname><given-names>О. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Hurs</surname><given-names>O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Прибушеня</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pribushenya</surname><given-names>O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><bio xml:lang="en"><p>г. Минск</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГУ «РНПЦ детской онкологии, гематологии и иммунологии»</institution></aff><aff xml:lang="en"><institution>ГУ «РНПЦ детской онкологии, гематологии и иммунологии»</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГУ «РНПЦ радиационной медицины и экологии человека»</institution></aff><aff xml:lang="en"><institution>ГУ «РНПЦ радиационной медицины и экологии человека»</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ГУ «РНПЦ «Мать и дитя»</institution></aff><aff xml:lang="en"><institution>ГУ «РНПЦ «Мать и дитя»</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>20</day><month>10</month><year>2025</year></pub-date><volume>0</volume><issue>3</issue><fpage>63</fpage><lpage>74</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Белевцев М.В., Шарапова С.О., Гурьянова И.Е., Жаранкова Ю.С., Полякова Е.А., Алешкевич С.Н., Сакович И.С., Купчинская А.Н., Володащик Т.П., Скоповец Е.Я., Вертелко В.P., Бобрик П.Ю., Шитикова М.Г., Цеханович Д.А., Жерко Л.В., Углова Т.А., Солнцева А.В., Саливончик А.П., Зыблева С.В., Хурс О.М., Прибушеня О.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Белевцев М.В., Шарапова С.О., Гурьянова И.Е., Жаранкова Ю.С., Полякова Е.А., Алешкевич С.Н., Сакович И.С., Купчинская А.Н., Володащик Т.П., Скоповец Е.Я., Вертелко В.P., Бобрик П.Ю., Шитикова М.Г., Цеханович Д.А., Жерко Л.В., Углова Т.А., Солнцева А.В., Саливончик А.П., Зыблева С.В., Хурс О.М., Прибушеня О.В.</copyright-holder><copyright-holder xml:lang="en">Belevtsev M., Sharapova S., Guryanova I., Zharankova Y., Polyakova E., Aleshkevich S., Sakovich I., Kupchinskaya A., Volodashchik T., Skopovets E., Vertelko V., Bobrik P., Shitikova M., Tsehanovich D., Zherko L., Uglova T., Solntseva A., Salivonchik A., Zybleva S., Hurs O., Pribushenya O.</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://medbio.ejournal.by/jour/article/view/479">https://medbio.ejournal.by/jour/article/view/479</self-uri><abstract><p>Первичные иммунодефициты (ПИД) представляют собой гетерогенную группу заболеваний, обусловленных генетически детерминированными врождёнными дефектами одного или нескольких компонентов иммунной системы. Распространённость ПИД в мире является одним из ключевых эпидемиологических показателей, позволяющих формировать оптимальную политику общественного здравоохранения в отношении их лечения и профилактики на государственном и международном уровнях. С помощью регистров удаётся показать различия этнической географической распространённости ПИД, получить данные о клинических особенностях, диагностике и вариантах лечения. С 2005 года в Республике Беларусь ведётся целенаправленная работа по оказанию медицинской помощи пациентам с ПИД. На начало 2025 года Республиканский регистр ПИД Республики Беларусь включает 774 пациента. Постоянный ежегодный рост выявления новых случаев ПИД подчёркивает прогрессивное улучшение осведомлённости врачей о первичных нарушениях иммунной системы, хотя, безусловно, необходимы дополнительные меры в данном направлении.</p></abstract><trans-abstract xml:lang="en"><p>Primary immunodeficiencies (PIDs) are a heterogeneous group of diseases caused by genetically determined congenital defects of one or more components of the immune system. The prevalence of PIDs worldwide is one of the key epidemiological indicators that allows for the formation of optimal public health policies regarding their treatment and prevention at the national and international levels. With the help of registries, it is possible to demonstrate differences in the ethnic and geographical prevalence of PID, and to obtain data on clinical features, diagnosis, and treatment options. Since 2005, targeted work has been initiated in the Republic of Belarus to provide medical care to patients with PID. As of the beginning of 2025, the Republican PID Registry of the Republic of Belarus includes 774 patients. The constant annual increase in the detection of new cases of PID highlights the progressive improvement in physicians’ awareness of primary immune system disorders, although additional measures in this direction are clearly necessary.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>первичные иммунодефициты</kwd><kwd>Республиканский регистр</kwd><kwd>секвенирование нового поколения NGS и WGS</kwd><kwd>TREC</kwd><kwd>KREC</kwd></kwd-group><kwd-group xml:lang="en"><kwd>primary immunodeficiencies</kwd><kwd>Republican registry</kwd><kwd>next generation sequencing NGS and WGS</kwd><kwd>TREC</kwd><kwd>KREC</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">Human inborn errors of immunity: 2024 update on the classification from the International Union of Immunological Societies Expert Committee / M.C. Poli, I. 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