{"id":6274,"date":"2025-09-29T07:42:53","date_gmt":"2025-09-29T04:42:53","guid":{"rendered":"https:\/\/mikrobiologikolamia.gr\/staging\/?p=6274"},"modified":"2026-04-04T17:57:18","modified_gmt":"2026-04-04T14:57:18","slug":"anti-rnp","status":"publish","type":"post","link":"https:\/\/mikrobiologikolamia.gr\/staging\/anti-rnp\/","title":{"rendered":"\u0391\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 anti-RNP: \u03a4\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9, \u03c0\u03cc\u03c4\u03b5 \u03b6\u03b7\u03c4\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9, \u03c0\u03ce\u03c2 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u2013 \u03a6\u03b9\u03bb\u03b9\u03ba\u03cc\u03c2 \u039f\u03b4\u03b7\u03b3\u03cc\u03c2"},"content":{"rendered":"<article style=\"font-family: system-ui,-apple-system,Segoe UI,Roboto,Helvetica,Arial,sans-serif; line-height: 1.7; color: #111827; max-width: 900px; margin: 0 auto; padding: 16px;\">\n<h1 style=\"font-size: 44px; line-height: 1.15; font-weight: 800; margin: 0 0 14px; color: #111827;\">\u0391\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 anti-RNP \u2013 \u03a6\u03b9\u03bb\u03b9\u03ba\u03cc\u03c2 \u039f\u03b4\u03b7\u03b3\u03cc\u03c2<\/h1>\n<div style=\"margin: 10px 0 12px; font-size: 13px; color: #6b7280;\">\u0394\u03b7\u03bc\u03bf\u03c3\u03af\u03b5\u03c5\u03c3\u03b7: <time datetime=\"2025-09-29\">29 \u03a3\u03b5\u03c0\u03c4\u03b5\u03bc\u03b2\u03c1\u03af\u03bf\u03c5 2025<\/time> \u2022 \u03a4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b1 \u03b5\u03bd\u03b7\u03bc\u03ad\u03c1\u03c9\u03c3\u03b7: <time datetime=\"2026-04-04\">4 \u0391\u03c0\u03c1\u03b9\u03bb\u03af\u03bf\u03c5 2026<\/time><\/div>\n<div style=\"background: #f8fafc; border-left: 4px solid #b70000; border-radius: 10px; padding: 12px 14px; margin: 14px 0 18px;\"><strong>\u03a3\u03cd\u03bd\u03c4\u03bf\u03bc\u03b7 \u03c0\u03b5\u03c1\u03af\u03bb\u03b7\u03c8\u03b7:<\/strong> \u03a4\u03b1 <strong>\u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 anti-RNP<\/strong> \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03b1\u03be\u03b9\u03bf\u03bb\u03bf\u03b3\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03c5\u03c0\u03bf\u03c8\u03af\u03b1 <strong>\u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03bf\u03c5 \u03bd\u03bf\u03c3\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03c5\u03bd\u03b4\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd \u03b9\u03c3\u03c4\u03bf\u03cd<\/strong>, \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03cc\u03c4\u03b1\u03bd \u03c4\u03b1 <strong>ANA \u03b5\u03af\u03bd\u03b1\u03b9 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac<\/strong> \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bd\u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03cc\u03c0\u03c9\u03c2 <strong>Raynaud, \u03b1\u03c1\u03b8\u03c1\u03b1\u03bb\u03b3\u03af\u03b5\u03c2, \u03c0\u03c1\u03b7\u03c3\u03bc\u03ad\u03bd\u03b1 \u03b4\u03ac\u03ba\u03c4\u03c5\u03bb\u03b1, \u03bc\u03c5\u03ca\u03ba\u03ae \u03b1\u03b4\u03c5\u03bd\u03b1\u03bc\u03af\u03b1, \u03b5\u03be\u03b1\u03bd\u03b8\u03ae\u03bc\u03b1\u03c4\u03b1<\/strong> \u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u201coverlap\u201d \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03bb\u03cd\u03ba\u03bf\u03c5, \u03c3\u03ba\u03bb\u03b7\u03c1\u03bf\u03b4\u03ad\u03c1\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03c5\u03bf\u03c3\u03af\u03c4\u03b9\u03b4\u03b1\u03c2. \u0388\u03bd\u03b1 <strong>\u03b8\u03b5\u03c4\u03b9\u03ba\u03cc anti-RNP \u03b4\u03b5\u03bd \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c4\u03bf\u03c5 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7<\/strong>, \u03b1\u03bb\u03bb\u03ac \u03b2\u03bf\u03b7\u03b8\u03ac \u03bf\u03c5\u03c3\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03ac \u03c3\u03c4\u03b7 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03cc\u03c4\u03b1\u03bd \u03bf\/\u03b7 \u03b9\u03b1\u03c4\u03c1\u03cc\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03b5\u03b9 \u03c4\u03bf \u03b5\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03bf <strong>\u039c\u03b9\u03ba\u03c4\u03bf\u03cd \u039d\u03bf\u03c3\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03a3\u03c5\u03bd\u03b4\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd \u0399\u03c3\u03c4\u03bf\u03cd (MCTD)<\/strong>.<\/div>\n<nav id=\"toc\" style=\"background: #f9fafb; border: 1px solid #e5e7eb; border-radius: 14px; padding: 14px; margin: 12px 0;\" aria-label=\"\u03a0\u03af\u03bd\u03b1\u03ba\u03b1\u03c2 \u03a0\u03b5\u03c1\u03b9\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03bd\"><strong>\u03a0\u03af\u03bd\u03b1\u03ba\u03b1\u03c2 \u03a0\u03b5\u03c1\u03b9\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03bd<\/strong><\/p>\n<ol style=\"margin: 8px 0 0 18px; padding: 0;\">\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section1\">\u03a4\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b1 \u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 anti-RNP;<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section2\">\u03a0\u03cc\u03c4\u03b5 \u03b6\u03b7\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7;<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section3\">\u03a0\u03bf\u03b9\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03b2\u03ac\u03b6\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c5\u03c0\u03bf\u03c8\u03af\u03b1;<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section4\">\u03a0\u03ce\u03c2 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7;<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section5\">\u03a0\u03c1\u03bf\u03b5\u03c4\u03bf\u03b9\u03bc\u03b1\u03c3\u03af\u03b1 \u03c0\u03c1\u03b9\u03bd \u03c4\u03b7\u03bd \u03b1\u03b9\u03bc\u03bf\u03bb\u03b7\u03c8\u03af\u03b1<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section6\">Anti-RNP \u03ba\u03b1\u03b9 ANA: \u03c0\u03bf\u03b9\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c3\u03c7\u03ad\u03c3\u03b7;<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section7\">\u03a4\u03b9 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03ad\u03c7\u03bf\u03c5\u03bd \u03bc\u03b5 \u03c4\u03bf MCTD;<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section8\">\u03a3\u03b5 \u03c0\u03bf\u03b9\u03b5\u03c2 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b2\u03c1\u03b5\u03b8\u03bf\u03cd\u03bd;<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section9\">\u03a0\u03ce\u03c2 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1;<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section10\">\u0393\u03b9\u03b1\u03c4\u03af \u03b4\u03b5\u03bd \u03b1\u03c1\u03ba\u03b5\u03af \u03bc\u03cc\u03bd\u03bf \u03bc\u03af\u03b1 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7;<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section11\">\u03a3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bc\u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section12\">\u03a0\u03bf\u03b9\u03b1 \u03cc\u03c1\u03b3\u03b1\u03bd\u03b1 \u03ba\u03b1\u03b9 \u03b5\u03c0\u03b9\u03c0\u03bb\u03bf\u03ba\u03ad\u03c2 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9;<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section13\">\u03a3\u03c5\u03c7\u03bd\u03ac \u03bb\u03ac\u03b8\u03b7 \u03ba\u03b1\u03b9 \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section14\">\u03a0\u03cc\u03c4\u03b5 \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c0\u03b1\u03bd\u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03ae \u03c1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7;<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section15\">\u03a3\u03c5\u03c7\u03bd\u03ad\u03c2 \u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section16\">\u03a4\u03b9 \u03bd\u03b1 \u03b8\u03c5\u03bc\u03ac\u03c3\u03c4\u03b5<\/a><\/li>\n<li style=\"margin: 6px 0;\"><a style=\"color: #dc2626; text-decoration: none;\" href=\"#section17\">\u039a\u03bb\u03b5\u03af\u03c3\u03c4\u03b5 \u03a1\u03b1\u03bd\u03c4\u03b5\u03b2\u03bf\u03cd &amp; \u0392\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1<\/a><\/li>\n<\/ol>\n<\/nav>\n<hr style=\"border: none; border-top: 2px solid #d1d5db; margin: 14px 0 22px;\" \/>\n<p><!-- ==================== SECTION 1 ==================== --><\/p>\n<section id=\"section1\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">1<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a4\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b1 \u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 anti-RNP;<\/span><\/h2>\n<p>\u03a4\u03b1 <strong>\u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 anti-RNP<\/strong> \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03c3\u03c4\u03c1\u03ad\u03c6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03bd\u03b1\u03bd\u03c4\u03af\u03bf\u03bd \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03c9\u03bd \u03c4\u03bf\u03c5 \u03c0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03bf\u03cd<br \/>\n\u03c3\u03c5\u03bc\u03c0\u03bb\u03ad\u03b3\u03bc\u03b1\u03c4\u03bf\u03c2 <strong>U1-ribonucleoprotein<\/strong>. \u039c\u03b5 \u03b1\u03c0\u03bb\u03ac \u03bb\u03cc\u03b3\u03b9\u03b1, \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 \u03c0\u03bf\u03c5 \u201c\u03b1\u03bd\u03b1\u03b3\u03bd\u03c9\u03c1\u03af\u03b6\u03bf\u03c5\u03bd\u201d<br \/>\n\u03c0\u03c1\u03c9\u03c4\u03b5\u03ca\u03bd\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 RNA-\u03c3\u03c7\u03b5\u03c4\u03b9\u03b6\u03cc\u03bc\u03b5\u03bd\u03b1 \u03bc\u03cc\u03c1\u03b9\u03b1 \u03bc\u03ad\u03c3\u03b1 \u03c3\u03c4\u03bf\u03bd \u03c0\u03c5\u03c1\u03ae\u03bd\u03b1 \u03c4\u03bf\u03c5 \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03bf\u03c5, \u03b3\u03b9\u2019 \u03b1\u03c5\u03c4\u03cc \u03ba\u03b1\u03b9 \u03b5\u03bd\u03c4\u03ac\u03c3\u03c3\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b5\u03c5\u03c1\u03cd\u03c4\u03b5\u03c1\u03b7<br \/>\n\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1 \u03c4\u03c9\u03bd <strong>\u03b1\u03bd\u03c4\u03b9\u03c0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03ce\u03bd \u03b1\u03bd\u03c4\u03b9\u03c3\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd (ANA)<\/strong>.<\/p>\n<p>\u0397 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03c4\u03bf\u03c5\u03c2 \u03b1\u03be\u03af\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 <strong>\u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae<\/strong>. \u0394\u03b5\u03bd \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03c0\u03c1\u03bf\u03bb\u03b7\u03c0\u03c4\u03b9\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03c3\u03b5 \u03c5\u03b3\u03b9\u03ae \u03ac\u03c4\u03bf\u03bc\u03b1,<br \/>\n\u03b1\u03bb\u03bb\u03ac \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03ad\u03bd\u03b7 \u03c5\u03c0\u03bf\u03c8\u03af\u03b1 \u03b3\u03b9\u03b1 <strong>\u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03bf \u03bd\u03cc\u03c3\u03b7\u03bc\u03b1<\/strong>. \u03a3\u03c4\u03b7\u03bd \u03ba\u03b1\u03b8\u03b7\u03bc\u03b5\u03c1\u03b9\u03bd\u03ae \u03c0\u03c1\u03ac\u03be\u03b7, \u03c4\u03bf anti-RNP<br \/>\n\u03b2\u03bf\u03b7\u03b8\u03ac \u03c4\u03bf\u03bd\/\u03c4\u03b7\u03bd \u03b9\u03b1\u03c4\u03c1\u03cc \u03bd\u03b1 \u03ba\u03b1\u03c4\u03b1\u03bb\u03ac\u03b2\u03b5\u03b9 \u03b1\u03bd \u03bc\u03b9\u03b1 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03b1\u03c1\u03b8\u03c1\u03b1\u03bb\u03b3\u03b9\u03ce\u03bd, Raynaud, \u03bc\u03c5\u03ca\u03ba\u03ae\u03c2 \u03b1\u03b4\u03c5\u03bd\u03b1\u03bc\u03af\u03b1\u03c2, \u03b4\u03b5\u03c1\u03bc\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03b5\u03ba\u03b4\u03b7\u03bb\u03ce\u03c3\u03b5\u03c9\u03bd<br \/>\n\u03ae \u03c0\u03c1\u03b7\u03c3\u03bc\u03ad\u03bd\u03c9\u03bd \u03b4\u03b1\u03ba\u03c4\u03cd\u03bb\u03c9\u03bd \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03cd\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c0\u03c1\u03bf\u03c2 <strong>MCTD<\/strong>, \u03bb\u03cd\u03ba\u03bf, \u03c3\u03ba\u03bb\u03b7\u03c1\u03cc\u03b4\u03b5\u03c1\u03bc\u03b1 \u03ae \u03ac\u03bb\u03bb\u03bf \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03b5\u03c0\u03b9\u03ba\u03ac\u03bb\u03c5\u03c8\u03b7\u03c2.<\/p>\n<p>\u03a3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc \u03b5\u03af\u03bd\u03b1\u03b9 \u03bd\u03b1 \u03c4\u03bf\u03bd\u03b9\u03c3\u03c4\u03b5\u03af \u03cc\u03c4\u03b9 \u03bf \u03cc\u03c1\u03bf\u03c2 \u201canti-RNP\u201d \u03c3\u03c4\u03b7\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03c0\u03c1\u03ac\u03be\u03b7 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03c3\u03c4\u03b1<br \/>\n<strong>anti-U1-RNP<\/strong>. \u0391\u03c5\u03c4\u03ac \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b1 \u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03ad\u03c7\u03bf\u03c5\u03bd \u03c4\u03b7 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03c3\u03cd\u03bd\u03b4\u03b5\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf<br \/>\n<strong>\u039c\u03b9\u03ba\u03c4\u03cc \u039d\u03cc\u03c3\u03b7\u03bc\u03b1 \u03a3\u03c5\u03bd\u03b4\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd \u0399\u03c3\u03c4\u03bf\u03cd<\/strong>. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03b7 \u03b1\u03bd\u03af\u03c7\u03bd\u03b5\u03c5\u03c3\u03ae \u03c4\u03bf\u03c5\u03c2 \u03b4\u03b5\u03bd \u03b9\u03c3\u03bf\u03b4\u03c5\u03bd\u03b1\u03bc\u03b5\u03af \u03b1\u03c5\u03c4\u03cc\u03bc\u03b1\u03c4\u03b1 \u03bc\u03b5 \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03ad\u03bd\u03b7 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7.<br \/>\n\u03a4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03b1\u03c0\u03bf\u03ba\u03c4\u03ac \u03b1\u03be\u03af\u03b1 \u03bc\u03cc\u03bd\u03bf \u03cc\u03c4\u03b1\u03bd \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03c4\u03b5\u03af \u03bc\u03b5 \u03c4\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1, \u03c4\u03b7\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03b1<br \/>\n\u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1.<\/p>\n<div style=\"background: #f8fafc; border-left: 4px solid #b70000; border-radius: 10px; padding: 12px 14px; margin-top: 14px;\"><strong>\u03a4\u03b9 \u03bd\u03b1 \u03ba\u03c1\u03b1\u03c4\u03ae\u03c3\u03b5\u03c4\u03b5:<\/strong><br \/>\n\u03a4\u03bf anti-RNP \u03b5\u03af\u03bd\u03b1\u03b9 <strong>\u03b4\u03b5\u03af\u03ba\u03c4\u03b7\u03c2 \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03bf\u03c3\u03af\u03b1\u03c2<\/strong>, \u03cc\u03c7\u03b9 \u201c\u03c4\u03b5\u03c3\u03c4 \u03bc\u03cc\u03bd\u03bf \u03c4\u03bf\u03c5 \u03b3\u03b9\u03b1 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\u201d.<br \/>\n\u03a7\u03c1\u03b7\u03c3\u03b9\u03bc\u03b5\u03cd\u03b5\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03ae\u03b4\u03b7 <strong>\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03c5\u03c0\u03bf\u03c8\u03af\u03b1<\/strong> \u03ba\u03b1\u03b9 \u03bf\u03c1\u03b3\u03b1\u03bd\u03c9\u03bc\u03ad\u03bd\u03bf\u03c2 \u03c1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2.<\/div>\n<\/section>\n<p><!-- ==================== SECTION 2 ==================== --><\/p>\n<section id=\"section2\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">2<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a0\u03cc\u03c4\u03b5 \u03b6\u03b7\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7;<\/span><\/h2>\n<p>\u0397 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b6\u03b7\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03bf\/\u03b7 \u03b3\u03b9\u03b1\u03c4\u03c1\u03cc\u03c2 \u03c5\u03c0\u03bf\u03c8\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 <strong>\u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03c3\u03c5\u03bd\u03b4\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd \u03b9\u03c3\u03c4\u03bf\u03cd<\/strong> \u03ba\u03b1\u03b9 \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c0\u03b9\u03bf<br \/>\n\u03b5\u03be\u03b5\u03b9\u03b4\u03b9\u03ba\u03b5\u03c5\u03bc\u03ad\u03bd\u03bf \u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf. \u03a4\u03c5\u03c0\u03b9\u03ba\u03ac \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c0\u03c1\u03ce\u03c4\u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03cc\u03bd\u03b7 \u03c4\u03b7\u03c2 \u03c3\u03b5 \u03ad\u03bd\u03b1\u03bd \u03b5\u03bd\u03c4\u03b5\u03bb\u03ce\u03c2<br \/>\n\u03b1\u03c3\u03c5\u03bc\u03c0\u03c4\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc \u03ac\u03bd\u03b8\u03c1\u03c9\u03c0\u03bf, \u03b1\u03bb\u03bb\u03ac \u03ad\u03bd\u03b1 \u03b2\u03ae\u03bc\u03b1 \u03c0\u03bf\u03c5 \u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03b5\u03af \u03ae \u03c3\u03c5\u03bd\u03bf\u03b4\u03b5\u03cd\u03b5\u03b9 \u03c0\u03b9\u03bf \u03b2\u03b1\u03c3\u03b9\u03ba\u03cc \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf, \u03cc\u03c0\u03c9\u03c2 \u03c4\u03b1 ANA.<\/p>\n<p>\u03a4\u03bf anti-RNP \u03ad\u03c7\u03b5\u03b9 \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b7 \u03b8\u03ad\u03c3\u03b7 \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03c0\u03bf\u03c5 \u201c\u03bc\u03bf\u03b9\u03ac\u03b6\u03b5\u03b9 \u03bc\u03b9\u03ba\u03c4\u03ae\u201d: \u03bb\u03af\u03b3\u03bf \u03bb\u03cd\u03ba\u03bf\u03c2, \u03bb\u03af\u03b3\u03bf \u03c3\u03ba\u03bb\u03b7\u03c1\u03cc\u03b4\u03b5\u03c1\u03bc\u03b1,<br \/>\n\u03bb\u03af\u03b3\u03bf \u03bc\u03c5\u03bf\u03c3\u03af\u03c4\u03b9\u03b4\u03b1, \u03bc\u03b5 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03b1\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03b9\u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03bf\u03bd\u03c4\u03b1\u03b9. \u03a3\u03b5 \u03b1\u03c5\u03c4\u03ad\u03c2 \u03c4\u03b9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03bf\/\u03b7 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc\u03c2 \u03b1\u03bd\u03b1\u03b6\u03b7\u03c4\u03ac<br \/>\n\u03b4\u03b5\u03af\u03ba\u03c4\u03b5\u03c2 \u03c0\u03bf\u03c5 \u03b8\u03b1 \u03b2\u03bf\u03b7\u03b8\u03ae\u03c3\u03bf\u03c5\u03bd \u03bd\u03b1 \u03be\u03b5\u03ba\u03b1\u03b8\u03b1\u03c1\u03af\u03c3\u03b5\u03b9 \u03b1\u03bd \u03bc\u03b9\u03bb\u03ac\u03bc\u03b5 \u03b3\u03b9\u03b1 <strong>MCTD<\/strong>, \u03b3\u03b9\u03b1 \u03ac\u03bb\u03bb\u03bf \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03ad\u03bd\u03bf \u03c1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03bd\u03cc\u03c3\u03b7\u03bc\u03b1<br \/>\n\u03ae \u03b3\u03b9\u03b1 \u03ad\u03bd\u03b1 \u03c0\u03c1\u03ce\u03b9\u03bc\u03bf\/\u03b1\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03bf \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03bf \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf.<\/p>\n<ul style=\"margin: 0 0 12px 20px; padding: 0;\">\n<li>\u038c\u03c4\u03b1\u03bd \u03c4\u03b1 <strong>ANA \u03b5\u03af\u03bd\u03b1\u03b9 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac<\/strong> \u03ba\u03b1\u03b9 \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b5\u03c1\u03b7 \u03c7\u03b1\u03c1\u03c4\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03c4\u03b9\u03c3\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd.<\/li>\n<li>\u038c\u03c4\u03b1\u03bd \u03c3\u03c5\u03bd\u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03cc\u03c0\u03c9\u03c2 <strong>Raynaud, \u03b1\u03c1\u03b8\u03c1\u03b1\u03bb\u03b3\u03af\u03b5\u03c2, \u03bc\u03c5\u03ca\u03ba\u03ae \u03b1\u03b4\u03c5\u03bd\u03b1\u03bc\u03af\u03b1, \u03c0\u03c1\u03b7\u03c3\u03bc\u03ad\u03bd\u03b1 \u03b4\u03ac\u03ba\u03c4\u03c5\u03bb\u03b1, \u03b4\u03cd\u03c3\u03c0\u03bd\u03bf\u03b9\u03b1<\/strong>.<\/li>\n<li>\u038c\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03c5\u03c0\u03bf\u03c8\u03af\u03b1 <strong>\u039c\u03b9\u03ba\u03c4\u03bf\u03cd \u039d\u03bf\u03c3\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03a3\u03c5\u03bd\u03b4\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd \u0399\u03c3\u03c4\u03bf\u03cd<\/strong>.<\/li>\n<li>\u038c\u03c4\u03b1\u03bd \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b3\u03af\u03bd\u03b5\u03b9 <strong>\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7<\/strong> \u03b1\u03bd\u03ac\u03bc\u03b5\u03c3\u03b1 \u03c3\u03b5 \u03a3\u0395\u039b, \u03c3\u03ba\u03bb\u03b7\u03c1\u03cc\u03b4\u03b5\u03c1\u03bc\u03b1, Sj\u00f6gren, \u03bc\u03c5\u03bf\u03c3\u03af\u03c4\u03b9\u03b4\u03b1 \u03ae overlap syndrome.<\/li>\n<li>\u038c\u03c4\u03b1\u03bd \u03bf\/\u03b7 \u03b9\u03b1\u03c4\u03c1\u03cc\u03c2 \u03b8\u03ad\u03bb\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03cd\u03c3\u03b5\u03b9 \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b1 \u03ad\u03bd\u03b1 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc \u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03c0\u03c1\u03bf\u03c6\u03af\u03bb \u03c3\u03b5 \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03bc\u03b5 \u03c4\u03bf \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc.<\/li>\n<\/ul>\n<p>\u03a3\u03c4\u03b7\u03bd \u03c0\u03c1\u03ac\u03be\u03b7, \u03b7 \u03c3\u03c9\u03c3\u03c4\u03ae \u03b5\u03c1\u03ce\u03c4\u03b7\u03c3\u03b7 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u201c\u03bd\u03b1 \u03ba\u03ac\u03bd\u03c9 anti-RNP \u03b1\u03c0\u03cc \u03bc\u03cc\u03bd\u03bf\u03c2\/\u03b7 \u03bc\u03bf\u03c5;\u201d \u03b1\u03bb\u03bb\u03ac<br \/>\n<strong>\u201c\u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc\u03c2 \u03bb\u03cc\u03b3\u03bf\u03c2 \u03bd\u03b1 \u03bc\u03c0\u03b5\u03b9 \u03c3\u03c4\u03bf \u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03bc\u03bf\u03c5 panel;\u201d<\/strong>. \u0391\u03c5\u03c4\u03cc \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03c5 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c4\u03b7 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1<br \/>\n\u03c4\u03b7\u03c2 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c6\u03b5\u03cd\u03b3\u03b5\u03b9 \u03c4\u03c5\u03c7\u03b1\u03af\u03b1, \u03b4\u03cd\u03c3\u03ba\u03bf\u03bb\u03b1 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03cd\u03c3\u03b9\u03bc\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1.<\/p>\n<\/section>\n<p><!-- ==================== SECTION 3 ==================== --><\/p>\n<section id=\"section3\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">3<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a0\u03bf\u03b9\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03b2\u03ac\u03b6\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c5\u03c0\u03bf\u03c8\u03af\u03b1;<\/span><\/h2>\n<p>\u03a4\u03b1 anti-RNP \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03b6\u03b7\u03c4\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03ad\u03bd\u03b1 <strong>\u03c3\u03cd\u03bd\u03bf\u03bb\u03bf \u03c3\u03c5\u03bc\u03c0\u03c4\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd<\/strong> \u03c0\u03bf\u03c5 \u03b8\u03c5\u03bc\u03af\u03b6\u03b5\u03b9 \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc<br \/>\n\u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03bf \u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03cc\u03c7\u03b9 \u03b5\u03c0\u03b5\u03b9\u03b4\u03ae \u03ba\u03ac\u03c0\u03bf\u03b9\u03bf\u03c2 \u03b5\u03af\u03c7\u03b5 \u03b1\u03c0\u03bb\u03ce\u03c2 \u03bc\u03af\u03b1 \u03bc\u03b5\u03bc\u03bf\u03bd\u03c9\u03bc\u03ad\u03bd\u03b7 \u03b5\u03bd\u03cc\u03c7\u03bb\u03b7\u03c3\u03b7. \u03a4\u03bf \u03c0\u03c1\u03bf\u03c6\u03af\u03bb \u03c0\u03bf\u03c5 \u03ba\u03b9\u03bd\u03b7\u03c4\u03bf\u03c0\u03bf\u03b9\u03b5\u03af<br \/>\n\u03c4\u03bf\u03bd \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03c7\u03bd\u03ac \u201c\u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03c4\u03b9\u03ba\u03cc\u201d.<\/p>\n<p>\u03a4\u03b1 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03bf\u03b4\u03b7\u03b3\u03bf\u03cd\u03bd \u03c3\u03b5 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf \u03b5\u03af\u03bd\u03b1\u03b9:<\/p>\n<ul style=\"margin: 0 0 12px 20px; padding: 0;\">\n<li><strong>Raynaud<\/strong> (\u03ac\u03c3\u03c0\u03c1\u03b1\/\u03bc\u03c9\u03b2 \u03b4\u03ac\u03ba\u03c4\u03c5\u03bb\u03b1 \u03c3\u03c4\u03bf \u03ba\u03c1\u03cd\u03bf \u03ae \u03c3\u03c4\u03bf \u03c3\u03c4\u03c1\u03b5\u03c2).<\/li>\n<li><strong>\u03a0\u03c1\u03b7\u03c3\u03bc\u03ad\u03bd\u03b1 \u03b4\u03ac\u03ba\u03c4\u03c5\u03bb\u03b1<\/strong> \u03ae \u03b1\u03af\u03c3\u03b8\u03b7\u03bc\u03b1 \u201c\u03c3\u03c6\u03b9\u03be\u03af\u03bc\u03b1\u03c4\u03bf\u03c2\u201d \u03c3\u03c4\u03b1 \u03c7\u03ad\u03c1\u03b9\u03b1.<\/li>\n<li><strong>\u0391\u03c1\u03b8\u03c1\u03b1\u03bb\u03b3\u03af\u03b5\u03c2 \u03ae \u03b1\u03c1\u03b8\u03c1\u03af\u03c4\u03b9\u03b4\u03b1<\/strong>, \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03cc\u03c4\u03b1\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03c1\u03b9\u03ba\u03ad\u03c2 \u03ae \u03b5\u03c0\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5\u03bd.<\/li>\n<li><strong>\u039c\u03c5\u03b1\u03bb\u03b3\u03af\u03b5\u03c2 \u03ae \u03bc\u03c5\u03ca\u03ba\u03ae \u03b1\u03b4\u03c5\u03bd\u03b1\u03bc\u03af\u03b1<\/strong>, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03c3\u03b5 \u03ce\u03bc\u03bf\u03c5\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b7\u03c1\u03bf\u03cd\u03c2.<\/li>\n<li><strong>\u039a\u03cc\u03c0\u03c9\u03c3\u03b7<\/strong> \u03c0\u03bf\u03c5 \u03b4\u03b5\u03bd \u03b5\u03be\u03b7\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03cd\u03ba\u03bf\u03bb\u03b1 \u03b1\u03c0\u03cc \u03ac\u03bb\u03bb\u03b7 \u03b1\u03b9\u03c4\u03af\u03b1.<\/li>\n<li><strong>\u039e\u03b7\u03c1\u03bf\u03c3\u03c4\u03bf\u03bc\u03af\u03b1\/\u03be\u03b7\u03c1\u03bf\u03c6\u03b8\u03b1\u03bb\u03bc\u03af\u03b1<\/strong> \u03ae \u03ac\u03bb\u03bb\u03b1 \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03b1 Sj\u00f6gren.<\/li>\n<li><strong>\u0394\u03b5\u03c1\u03bc\u03b1\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b5\u03ba\u03b4\u03b7\u03bb\u03ce\u03c3\u03b5\u03b9\u03c2<\/strong>, \u03c6\u03c9\u03c4\u03bf\u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03ae \u03b5\u03be\u03b1\u03bd\u03b8\u03ae\u03bc\u03b1\u03c4\u03b1.<\/li>\n<li><strong>\u0394\u03cd\u03c3\u03c0\u03bd\u03bf\u03b9\u03b1<\/strong>, \u03b2\u03ae\u03c7\u03b1\u03c2 \u03ae \u03b1\u03bd\u03c4\u03bf\u03c7\u03ae \u03c0\u03bf\u03c5 \u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c7\u03c9\u03c1\u03af\u03c2 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ae \u03b1\u03b9\u03c4\u03af\u03b1.<\/li>\n<li><strong>\u039f\u03b9\u03c3\u03bf\u03c6\u03b1\u03b3\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03ba\u03b9\u03bd\u03b7\u03c3\u03af\u03b1<\/strong>, \u03b1\u03af\u03c3\u03b8\u03b7\u03bc\u03b1 \u03cc\u03c4\u03b9 \u03b7 \u03c4\u03c1\u03bf\u03c6\u03ae \u201c\u03ba\u03bf\u03bb\u03bb\u03ac\u03b5\u03b9\u201d, \u03ba\u03b1\u03bf\u03cd\u03c1\u03b5\u03c2 \u03ae \u03b4\u03c5\u03c3\u03ba\u03b1\u03c4\u03b1\u03c0\u03bf\u03c3\u03af\u03b1.<\/li>\n<\/ul>\n<p>\u0395\u03ba\u03b5\u03af \u03c0\u03bf\u03c5 \u03c4\u03bf anti-RNP \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c7\u03c1\u03ae\u03c3\u03b9\u03bc\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03bf\/\u03b7 \u03b3\u03b9\u03b1\u03c4\u03c1\u03cc\u03c2 \u03b2\u03bb\u03ad\u03c0\u03b5\u03b9 \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03b1 \u03b1\u03c0\u03cc<br \/>\n<strong>\u03c0\u03ac\u03bd\u03c9 \u03b1\u03c0\u03cc \u03ad\u03bd\u03b1 \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03bf \u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03c4\u03b1\u03c5\u03c4\u03cc\u03c7\u03c1\u03bf\u03bd\u03b1<\/strong>. \u0393\u03b9\u03b1 \u03c0\u03b1\u03c1\u03ac\u03b4\u03b5\u03b9\u03b3\u03bc\u03b1, \u03ba\u03ac\u03c0\u03bf\u03b9\u03bf\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03ad\u03c7\u03b5\u03b9 Raynaud \u03c3\u03b1\u03bd \u03c3\u03ba\u03bb\u03b7\u03c1\u03cc\u03b4\u03b5\u03c1\u03bc\u03b1,<br \/>\n\u03b1\u03c1\u03b8\u03c1\u03b1\u03bb\u03b3\u03af\u03b5\u03c2 \u03c3\u03b1\u03bd \u03bb\u03cd\u03ba\u03bf \u03ba\u03b1\u03b9 \u03bc\u03c5\u03b1\u03bb\u03b3\u03af\u03b5\u03c2 \u03c3\u03b1\u03bd \u03bc\u03c5\u03bf\u03c3\u03af\u03c4\u03b9\u03b4\u03b1. \u0391\u03c5\u03c4\u03ae \u03b7 \u201c\u03bc\u03b9\u03ba\u03c4\u03ae\u201d \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bf \u03bb\u03cc\u03b3\u03bf\u03c2 \u03c0\u03bf\u03c5 \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03c3\u03c5\u03b6\u03b7\u03c4\u03b5\u03af\u03c4\u03b1\u03b9<br \/>\n\u03c4\u03cc\u03c3\u03bf \u03c3\u03c5\u03c7\u03bd\u03ac \u03c3\u03c4\u03bf \u03c0\u03bb\u03b1\u03af\u03c3\u03b9\u03bf MCTD.<\/p>\n<div style=\"background: #f8fafc; border-left: 4px solid #2563eb; border-radius: 10px; padding: 12px 14px; margin-top: 14px;\"><strong style=\"color: #1d4ed8;\">\u039a\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03bf\u03c5\u03c3\u03af\u03b1:<\/strong><br \/>\n\u038c\u03c3\u03bf \u03c0\u03b9\u03bf \u03c3\u03c5\u03bc\u03b2\u03b1\u03c4\u03ae \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1, \u03c4\u03cc\u03c3\u03bf \u03c0\u03b9\u03bf \u03c7\u03c1\u03ae\u03c3\u03b9\u03bc\u03b7 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7.<br \/>\n\u0388\u03bd\u03b1 anti-RNP \u03ad\u03be\u03c9 \u03b1\u03c0\u03cc \u03c3\u03c9\u03c3\u03c4\u03cc \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03c0\u03bb\u03b1\u03af\u03c3\u03b9\u03bf \u03ad\u03c7\u03b5\u03b9 \u03c0\u03bf\u03bb\u03cd \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7 \u03c0\u03c1\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1.<\/div>\n<\/section>\n<p><!-- ==================== SECTION 4 ==================== --><\/p>\n<section id=\"section4\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">4<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a0\u03ce\u03c2 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7;<\/span><\/h2>\n<p>\u0397 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 <strong>\u03b1\u03c0\u03bb\u03ae \u03b1\u03b9\u03bc\u03bf\u03bb\u03b7\u03c8\u03af\u03b1<\/strong> \u03ba\u03b1\u03b9 \u03c4\u03bf \u03c5\u03bb\u03b9\u03ba\u03cc \u03c0\u03bf\u03c5 \u03b1\u03bd\u03b1\u03bb\u03cd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bf <strong>\u03bf\u03c1\u03cc\u03c2<\/strong> \u03c4\u03bf\u03c5 \u03b1\u03af\u03bc\u03b1\u03c4\u03bf\u03c2.<br \/>\n\u0394\u03b5\u03bd \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b4\u03cd\u03c3\u03ba\u03bf\u03bb\u03b7 \u03ae \u03b5\u03c0\u03ce\u03b4\u03c5\u03bd\u03b7 \u03b4\u03b9\u03b1\u03b4\u03b9\u03ba\u03b1\u03c3\u03af\u03b1 \u03c0\u03ad\u03c1\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c3\u03c5\u03bd\u03b7\u03b8\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03c4\u03c3\u03af\u03bc\u03c0\u03b7\u03bc\u03b1 \u03c4\u03b7\u03c2 \u03c6\u03bb\u03ad\u03b2\u03b1\u03c2. \u03a4\u03bf \u03b4\u03b5\u03af\u03b3\u03bc\u03b1<br \/>\n\u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf \u03cc\u03c0\u03bf\u03c5 \u03bc\u03b5\u03c4\u03c1\u03ac\u03c4\u03b1\u03b9 \u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03b1\u03bd\u03c4\u03b9\u03c3\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u03c4\u03bf\u03c5 U1-RNP.<\/p>\n<p>\u0391\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf, \u03b7 \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ae \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 <strong>ELISA<\/strong>, <strong>multiplex immunoassay<\/strong>,<br \/>\n<strong>immunoblot<\/strong> \u03ae \u03ac\u03bb\u03bb\u03b7 \u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf\u03c2. \u0391\u03c5\u03c4\u03cc \u03ad\u03c7\u03b5\u03b9 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1 \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd\/\u03c4\u03b7\u03bd \u03b9\u03b1\u03c4\u03c1\u03cc \u03ba\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf,<br \/>\n\u03b3\u03b9\u03b1\u03c4\u03af \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf\u03b9 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03ad\u03c7\u03bf\u03c5\u03bd \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03cc \u03c4\u03c1\u03cc\u03c0\u03bf \u03b1\u03bd\u03b1\u03c6\u03bf\u03c1\u03ac\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03bf\u03c2<br \/>\n(\u03c0.\u03c7. \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc\/\u03bf\u03c1\u03b9\u03b1\u03ba\u03cc\/\u03b8\u03b5\u03c4\u03b9\u03ba\u03cc \u03ae \u03b1\u03c1\u03b9\u03b8\u03bc\u03b7\u03c4\u03b9\u03ba\u03ae \u03c4\u03b9\u03bc\u03ae \u03bc\u03b5 \u03cc\u03c1\u03b9\u03bf \u03b1\u03bd\u03b1\u03c6\u03bf\u03c1\u03ac\u03c2).<\/p>\n<p>\u03a3\u03c5\u03c7\u03bd\u03ac \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b4\u03b5\u03bd \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03bf\u03bc\u03bf\u03bd\u03c9\u03bc\u03ad\u03bd\u03b1 \u03b1\u03bb\u03bb\u03ac \u03c9\u03c2 \u03bc\u03ad\u03c1\u03bf\u03c2 \u03b5\u03bd\u03cc\u03c2 <strong>ENA panel<\/strong> \u03ae \u03b3\u03b5\u03bd\u03b9\u03ba\u03cc\u03c4\u03b5\u03c1\u03bf\u03c5 \u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03bf\u03cd<br \/>\n\u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5. \u0388\u03c4\u03c3\u03b9, \u03c3\u03c4\u03bf \u03af\u03b4\u03b9\u03bf \u03b4\u03b5\u03af\u03b3\u03bc\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b6\u03b7\u03c4\u03b7\u03b8\u03bf\u03cd\u03bd \u03ba\u03b1\u03b9 \u03ac\u03bb\u03bb\u03b1 \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 \u03cc\u03c0\u03c9\u03c2<br \/>\n<strong>Sm, SSA\/Ro, SSB\/La, Scl-70, Jo-1, dsDNA<\/strong>, \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03bf \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03b5\u03c1\u03ce\u03c4\u03b7\u03bc\u03b1.<\/p>\n<p>\u039f \u03c7\u03c1\u03cc\u03bd\u03bf\u03c2 \u03ad\u03ba\u03b4\u03bf\u03c3\u03b7\u03c2 \u03b4\u03b9\u03b1\u03c6\u03ad\u03c1\u03b5\u03b9 \u03b1\u03c0\u03cc \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf \u03c3\u03b5 \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf. \u03a4\u03bf \u03c0\u03b9\u03bf \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc \u03cc\u03bc\u03c9\u03c2 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c4\u03bf \u03c0\u03cc\u03c3\u03bf \u03b3\u03c1\u03ae\u03b3\u03bf\u03c1\u03b1<br \/>\n\u03b2\u03b3\u03b1\u03af\u03bd\u03b5\u03b9 \u03b7 \u03b1\u03c0\u03ac\u03bd\u03c4\u03b7\u03c3\u03b7, \u03b1\u03bb\u03bb\u03ac \u03c4\u03bf \u03bd\u03b1 \u03b5\u03bd\u03c4\u03b1\u03c7\u03b8\u03b5\u03af \u03c3\u03c9\u03c3\u03c4\u03ac \u03c3\u03c4\u03b7\u03bd \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7. \u03a3\u03c4\u03b1 \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03b1,<br \/>\n\u03b7 <strong>\u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1\u03c2<\/strong> \u03ad\u03c7\u03b5\u03b9 \u03c3\u03c5\u03c7\u03bd\u03ac \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b1\u03c0\u03bb\u03ae \u03cd\u03c0\u03b1\u03c1\u03be\u03b7 \u03b5\u03bd\u03cc\u03c2 \u03b1\u03c1\u03b9\u03b8\u03bc\u03bf\u03cd.<\/p>\n<\/section>\n<p><!-- ==================== SECTION 5 ==================== --><\/p>\n<section id=\"section5\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">5<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a0\u03c1\u03bf\u03b5\u03c4\u03bf\u03b9\u03bc\u03b1\u03c3\u03af\u03b1 \u03c0\u03c1\u03b9\u03bd \u03c4\u03b7\u03bd \u03b1\u03b9\u03bc\u03bf\u03bb\u03b7\u03c8\u03af\u03b1<\/span><\/h2>\n<p>\u03a3\u03c4\u03b9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 <strong>\u03b4\u03b5\u03bd \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b7\u03c3\u03c4\u03b5\u03af\u03b1<\/strong>. \u03a0\u03b1\u03c1\u2019 \u03cc\u03bb\u03b1 \u03b1\u03c5\u03c4\u03ac, \u03b7 \u03c3\u03c9\u03c3\u03c4\u03ae \u03c0\u03c1\u03bf\u03b5\u03c4\u03bf\u03b9\u03bc\u03b1\u03c3\u03af\u03b1 \u03b2\u03bf\u03b7\u03b8\u03ac<br \/>\n\u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03bd\u03b1 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03c4\u03b5\u03af \u03bc\u03b5 \u03b1\u03c3\u03c6\u03ac\u03bb\u03b5\u03b9\u03b1 \u03ba\u03b1\u03b9 \u03c7\u03c9\u03c1\u03af\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c4\u03c4\u03ad\u03c2 \u03c0\u03b1\u03c1\u03b1\u03bd\u03bf\u03ae\u03c3\u03b5\u03b9\u03c2.<\/p>\n<ul style=\"margin: 0 0 12px 20px; padding: 0;\">\n<li>\u0395\u03bd\u03b7\u03bc\u03b5\u03c1\u03ce\u03c3\u03c4\u03b5 \u03b3\u03b9\u03b1 <strong>\u03cc\u03bb\u03b1 \u03c4\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1<\/strong> \u03c0\u03bf\u03c5 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b5, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03ba\u03bf\u03c1\u03c4\u03b9\u03b6\u03cc\u03bd\u03b7, \u03b1\u03bd\u03bf\u03c3\u03bf\u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03b1\u03bb\u03c4\u03b9\u03ba\u03ac \u03ae \u03b2\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03bf\u03cd\u03c2 \u03c0\u03b1\u03c1\u03ac\u03b3\u03bf\u03bd\u03c4\u03b5\u03c2.<\/li>\n<li>\u0391\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03c4\u03b5 \u03b1\u03bd \u03b5\u03af\u03c7\u03b1\u03c4\u03b5 <strong>\u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b7 \u03bb\u03bf\u03af\u03bc\u03c9\u03be\u03b7<\/strong>, \u03b5\u03bc\u03b2\u03bf\u03bb\u03b9\u03b1\u03c3\u03bc\u03cc \u03ae \u03ad\u03bd\u03c4\u03bf\u03bd\u03b7 \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ce\u03b4\u03b7 \u03ad\u03be\u03b1\u03c1\u03c3\u03b7.<\/li>\n<li>\u0391\u03bd \u03b3\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03bc\u03b1\u03b6\u03af, \u03c1\u03c9\u03c4\u03ae\u03c3\u03c4\u03b5 \u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03bf\u03b4\u03b7\u03b3\u03af\u03b1 \u03b3\u03b9\u03b1 <strong>\u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03ad\u03bd\u03bf panel<\/strong>.<\/li>\n<li>\u03a0\u03c1\u03bf\u03c3\u03c0\u03b1\u03b8\u03ae\u03c3\u03c4\u03b5 \u03bd\u03b1 \u03ad\u03c7\u03b5\u03c4\u03b5 \u03bc\u03b1\u03b6\u03af \u03c3\u03b1\u03c2 \u03c0\u03b1\u03bb\u03b9\u03ad\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 <strong>ANA\/ENA<\/strong> \u03b3\u03b9\u03b1 \u03c3\u03c9\u03c3\u03c4\u03ae \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7.<\/li>\n<li>\u0391\u03bd \u03bf\/\u03b7 \u03b3\u03b9\u03b1\u03c4\u03c1\u03cc\u03c2 \u03b6\u03b7\u03c4\u03ac \u03c4\u03b1\u03c5\u03c4\u03cc\u03c7\u03c1\u03bf\u03bd\u03b1 CPK, \u03a4\u039a\u0395, CRP, C3\/C4 \u03ae \u03b3\u03b5\u03bd\u03b9\u03ba\u03ae \u03b1\u03af\u03bc\u03b1\u03c4\u03bf\u03c2, \u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03ae\u03c3\u03c4\u03b5 \u03c4\u03bf \u03c0\u03bb\u03ae\u03c1\u03b5\u03c2 \u03c0\u03bb\u03ac\u03bd\u03bf \u03c0\u03bf\u03c5 \u03c3\u03b1\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03b4\u03bf\u03b8\u03b5\u03af.<\/li>\n<\/ul>\n<p>\u0397 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b1\u03c5\u03c4\u03ae \u03b4\u03b5\u03bd \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c4\u03c5\u03c0\u03b9\u03ba\u03ac \u03b1\u03c0\u03cc \u03c4\u03bf \u03b1\u03bd \u03c6\u03ac\u03b3\u03b1\u03c4\u03b5 \u03c0\u03c1\u03c9\u03b9\u03bd\u03cc \u03ae \u03cc\u03c7\u03b9, \u03cc\u03bc\u03c9\u03c2 \u03c4\u03bf <strong>\u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc<\/strong> \u03ba\u03b1\u03b9 \u03c4\u03bf<br \/>\n<strong>\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc context<\/strong> \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03c1\u03af\u03c3\u03b9\u03bc\u03b1. \u03a3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c0\u03bf\u03c5 \u03ae\u03b4\u03b7 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b3\u03bd\u03c9\u03c3\u03c4\u03cc \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03bf,<br \/>\n\u03b7 \u03c0\u03bb\u03b7\u03c1\u03bf\u03c6\u03bf\u03c1\u03af\u03b1 \u201c\u03b2\u03c1\u03af\u03c3\u03ba\u03bf\u03bc\u03b1\u03b9 \u03c3\u03b5 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\u201d, \u201c\u03b5\u03af\u03c7\u03b1 flare\u201d, \u201c\u03ac\u03bb\u03bb\u03b1\u03be\u03b1 \u03b1\u03b3\u03c9\u03b3\u03ae\u201d \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c0\u03b9\u03bf \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae<br \/>\n\u03b1\u03c0\u03cc \u03bf\u03c0\u03bf\u03b9\u03b1\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03bf\u03b4\u03b7\u03b3\u03af\u03b1 \u03bd\u03b7\u03c3\u03c4\u03b5\u03af\u03b1\u03c2.<\/p>\n<div style=\"background: #fff7ed; border-left: 4px solid #ea580c; border-radius: 10px; padding: 12px 14px; margin-top: 14px;\"><strong>\u03a0\u03c1\u03b1\u03ba\u03c4\u03b9\u03ba\u03ac:<\/strong><br \/>\n\u039c\u03b7\u03bd \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03af\u03b6\u03b5\u03c4\u03b5 \u03c4\u03bf anti-RNP \u03c3\u03b1\u03bd \u03b1\u03c0\u03bb\u03ae \u201c\u03bc\u03bf\u03bd\u03ae\u201d \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b1\u03af\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a0\u03ac\u03c1\u03c4\u03b5 \u03bc\u03b1\u03b6\u03af \u03c3\u03b1\u03c2 \u03c0\u03b1\u03bb\u03b9\u03ad\u03c2 \u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2<br \/>\n\u03ba\u03b1\u03b9 \u03b5\u03bd\u03b7\u03bc\u03b5\u03c1\u03ce\u03c3\u03c4\u03b5 \u03b3\u03b9\u03b1 \u03cc\u03bb\u03bf \u03c4\u03bf \u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03cc \u03c3\u03b1\u03c2 \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc, \u03b3\u03b9\u03b1\u03c4\u03af \u03b1\u03c5\u03c4\u03cc \u03c3\u03c5\u03c7\u03bd\u03ac \u03b1\u03bb\u03bb\u03ac\u03b6\u03b5\u03b9 \u03bf\u03c5\u03c3\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03ac \u03c4\u03b7\u03bd \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1.<\/div>\n<\/section>\n<p><!-- ==================== SECTION 6 ==================== --><\/p>\n<section id=\"section6\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">6<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">Anti-RNP \u03ba\u03b1\u03b9 ANA: \u03c0\u03bf\u03b9\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c3\u03c7\u03ad\u03c3\u03b7;<\/span><\/h2>\n<p>\u0397 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ac\u03bc\u03b5\u03c3\u03b7: \u03c4\u03b1 anti-RNP \u03b1\u03bd\u03ae\u03ba\u03bf\u03c5\u03bd \u03c3\u03c4\u03b7\u03bd \u03bf\u03b9\u03ba\u03bf\u03b3\u03ad\u03bd\u03b5\u03b9\u03b1 \u03c4\u03c9\u03bd <strong>\u03b1\u03bd\u03c4\u03b9\u03c0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03ce\u03bd \u03b1\u03bd\u03c4\u03b9\u03c3\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd<\/strong>.<br \/>\n\u03a3\u03c4\u03b7\u03bd \u03ba\u03b1\u03b8\u03b7\u03bc\u03b5\u03c1\u03b9\u03bd\u03ae \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7, \u03c4\u03b1 <strong>ANA<\/strong> \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03c4\u03bf <strong>screening test<\/strong>, \u03b5\u03bd\u03ce \u03c4\u03bf anti-RNP \u03b5\u03af\u03bd\u03b1\u03b9<br \/>\n\u03b7 \u03c0\u03b9\u03bf <strong>\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03c5\u03c0\u03bf\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1<\/strong> \u03c0\u03bf\u03c5 \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03c4\u03bf screening \u03ba\u03b1\u03b9 \u03b7 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03c4\u03bf \u03b4\u03b9\u03ba\u03b1\u03b9\u03bf\u03bb\u03bf\u03b3\u03bf\u03cd\u03bd.<\/p>\n<p>\u0391\u03c5\u03c4\u03cc \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03cc\u03c4\u03b9 \u03cc\u03c4\u03b1\u03bd \u03ba\u03ac\u03c0\u03bf\u03b9\u03bf\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03cd\u03c0\u03bf\u03c0\u03c4\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1, \u03bf\/\u03b7 \u03b3\u03b9\u03b1\u03c4\u03c1\u03cc\u03c2 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03be\u03b5\u03ba\u03b9\u03bd\u03ac \u03bc\u03b5 ANA \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1,<br \/>\n\u03b1\u03bd \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03bf \u03c0\u03c1\u03cc\u03c4\u03c5\u03c0\u03bf \u03c4\u03bf \u03c5\u03c0\u03bf\u03c3\u03c4\u03b7\u03c1\u03af\u03b6\u03bf\u03c5\u03bd, \u03c0\u03c1\u03bf\u03c7\u03c9\u03c1\u03ac \u03c3\u03b5 \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1.<br \/>\n\u0393\u03b9\u2019 \u03b1\u03c5\u03c4\u03cc \u03bf \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 anti-RNP \u03ad\u03c7\u03b5\u03b9 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03ae\u03b4\u03b7<br \/>\n<strong>\u03b8\u03b5\u03c4\u03b9\u03ba\u03cc ANA<\/strong> \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bc\u03b2\u03b1\u03c4\u03cc \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc.<\/p>\n<p>\u03a0\u03bf\u03bb\u03cd \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc: \u03ad\u03bd\u03b1 <strong>\u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc ANA<\/strong> \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03b9 \u03b1\u03c1\u03ba\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 anti-RNP.<br \/>\n\u0391\u03c0\u03cc \u03c4\u03b7\u03bd \u03ac\u03bb\u03bb\u03b7, \u03ad\u03bd\u03b1 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc ANA <em>\u03b4\u03b5\u03bd \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03b1\u03c0\u03cc \u03bc\u03cc\u03bd\u03bf \u03c4\u03bf\u03c5 \u03bd\u03cc\u03c3\u03bf<\/em>, \u03b3\u03b9\u03b1\u03c4\u03af ANA \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b2\u03c1\u03b5\u03b8\u03bf\u03cd\u03bd \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03ac\u03bb\u03bb\u03b5\u03c2<br \/>\n\u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03ae \u03b1\u03ba\u03cc\u03bc\u03b7 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03bc\u03b9\u03ba\u03c1\u03cc \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03c5\u03b3\u03b9\u03ce\u03bd \u03b1\u03c4\u03cc\u03bc\u03c9\u03bd. \u0395\u03ba\u03b5\u03af \u03b1\u03ba\u03c1\u03b9\u03b2\u03ce\u03c2 \u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03c4\u03bf anti-RNP \u03bd\u03b1 \u201c\u03bb\u03b5\u03c0\u03c4\u03cd\u03bd\u03b5\u03b9\u201d<br \/>\n\u03c4\u03b7 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03c0\u03bb\u03b7\u03c1\u03bf\u03c6\u03bf\u03c1\u03af\u03b1.<\/p>\n<p>\u03a3\u03c4\u03bf\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae, \u03b1\u03c5\u03c4\u03cc \u03bc\u03b5\u03c4\u03b1\u03c6\u03c1\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03ba\u03ac\u03c4\u03b9 \u03b1\u03c0\u03bb\u03cc:<br \/>\n<strong>\u03c4\u03bf ANA \u03b1\u03bd\u03bf\u03af\u03b3\u03b5\u03b9 \u03c4\u03b7\u03bd \u03c0\u03cc\u03c1\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7\u03c2, \u03b1\u03bb\u03bb\u03ac \u03c4\u03bf anti-RNP \u03b2\u03bf\u03b7\u03b8\u03ac \u03bd\u03b1 \u03b4\u03bf\u03cd\u03bc\u03b5 \u03c0\u03c1\u03bf\u03c2 \u03c0\u03bf\u03b9\u03bf \u03b4\u03c9\u03bc\u03ac\u03c4\u03b9\u03bf \u03c0\u03b7\u03b3\u03b1\u03af\u03bd\u03bf\u03c5\u03bc\u03b5<\/strong>.<\/p>\n<\/section>\n<p><!-- ==================== SECTION 7 ==================== --><\/p>\n<section id=\"section7\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">7<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a4\u03b9 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03ad\u03c7\u03bf\u03c5\u03bd \u03bc\u03b5 \u03c4\u03bf MCTD;<\/span><\/h2>\n<p>\u0397 \u03b9\u03c3\u03c7\u03c5\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03c3\u03cd\u03bd\u03b4\u03b5\u03c3\u03b7 \u03c4\u03c9\u03bd anti-RNP \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03bf <strong>\u039c\u03b9\u03ba\u03c4\u03cc \u039d\u03cc\u03c3\u03b7\u03bc\u03b1 \u03a3\u03c5\u03bd\u03b4\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd \u0399\u03c3\u03c4\u03bf\u03cd (MCTD)<\/strong>.<br \/>\n\u03a0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03ad\u03bd\u03b1 \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03bf \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03c3\u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03c3\u03c5\u03bd\u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03b1\u03c0\u03cc \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b1 \u03c4\u03bf\u03c5 \u03b5\u03bd\u03cc\u03c2<br \/>\n\u03c1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03bd\u03bf\u03c3\u03ae\u03bc\u03b1\u03c4\u03b1, \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03b1\u03c0\u03cc <strong>\u03bb\u03cd\u03ba\u03bf, \u03c3\u03ba\u03bb\u03b7\u03c1\u03cc\u03b4\u03b5\u03c1\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03bc\u03c5\u03bf\u03c3\u03af\u03c4\u03b9\u03b4\u03b1<\/strong>.<\/p>\n<p>\u03a3\u03b5 \u03b1\u03c5\u03c4\u03ae \u03c4\u03b7 \u03bd\u03cc\u03c3\u03bf, \u03c4\u03b1 anti-U1-RNP \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03bf\u03cd\u03bd <strong>\u03ba\u03b5\u03bd\u03c4\u03c1\u03b9\u03ba\u03cc \u03bf\u03c1\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1<\/strong>. \u0391\u03c5\u03c4\u03cc \u03b4\u03b5\u03bd \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03cc\u03c4\u03b9 \u03cc\u03c0\u03bf\u03b9\u03bf\u03c2 \u03ad\u03c7\u03b5\u03b9<br \/>\nanti-RNP \u03ad\u03c7\u03b5\u03b9 \u03c5\u03c0\u03bf\u03c7\u03c1\u03b5\u03c9\u03c4\u03b9\u03ba\u03ac MCTD, \u03b1\u03bb\u03bb\u03ac \u03cc\u03c4\u03b9 <strong>\u03c7\u03c9\u03c1\u03af\u03c2 \u03c3\u03c5\u03bc\u03b2\u03b1\u03c4\u03cc anti-U1-RNP \u03c4\u03bf MCTD \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc<\/strong>.<br \/>\n\u0391\u03c0\u03cc \u03c4\u03b7\u03bd \u03ac\u03bb\u03bb\u03b7, \u03b7 \u03b1\u03c0\u03bb\u03ae \u03cd\u03c0\u03b1\u03c1\u03be\u03b7 anti-RNP \u03b4\u03b5\u03bd \u03b1\u03c1\u03ba\u03b5\u03af \u03b3\u03b9\u03b1 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03b1\u03bd \u03bb\u03b5\u03af\u03c0\u03bf\u03c5\u03bd \u03c4\u03b1 \u03c4\u03c5\u03c0\u03b9\u03ba\u03ac \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ac \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac.<\/p>\n<p>\u03a4\u03b1 \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03b1 \u03c0\u03bf\u03c5 \u03c3\u03c5\u03c7\u03bd\u03ac \u03b5\u03bd\u03b9\u03c3\u03c7\u03cd\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c5\u03c0\u03bf\u03c8\u03af\u03b1 MCTD \u03b5\u03af\u03bd\u03b1\u03b9:<\/p>\n<ul style=\"margin: 0 0 12px 20px; padding: 0;\">\n<li><strong>Raynaud<\/strong> \u03c9\u03c2 \u03c0\u03c1\u03ce\u03b9\u03bc\u03b7 \u03b5\u03ba\u03b4\u03ae\u03bb\u03c9\u03c3\u03b7.<\/li>\n<li><strong>\u03a0\u03c1\u03b7\u03c3\u03bc\u03ad\u03bd\u03b1\/\u03bf\u03b9\u03b4\u03b7\u03bc\u03b1\u03c4\u03ce\u03b4\u03b7 \u03b4\u03ac\u03ba\u03c4\u03c5\u03bb\u03b1<\/strong>.<\/li>\n<li><strong>\u0391\u03c1\u03b8\u03c1\u03b9\u03ba\u03ac \u03b5\u03bd\u03bf\u03c7\u03bb\u03ae\u03bc\u03b1\u03c4\u03b1<\/strong> \u03ae \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ce\u03b4\u03b7\u03c2 \u03b1\u03c1\u03b8\u03c1\u03af\u03c4\u03b9\u03b4\u03b1.<\/li>\n<li><strong>\u039c\u03c5\u03bf\u03c3\u03af\u03c4\u03b9\u03b4\u03b1<\/strong> \u03ae \u03bc\u03c5\u03ca\u03ba\u03ae \u03b1\u03b4\u03c5\u03bd\u03b1\u03bc\u03af\u03b1.<\/li>\n<li><strong>\u039f\u03b9\u03c3\u03bf\u03c6\u03b1\u03b3\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1<\/strong>.<\/li>\n<li><strong>\u03a0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ae \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03bf\u03c7\u03ae<\/strong>, \u03cc\u03c0\u03c9\u03c2 \u03b4\u03b9\u03ac\u03bc\u03b5\u03c3\u03b7 \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03bf\u03c0\u03ac\u03b8\u03b5\u03b9\u03b1 \u03ae \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ae \u03c5\u03c0\u03ad\u03c1\u03c4\u03b1\u03c3\u03b7.<\/li>\n<\/ul>\n<p>\u0393\u03b9\u03b1 \u03c4\u03bf\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae, \u03b1\u03c5\u03c4\u03cc \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03cc\u03c4\u03b9 \u03c4\u03bf anti-RNP \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b9\u03bf \u03c7\u03c1\u03ae\u03c3\u03b9\u03bc\u03bf \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u201c\u03c3\u03c5\u03bd\u03b4\u03c1\u03cc\u03bc\u03bf\u03c5 \u03b5\u03c0\u03b9\u03ba\u03ac\u03bb\u03c5\u03c8\u03b7\u03c2\u201d.<br \/>\n\u0394\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03bb\u03ce\u03c2 \u03ac\u03bb\u03bb\u03b7 \u03bc\u03af\u03b1 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03bf\u03c3\u03af\u03b1\u03c2, \u03b1\u03bb\u03bb\u03ac \u03ad\u03bd\u03b1\u03c2 \u03b4\u03b5\u03af\u03ba\u03c4\u03b7\u03c2 \u03c0\u03bf\u03c5 \u03b2\u03bf\u03b7\u03b8\u03ac \u03bd\u03b1 \u03bc\u03c0\u03b5\u03b9 \u03c4\u03ac\u03be\u03b7 \u03c3\u03b5 \u03ad\u03bd\u03b1<br \/>\n\u03c3\u03cd\u03bd\u03b8\u03b5\u03c4\u03bf \u03c1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03c0\u03b1\u03b6\u03bb.<\/p>\n<\/section>\n<p><!-- ==================== SECTION 8 ==================== --><\/p>\n<section id=\"section8\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">8<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a3\u03b5 \u03c0\u03bf\u03b9\u03b5\u03c2 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b2\u03c1\u03b5\u03b8\u03bf\u03cd\u03bd;<\/span><\/h2>\n<p>\u03a4\u03b1 anti-RNP \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c4\u03bf\u03c5 MCTD. \u039c\u03c0\u03bf\u03c1\u03bf\u03cd\u03bd \u03bd\u03b1 \u03b5\u03bc\u03c6\u03b1\u03bd\u03b9\u03c3\u03c4\u03bf\u03cd\u03bd \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03ac\u03bb\u03bb\u03b1 <strong>\u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03b1<br \/>\n\u03c1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03bd\u03bf\u03c3\u03ae\u03bc\u03b1\u03c4\u03b1<\/strong>, \u03b3\u03b9\u2019 \u03b1\u03c5\u03c4\u03cc \u03ba\u03b1\u03b9 \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03b8\u03ad\u03bb\u03b5\u03b9 \u03c3\u03c9\u03c3\u03c4\u03ae \u03c3\u03c5\u03c3\u03c7\u03ad\u03c4\u03b9\u03c3\u03b7.<\/p>\n<p>\u039c\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03c5\u03b8\u03bf\u03cd\u03bd \u03c3\u03b5:<\/p>\n<ul style=\"margin: 0 0 12px 20px; padding: 0;\">\n<li><strong>\u03a3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc \u0395\u03c1\u03c5\u03b8\u03b7\u03bc\u03b1\u03c4\u03ce\u03b4\u03b7 \u039b\u03cd\u03ba\u03bf (\u03a3\u0395\u039b)<\/strong><\/li>\n<li><strong>\u03a3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03a3\u03ba\u03bb\u03ae\u03c1\u03c5\u03bd\u03c3\u03b7<\/strong> \u03ae overlap \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1<\/li>\n<li><strong>\u03a3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf Sj\u00f6gren<\/strong><\/li>\n<li><strong>\u03a6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ce\u03b4\u03b5\u03b9\u03c2 \u03bc\u03c5\u03bf\u03c3\u03af\u03c4\u03b9\u03b4\u03b5\u03c2<\/strong><\/li>\n<li><strong>\u0391\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03bf \u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03c3\u03c5\u03bd\u03b4\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd \u03b9\u03c3\u03c4\u03bf\u03cd<\/strong><\/li>\n<li>\u03a3\u03c0\u03b1\u03bd\u03b9\u03cc\u03c4\u03b5\u03c1\u03b1 \u03c3\u03b5 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03bf\u03bd\u03c4\u03cc\u03c4\u03b7\u03c4\u03b5\u03c2<\/li>\n<\/ul>\n<div style=\"background: #f8fafc; border-left: 4px solid #2563eb; border-radius: 10px; padding: 12px 14px; margin: 12px 0;\">\u2194\ufe0f \u03a3\u03cd\u03c1\u03b5\u03c4\u03b5 \u03bf\u03c1\u03b9\u03b6\u03cc\u03bd\u03c4\u03b9\u03b1 \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03b4\u03b5\u03af\u03c4\u03b5 \u03cc\u03bb\u03b5\u03c2 \u03c4\u03b9\u03c2 \u03c3\u03c4\u03ae\u03bb\u03b5\u03c2 \u03c4\u03bf\u03c5 \u03c0\u03af\u03bd\u03b1\u03ba\u03b1<\/div>\n<div style=\"overflow-x: auto; margin-bottom: 12px;\">\n<table style=\"width: 100%; border-collapse: collapse; min-width: 760px; font-size: 14px;\">\n<thead>\n<tr>\n<th style=\"text-align: left; border: 1px solid #e5e7eb; padding: 10px; background: #f9fafb;\"><span style=\"color: #000000;\">\u039d\u03cc\u03c3\u03b7\u03bc\u03b1<\/span><\/th>\n<th style=\"text-align: left; border: 1px solid #e5e7eb; padding: 10px; background: #f9fafb;\"><span style=\"color: #000000;\">\u039c\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03ad\u03c7\u03b5\u03b9 anti-RNP;<\/span><\/th>\n<th style=\"text-align: left; border: 1px solid #e5e7eb; padding: 10px; background: #f9fafb;\"><span style=\"color: #000000;\">\u03a4\u03b9 \u03b2\u03bf\u03b7\u03b8\u03ac \u03c3\u03c4\u03b7 \u03b4\u03b9\u03ac\u03ba\u03c1\u03b9\u03c3\u03b7<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">MCTD<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u03a3\u03c5\u03c7\u03bd\u03ac \u03c5\u03c8\u03b7\u03bb\u03cc\u03c2 \u03c4\u03af\u03c4\u03bb\u03bf\u03c2<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">Raynaud, \u03c0\u03c1\u03b7\u03c3\u03bc\u03ad\u03bd\u03b1 \u03b4\u03ac\u03ba\u03c4\u03c5\u03bb\u03b1, overlap \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u03a3\u0395\u039b<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u039d\u03b1\u03b9, \u03b1\u03bb\u03bb\u03ac \u03cc\u03c7\u03b9 \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">dsDNA, Sm, \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ac \u03ba\u03c1\u03b9\u03c4\u03ae\u03c1\u03b9\u03b1 \u03bb\u03cd\u03ba\u03bf\u03c5<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u03a3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03a3\u03ba\u03bb\u03ae\u03c1\u03c5\u03bd\u03c3\u03b7<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u039c\u03c0\u03bf\u03c1\u03b5\u03af<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">Scl-70, anticentromere, \u03b4\u03b5\u03c1\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03c3\u03ba\u03bb\u03ae\u03c1\u03c5\u03bd\u03c3\u03b7<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">Sj\u00f6gren<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u039c\u03c0\u03bf\u03c1\u03b5\u03af<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">SSA\/Ro, SSB\/La, \u03be\u03b7\u03c1\u03cc\u03c4\u03b7\u03c4\u03b1<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u039c\u03c5\u03bf\u03c3\u03af\u03c4\u03b9\u03b4\u03b5\u03c2<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u03a3\u03b5 overlap \u03bc\u03bf\u03c1\u03c6\u03ad\u03c2<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">CK\/CPK, Jo-1 \u03ae \u03ac\u03bb\u03bb\u03b1 \u03bc\u03c5\u03bf\u03c3\u03b9\u03c4\u03b9\u03b4\u03b9\u03ba\u03ac \u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1, \u03bc\u03c5\u03ca\u03ba\u03ae \u03b1\u03b4\u03c5\u03bd\u03b1\u03bc\u03af\u03b1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>\u03a4\u03bf \u03b2\u03b1\u03c3\u03b9\u03ba\u03cc \u03bc\u03ae\u03bd\u03c5\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03cc\u03c4\u03b9 <strong>\u03b7 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b4\u03b5\u03bd \u201c\u03b1\u03bd\u03ae\u03ba\u03b5\u03b9\u201d \u03c3\u03b5 \u03ad\u03bd\u03b1 \u03bc\u03cc\u03bd\u03bf \u03bd\u03cc\u03c3\u03b7\u03bc\u03b1<\/strong>. \u0397 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9<br \/>\n\u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03b1\u03bd\u03c4\u03b9\u03c3\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd, \u03c3\u03c5\u03bc\u03c0\u03c4\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd, \u03bf\u03c1\u03b3\u03b1\u03bd\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03bf\u03c7\u03ae\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bf\u03c1\u03b5\u03af\u03b1\u03c2 \u03c3\u03c4\u03bf\u03bd \u03c7\u03c1\u03cc\u03bd\u03bf.<\/p>\n<\/section>\n<p><!-- ==================== SECTION 9 ==================== --><\/p>\n<section id=\"section9\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">9<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a0\u03ce\u03c2 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1;<\/span><\/h2>\n<p>\u0397 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c0\u03ac\u03bd\u03c4\u03b1 \u03bc\u03b5 \u03b2\u03ac\u03c3\u03b7 \u03c4\u03bf <strong>\u03c0\u03bb\u03b1\u03af\u03c3\u03b9\u03bf<\/strong>. \u03a3\u03c4\u03b1 anti-RNP \u03b4\u03b5\u03bd \u03bc\u03b1\u03c2 \u03b5\u03bd\u03b4\u03b9\u03b1\u03c6\u03ad\u03c1\u03b5\u03b9 \u03bc\u03cc\u03bd\u03bf \u03b1\u03bd \u03b7 \u03b1\u03c0\u03ac\u03bd\u03c4\u03b7\u03c3\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9<br \/>\n\u201c\u03b8\u03b5\u03c4\u03b9\u03ba\u03ae\u201d \u03ae \u201c\u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ae\u201d, \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 <strong>\u03c0\u03cc\u03c3\u03bf \u03c4\u03b1\u03b9\u03c1\u03b9\u03ac\u03b6\u03b5\u03b9<\/strong> \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03bc\u03b5 \u03c4\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03b9\u03c2 \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03b5\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2.<\/p>\n<p><strong>\u0391\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1<\/strong> \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 MCTD, \u03b1\u03bb\u03bb\u03ac \u03b4\u03b5\u03bd \u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03af\u03b5\u03b9 \u03ba\u03ac\u03b8\u03b5 \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03bf \u03bd\u03cc\u03c3\u03b7\u03bc\u03b1.<br \/>\n\u0391\u03bd \u03c4\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b1 \u03ae \u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03ac\u03bb\u03bb\u03b1 \u03b9\u03c3\u03c7\u03c5\u03c1\u03ac \u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1, \u03bf\/\u03b7 \u03b9\u03b1\u03c4\u03c1\u03cc\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c3\u03c5\u03bd\u03b5\u03c7\u03af\u03c3\u03b5\u03b9<br \/>\n\u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03bc\u03b5 \u03ac\u03bb\u03bb\u03bf panel.<\/p>\n<p><strong>\u039f\u03c1\u03b9\u03b1\u03ba\u03cc \u03ae \u03c7\u03b1\u03bc\u03b7\u03bb\u03ac \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1<\/strong> \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c3\u03bf\u03c7\u03ae. \u039c\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03bc\u03b7\u03bd \u03ad\u03c7\u03b5\u03b9 \u03c4\u03b7\u03bd \u03af\u03b4\u03b9\u03b1 \u03b2\u03b1\u03c1\u03cd\u03c4\u03b7\u03c4\u03b1 \u03bc\u03b5 \u03ad\u03bd\u03b1\u03bd<br \/>\n\u03c3\u03b1\u03c6\u03ce\u03c2 \u03c5\u03c8\u03b7\u03bb\u03cc \u03c4\u03af\u03c4\u03bb\u03bf, \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03cc\u03c4\u03b1\u03bd \u03b7 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b5\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae. \u03a3\u03b5 \u03c4\u03ad\u03c4\u03bf\u03b9\u03b5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c5\u03c7\u03bd\u03ac \u03ad\u03c7\u03b5\u03b9 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1:<\/p>\n<ul style=\"margin: 0 0 12px 20px; padding: 0;\">\n<li>\u03bd\u03b1 \u03b4\u03bf\u03cd\u03bc\u03b5 \u03b1\u03bd \u03c3\u03c5\u03bd\u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03ac\u03bb\u03bb\u03b1 \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1,<\/li>\n<li>\u03bd\u03b1 \u03b3\u03bd\u03c9\u03c1\u03af\u03b6\u03bf\u03c5\u03bc\u03b5 \u03c4\u03b7 \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf \u03c4\u03bf\u03c5 \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03af\u03bf\u03c5,<\/li>\n<li>\u03bd\u03b1 \u03b5\u03bb\u03b5\u03b3\u03c7\u03b8\u03b5\u03af \u03b1\u03bd \u03c4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03b5\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd \u03c7\u03c1\u03cc\u03bd\u03bf.<\/li>\n<\/ul>\n<p><strong>\u0399\u03c3\u03c7\u03c5\u03c1\u03ac \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1<\/strong> \u03b1\u03c0\u03bf\u03ba\u03c4\u03ac \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf \u03b2\u03ac\u03c1\u03bf\u03c2 \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03c3\u03c5\u03bc\u03b2\u03b1\u03c4\u03ac \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac Raynaud,<br \/>\n\u03c0\u03c1\u03b7\u03c3\u03bc\u03ad\u03bd\u03b1 \u03b4\u03ac\u03ba\u03c4\u03c5\u03bb\u03b1 \u03ba\u03b1\u03b9 \u03bc\u03b9\u03ba\u03c4\u03ae \u03c1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1. \u0395\u03ba\u03b5\u03af \u03c4\u03bf anti-RNP \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b5\u03af \u03c9\u03c2 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc\u03c2 \u03b4\u03b5\u03af\u03ba\u03c4\u03b7\u03c2 \u03c0\u03bf\u03c5<br \/>\n\u03b5\u03bd\u03b9\u03c3\u03c7\u03cd\u03b5\u03b9 \u03c4\u03b7 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 MCTD \u03ae \u03b5\u03bd\u03cc\u03c2 overlap \u03c3\u03c5\u03bd\u03b4\u03c1\u03cc\u03bc\u03bf\u03c5.<\/p>\n<p>\u039f \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b8\u03c5\u03bc\u03ac\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03b7 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03c4\u03ad \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03ba\u03ae.<br \/>\n<strong>\u038a\u03b4\u03b9\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03b1\u03ba\u03cc \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03ac \u03c0\u03c1\u03ac\u03b3\u03bc\u03b1\u03c4\u03b1 \u03c3\u03b5 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b1\u03bd\u03b8\u03c1\u03ce\u03c0\u03bf\u03c5\u03c2<\/strong>.<\/p>\n<\/section>\n<p><!-- ==================== SECTION 10 ==================== --><\/p>\n<section id=\"section10\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">10<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u0393\u03b9\u03b1\u03c4\u03af \u03b4\u03b5\u03bd \u03b1\u03c1\u03ba\u03b5\u03af \u03bc\u03cc\u03bd\u03bf \u03bc\u03af\u03b1 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7;<\/span><\/h2>\n<p>\u0388\u03bd\u03b1 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc anti-RNP <strong>\u03b4\u03b5\u03bd \u03b1\u03c1\u03ba\u03b5\u03af \u03b1\u03c0\u03cc \u03bc\u03cc\u03bd\u03bf \u03c4\u03bf\u03c5 \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03c4\u03b5\u03b8\u03b5\u03af \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7<\/strong>. \u0391\u03c5\u03c4\u03cc \u03b5\u03af\u03bd\u03b1\u03b9 \u03af\u03c3\u03c9\u03c2 \u03c4\u03bf \u03c0\u03b9\u03bf \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc<br \/>\n\u03c3\u03b7\u03bc\u03b5\u03af\u03bf \u03cc\u03bb\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03ac\u03c1\u03b8\u03c1\u03bf\u03c5. \u03a4\u03b1 \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b2\u03b9\u03bf\u03b4\u03b5\u03af\u03ba\u03c4\u03b5\u03c2 \u03c0\u03bf\u03c5 <strong>\u03c5\u03c0\u03bf\u03c3\u03c4\u03b7\u03c1\u03af\u03b6\u03bf\u03c5\u03bd<\/strong> \u03c4\u03b7\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7,<br \/>\n\u03b4\u03b5\u03bd \u03c4\u03b7\u03bd \u03b1\u03bd\u03c4\u03b9\u03ba\u03b1\u03b8\u03b9\u03c3\u03c4\u03bf\u03cd\u03bd.<\/p>\n<p>\u039f \u03bb\u03cc\u03b3\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03bf\u03b9 \u03af\u03b4\u03b9\u03b5\u03c2 \u03bf\u03c1\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03b1\u03bd\u03c4\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03bc\u03c6\u03b1\u03bd\u03b9\u03c3\u03c4\u03bf\u03cd\u03bd \u03c3\u03b5 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03ac \u03bd\u03bf\u03c3\u03ae\u03bc\u03b1\u03c4\u03b1, \u03c3\u03b5 overlap<br \/>\n\u03c3\u03c5\u03bd\u03b4\u03c1\u03cc\u03bc\u03b1\u03c4\u03b1 \u03ae \u03c3\u03b5 \u03c0\u03c1\u03ce\u03b9\u03bc\u03b5\u03c2 \u03c6\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c0\u03bf\u03c5 \u03b4\u03b5\u03bd \u03ad\u03c7\u03bf\u03c5\u03bd \u03b1\u03ba\u03cc\u03bc\u03b7 \u201c\u03be\u03b5\u03ba\u03b1\u03b8\u03b1\u03c1\u03af\u03c3\u03b5\u03b9\u201d \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ac. \u0395\u03c0\u03b9\u03c0\u03bb\u03ad\u03bf\u03bd, \u03c3\u03b5 \u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5\u03c2 \u03b1\u03bd\u03b8\u03c1\u03ce\u03c0\u03bf\u03c5\u03c2<br \/>\n\u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c7\u03c9\u03c1\u03af\u03c2 \u03ac\u03bc\u03b5\u03c3\u03b1 \u03c3\u03bf\u03b2\u03b1\u03c1\u03ae \u03b5\u03bd\u03b5\u03c1\u03b3\u03cc \u03bd\u03cc\u03c3\u03bf \u03c4\u03b7 \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b7 \u03c3\u03c4\u03b9\u03b3\u03bc\u03ae.<\/p>\n<p>\u0397 \u03c3\u03c9\u03c3\u03c4\u03ae \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03c3\u03ba\u03ad\u03c8\u03b7 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9:<\/p>\n<ul style=\"margin: 0 0 12px 20px; padding: 0;\">\n<li>\u03c4\u03bf <strong>\u03b5\u03af\u03b4\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b7 \u03b4\u03b9\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03c4\u03c9\u03bd \u03c3\u03c5\u03bc\u03c0\u03c4\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd<\/strong>,<\/li>\n<li>\u03c4\u03b7\u03bd <strong>\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7<\/strong>,<\/li>\n<li>\u03c4\u03bf \u03c0\u03bb\u03ae\u03c1\u03b5\u03c2 <strong>\u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03c0\u03c1\u03bf\u03c6\u03af\u03bb<\/strong>,<\/li>\n<li>\u03c4\u03b7\u03bd \u03c0\u03b9\u03b8\u03b1\u03bd\u03ae <strong>\u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ae, \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03ae, \u03bc\u03c5\u03ca\u03ba\u03ae \u03ae \u03bd\u03b5\u03c6\u03c1\u03b9\u03ba\u03ae \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03bf\u03c7\u03ae<\/strong>,<\/li>\n<li>\u03c4\u03b7\u03bd <strong>\u03c0\u03bf\u03c1\u03b5\u03af\u03b1 \u03c3\u03c4\u03bf\u03bd \u03c7\u03c1\u03cc\u03bd\u03bf<\/strong>.<\/li>\n<\/ul>\n<p>\u0391\u03c5\u03c4\u03cc\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03bf \u03bb\u03cc\u03b3\u03bf\u03c2 \u03c0\u03bf\u03c5 \u03bf\u03b9 \u03c1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c5\u03c7\u03bd\u03ac \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 <strong>\u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7<\/strong> \u03ba\u03b1\u03b9 \u03cc\u03c7\u03b9 \u03b1\u03c0\u03bb\u03ce\u03c2<br \/>\n\u03ad\u03bd\u03b1 \u201c\u03c3\u03c4\u03b9\u03b3\u03bc\u03b9\u03cc\u03c4\u03c5\u03c0\u03bf\u201d \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd. \u0388\u03bd\u03b1\u03c2 \u03ac\u03bd\u03b8\u03c1\u03c9\u03c0\u03bf\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03c3\u03ae\u03bc\u03b5\u03c1\u03b1 \u03bd\u03b1 \u03ad\u03c7\u03b5\u03b9 \u03b1\u03c3\u03b1\u03c6\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03ba\u03b1\u03b9 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03bc\u03ae\u03bd\u03b5\u03c2 \u03bd\u03b1 \u03ad\u03c7\u03b5\u03b9<br \/>\n\u03c0\u03b9\u03bf \u03ba\u03b1\u03b8\u03b1\u03c1\u03cc \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03bc\u03bf\u03c4\u03af\u03b2\u03bf. \u0397 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c3\u03c4\u03b1 \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03b1 \u03c9\u03c1\u03b9\u03bc\u03ac\u03b6\u03b5\u03b9 \u03c3\u03c5\u03c7\u03bd\u03ac \u03bc\u03b1\u03b6\u03af \u03bc\u03b5 \u03c4\u03bf\u03bd \u03c7\u03c1\u03cc\u03bd\u03bf.<\/p>\n<div style=\"background: #f8fafc; border-left: 4px solid #b70000; border-radius: 10px; padding: 12px 14px; margin-top: 14px;\"><strong>\u03a3\u03c5\u03c7\u03bd\u03cc \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03bb\u03ac\u03b8\u03bf\u03c2:<\/strong><br \/>\n\u03bd\u03b1 \u03b4\u03b9\u03b1\u03b2\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c3\u03b1\u03bd \u201c\u03b8\u03b5\u03c4\u03b9\u03ba\u03cc = \u03ad\u03c7\u03c9 \u03bf\u03c0\u03c9\u03c3\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 MCTD\u201d \u03ae \u201c\u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc = \u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03af\u03b5\u03c4\u03b1\u03b9 \u03ba\u03ac\u03b8\u03b5 \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03bf\u201d.<br \/>\n\u039a\u03b1\u03b9 \u03c4\u03b1 \u03b4\u03cd\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03c5\u03c0\u03b5\u03c1\u03b1\u03c0\u03bb\u03bf\u03c5\u03c3\u03c4\u03b5\u03cd\u03c3\u03b5\u03b9\u03c2.<\/div>\n<\/section>\n<p><!-- ==================== SECTION 11 ==================== --><\/p>\n<section id=\"section11\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">11<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bc\u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2<\/span><\/h2>\n<p>\u03a4\u03bf anti-RNP \u03c3\u03c7\u03b5\u03b4\u03cc\u03bd \u03c0\u03bf\u03c4\u03ad \u03b4\u03b5\u03bd \u03c3\u03c4\u03ad\u03ba\u03b5\u03c4\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c4\u03bf\u03c5. \u03a3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03b1\u03be\u03b9\u03bf\u03bb\u03bf\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03bc\u03b1\u03b6\u03af \u03bc\u03b5 \u03ad\u03bd\u03b1 \u03c3\u03cd\u03bd\u03bf\u03bb\u03bf \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd \u03c0\u03bf\u03c5 \u03b2\u03bf\u03b7\u03b8\u03bf\u03cd\u03bd<br \/>\n\u03bd\u03b1 \u03b1\u03c0\u03b1\u03bd\u03c4\u03b7\u03b8\u03bf\u03cd\u03bd \u03c4\u03c1\u03af\u03b1 \u03b5\u03c1\u03c9\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1: <strong>\u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03bf \u03bd\u03cc\u03c3\u03b7\u03bc\u03b1;<\/strong>, <strong>\u03c0\u03bf\u03b9\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b9\u03bf \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc;<\/strong>,<br \/>\n\u03ba\u03b1\u03b9 <strong>\u03c0\u03bf\u03b9\u03b1 \u03cc\u03c1\u03b3\u03b1\u03bd\u03b1 \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9;<\/strong><\/p>\n<div style=\"background: #f8fafc; border-left: 4px solid #2563eb; border-radius: 10px; padding: 12px 14px; margin: 12px 0;\">\u2194\ufe0f \u03a3\u03cd\u03c1\u03b5\u03c4\u03b5 \u03bf\u03c1\u03b9\u03b6\u03cc\u03bd\u03c4\u03b9\u03b1 \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03b4\u03b5\u03af\u03c4\u03b5 \u03cc\u03bb\u03b5\u03c2 \u03c4\u03b9\u03c2 \u03c3\u03c4\u03ae\u03bb\u03b5\u03c2 \u03c4\u03bf\u03c5 \u03c0\u03af\u03bd\u03b1\u03ba\u03b1<\/div>\n<div style=\"overflow-x: auto; margin-bottom: 12px;\">\n<table style=\"width: 100%; border-collapse: collapse; min-width: 820px; font-size: 14px;\">\n<thead>\n<tr>\n<th style=\"text-align: left; border: 1px solid #e5e7eb; padding: 10px; background: #f9fafb;\"><span style=\"color: #000000;\">\u0395\u03be\u03ad\u03c4\u03b1\u03c3\u03b7<\/span><\/th>\n<th style=\"text-align: left; border: 1px solid #e5e7eb; padding: 10px; background: #f9fafb;\"><span style=\"color: #000000;\">\u0393\u03b9\u03b1\u03c4\u03af \u03b6\u03b7\u03c4\u03b5\u03af\u03c4\u03b1\u03b9<\/span><\/th>\n<th style=\"text-align: left; border: 1px solid #e5e7eb; padding: 10px; background: #f9fafb;\"><span style=\"color: #000000;\">\u03a4\u03b9 \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">ANA<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">Screening \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03bf\u03c3\u03af\u03b1\u03c2<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u0391\u03c1\u03c7\u03b9\u03ba\u03cc\u03c2 \u03c0\u03c1\u03bf\u03c3\u03b1\u03bd\u03b1\u03c4\u03bf\u03bb\u03b9\u03c3\u03bc\u03cc\u03c2 \u03ba\u03b1\u03b9 pattern<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">ENA panel<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u0395\u03be\u03b5\u03b9\u03b4\u03af\u03ba\u03b5\u03c5\u03c3\u03b7 ANA<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">Sm, SSA, SSB, Scl-70, Jo-1, RNP \u03ba.\u03ac.<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">Anti-dsDNA<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u03a5\u03c0\u03bf\u03c8\u03af\u03b1 \u03bb\u03cd\u03ba\u03bf\u03c5<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u0395\u03bd\u03b9\u03c3\u03c7\u03cd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03b5\u03cd\u03b8\u03c5\u03bd\u03c3\u03b7 \u03c0\u03c1\u03bf\u03c2 \u03a3\u0395\u039b<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">C3 \/ C4<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u0391\u03be\u03b9\u03bf\u03bb\u03cc\u03b3\u03b7\u03c3\u03b7 \u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u03a7\u03c1\u03ae\u03c3\u03b9\u03bc\u03b1 \u03c3\u03b5 \u03b1\u03c1\u03ba\u03b5\u03c4\u03ac \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03b1<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">CPK \/ CK, \u03b1\u03bb\u03b4\u03bf\u03bb\u03ac\u03c3\u03b7<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u03a5\u03c0\u03bf\u03c8\u03af\u03b1 \u03bc\u03c5\u03bf\u03c3\u03af\u03c4\u03b9\u03b4\u03b1\u03c2<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u0388\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03bc\u03c5\u03ca\u03ba\u03ae\u03c2 \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03bf\u03c7\u03ae\u03c2<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u03a4\u039a\u0395 \/ CRP<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u0388\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ae\u03c2<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u0393\u03b5\u03bd\u03b9\u03ba\u03cc \u03bc\u03ad\u03c4\u03c1\u03bf \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u0393\u03b5\u03bd\u03b9\u03ba\u03ae \u03b1\u03af\u03bc\u03b1\u03c4\u03bf\u03c2, \u03bf\u03cd\u03c1\u03c9\u03bd, \u03b2\u03b9\u03bf\u03c7\u03b7\u03bc\u03b9\u03ba\u03cc\u03c2<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u0388\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03bf\u03c1\u03b3\u03ac\u03bd\u03c9\u03bd<\/td>\n<td style=\"border: 1px solid #e5e7eb; padding: 10px;\">\u0391\u03bd\u03b1\u03b9\u03bc\u03af\u03b1, \u03bb\u03b5\u03c5\u03ba\u03bf\u03c0\u03b5\u03bd\u03af\u03b1, \u03bd\u03b5\u03c6\u03c1\u03b9\u03ba\u03ae \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03bf\u03c7\u03ae \u03ba.\u03ac.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>\u03a3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03b4\u03cd\u03c3\u03c0\u03bd\u03bf\u03b9\u03b1 \u03ae \u03c5\u03c0\u03bf\u03c8\u03af\u03b1 \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03bf\u03c7\u03ae\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c7\u03c1\u03b5\u03b9\u03b1\u03c3\u03c4\u03bf\u03cd\u03bd \u03ba\u03b1\u03b9<br \/>\n<strong>\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03b1\u03bd\u03b1\u03c0\u03bd\u03bf\u03ae\u03c2, \u03c5\u03c0\u03ad\u03c1\u03b7\u03c7\u03bf\u03c2 \u03ba\u03b1\u03c1\u03b4\u03b9\u03ac\u03c2, \u03b1\u03be\u03bf\u03bd\u03b9\u03ba\u03ae \u03b8\u03ce\u03c1\u03b1\u03ba\u03bf\u03c2<\/strong> \u03ae \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2,<br \/>\n\u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03bf \u03c4\u03b9 \u03c5\u03c0\u03bf\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03bf\u03c5\u03bd \u03c4\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1.<\/p>\n<\/section>\n<p><!-- ==================== SECTION 12 ==================== --><\/p>\n<section id=\"section12\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">12<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a0\u03bf\u03b9\u03b1 \u03cc\u03c1\u03b3\u03b1\u03bd\u03b1 \u03ba\u03b1\u03b9 \u03b5\u03c0\u03b9\u03c0\u03bb\u03bf\u03ba\u03ad\u03c2 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9;<\/span><\/h2>\n<p>\u03a3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc anti-RNP \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bc\u03b2\u03b1\u03c4\u03ae \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1, \u03c4\u03bf \u03b6\u03b7\u03c4\u03bf\u03cd\u03bc\u03b5\u03bd\u03bf \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf \u201c\u03bd\u03b1 \u03b2\u03b3\u03b5\u03b9 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\u201d<br \/>\n\u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03c6\u03b1\u03bd\u03b5\u03af <strong>\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03bf\u03c1\u03b3\u03b1\u03bd\u03b9\u03ba\u03ae \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03bf\u03c7\u03ae<\/strong>. \u0391\u03c5\u03c4\u03cc \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03c1\u03af\u03c3\u03b9\u03bc\u03bf \u03b3\u03b9\u03b1\u03c4\u03af \u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03b5\u03ba\u03b4\u03b7\u03bb\u03ce\u03c3\u03b5\u03b9\u03c2,<br \/>\n\u03b9\u03b4\u03af\u03c9\u03c2 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b1\u03bd\u03b1\u03c0\u03bd\u03b5\u03c5\u03c3\u03c4\u03b9\u03ba\u03cc \u03ba\u03b1\u03b9 \u03c4\u03bf \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03b3\u03b3\u03b5\u03b9\u03b1\u03ba\u03cc, \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03b6\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03b3\u03bd\u03c9\u03c3\u03b7.<\/p>\n<p>\u039f\u03b9 \u03ba\u03cd\u03c1\u03b9\u03bf\u03b9 \u03ac\u03be\u03bf\u03bd\u03b5\u03c2 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9:<\/p>\n<ul style=\"margin: 0 0 12px 20px; padding: 0;\">\n<li><strong>\u03a0\u03bd\u03b5\u03cd\u03bc\u03bf\u03bd\u03b5\u03c2<\/strong>: \u03b4\u03b9\u03ac\u03bc\u03b5\u03c3\u03b7 \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03bf\u03c0\u03ac\u03b8\u03b5\u03b9\u03b1, \u03b2\u03ae\u03c7\u03b1\u03c2, \u03b4\u03cd\u03c3\u03c0\u03bd\u03bf\u03b9\u03b1, \u03bc\u03b5\u03b9\u03c9\u03bc\u03ad\u03bd\u03b7 \u03b1\u03bd\u03c4\u03bf\u03c7\u03ae.<\/li>\n<li><strong>\u03a0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ae \u03c5\u03c0\u03ad\u03c1\u03c4\u03b1\u03c3\u03b7<\/strong>: \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc \u03c3\u03b7\u03bc\u03b5\u03af\u03bf \u03c3\u03c4\u03bf MCTD \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b1 overlap \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03b1.<\/li>\n<li><strong>\u039c\u03cd\u03b5\u03c2<\/strong>: \u03bc\u03c5\u03ca\u03ba\u03ae \u03b1\u03b4\u03c5\u03bd\u03b1\u03bc\u03af\u03b1, \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 CK, \u03b4\u03c5\u03c3\u03ba\u03bf\u03bb\u03af\u03b1 \u03c3\u03c4\u03bf \u03b1\u03bd\u03ad\u03b2\u03b1\u03c3\u03bc\u03b1 \u03c3\u03ba\u03ac\u03bb\u03b1\u03c2 \u03ae \u03c3\u03c4\u03bf \u03c3\u03ae\u03ba\u03c9\u03bc\u03b1 \u03b1\u03c0\u03cc \u03ba\u03b1\u03c1\u03ad\u03ba\u03bb\u03b1.<\/li>\n<li><strong>\u0391\u03c1\u03b8\u03c1\u03ce\u03c3\u03b5\u03b9\u03c2<\/strong>: \u03b5\u03c0\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5\u03c3\u03b5\u03c2 \u03b1\u03c1\u03b8\u03c1\u03b1\u03bb\u03b3\u03af\u03b5\u03c2 \u03ae \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ce\u03b4\u03b7\u03c2 \u03b1\u03c1\u03b8\u03c1\u03af\u03c4\u03b9\u03b4\u03b1.<\/li>\n<li><strong>\u039f\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf\u03c2\/\u03c0\u03b5\u03c0\u03c4\u03b9\u03ba\u03cc<\/strong>: \u03b4\u03c5\u03c3\u03ba\u03b1\u03c4\u03b1\u03c0\u03bf\u03c3\u03af\u03b1, reflux, \u03b1\u03af\u03c3\u03b8\u03b7\u03bc\u03b1 \u201c\u03ba\u03bf\u03bb\u03bb\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2\u201d.<\/li>\n<li><strong>\u0391\u03af\u03bc\u03b1<\/strong>: \u03b1\u03bd\u03b1\u03b9\u03bc\u03af\u03b1, \u03bb\u03b5\u03c5\u03ba\u03bf\u03c0\u03b5\u03bd\u03af\u03b1 \u03ae \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b1\u03b9\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03ad\u03c2 \u03c3\u03c4\u03bf \u03c0\u03bb\u03b1\u03af\u03c3\u03b9\u03bf \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5.<\/li>\n<\/ul>\n<p>\u0391\u03c5\u03c4\u03cc\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bf \u03bb\u03cc\u03b3\u03bf\u03c2 \u03c0\u03bf\u03c5 \u03b7 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1 \u03b5\u03bd\u03cc\u03c2 anti-RNP \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03bf\u03b4\u03b7\u03b3\u03ae\u03c3\u03b5\u03b9 \u03cc\u03c7\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c3\u03b5 \u03bd\u03ad\u03b5\u03c2 \u03b1\u03b9\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2<br \/>\n\u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03c3\u03b5 <strong>\u03c3\u03c0\u03b5\u03b9\u03c1\u03bf\u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7, \u03c5\u03c0\u03ad\u03c1\u03b7\u03c7\u03bf \u03ba\u03b1\u03c1\u03b4\u03b9\u03ac\u03c2 \u03ae \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf<\/strong>. \u0394\u03b5\u03bd \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03b1\u03c0\u03b1\u03c1\u03b1\u03af\u03c4\u03b7\u03c4\u03b1 \u03cc\u03c4\u03b9 \u03ba\u03ac\u03c4\u03b9 \u03c3\u03bf\u03b2\u03b1\u03c1\u03cc<br \/>\n\u03ad\u03c7\u03b5\u03b9 \u03ae\u03b4\u03b7 \u03c3\u03c5\u03bc\u03b2\u03b5\u03af\u00b7 \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03cc\u03c4\u03b9 \u03bf\/\u03b7 \u03b3\u03b9\u03b1\u03c4\u03c1\u03cc\u03c2 \u03b8\u03ad\u03bb\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03bb\u03ad\u03b3\u03be\u03b5\u03b9 \u03ad\u03b3\u03ba\u03b1\u03b9\u03c1\u03b1 \u03c4\u03b1 \u03c3\u03b7\u03bc\u03b5\u03af\u03b1 \u03c0\u03bf\u03c5 \u03ad\u03c7\u03bf\u03c5\u03bd \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1<br \/>\n\u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03c3\u03c6\u03ac\u03bb\u03b5\u03b9\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03b7 \u03bc\u03b1\u03ba\u03c1\u03bf\u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7.<\/p>\n<\/section>\n<p><!-- ==================== SECTION 13 ==================== --><\/p>\n<section id=\"section13\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">13<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a3\u03c5\u03c7\u03bd\u03ac \u03bb\u03ac\u03b8\u03b7 \u03ba\u03b1\u03b9 \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1<\/span><\/h2>\n<p>\u03a4\u03bf anti-RNP \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03cd\u03ba\u03bf\u03bb\u03b1, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03cc\u03c4\u03b1\u03bd \u03bf \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03b2\u03bb\u03ad\u03c0\u03b5\u03b9 \u03bc\u03cc\u03bd\u03bf\u03c2 \u03c4\u03bf\u03c5<br \/>\n\u03c4\u03b7 \u03bb\u03ad\u03be\u03b7 \u201c\u03b8\u03b5\u03c4\u03b9\u03ba\u03cc\u201d \u03c3\u03b5 \u03bc\u03b9\u03b1 \u03c0\u03bb\u03b1\u03c4\u03c6\u03cc\u03c1\u03bc\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03c3\u03bc\u03ac\u03c4\u03c9\u03bd. \u03a5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03bc\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03ba\u03bb\u03b1\u03c3\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c2:<\/p>\n<ul style=\"margin: 0 0 12px 20px; padding: 0;\">\n<li><strong>\u03a0\u03b1\u03b3\u03af\u03b4\u03b1 1:<\/strong> \u201c\u0398\u03b5\u03c4\u03b9\u03ba\u03cc = \u03ad\u03c7\u03c9 \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03ad\u03bd\u03bf \u03bd\u03cc\u03c3\u03b7\u03bc\u03b1\u201d. \u038c\u03c7\u03b9. \u0397 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b2\u03bf\u03b7\u03b8\u03ac, \u03b4\u03b5\u03bd \u03b1\u03c1\u03ba\u03b5\u03af.<\/li>\n<li><strong>\u03a0\u03b1\u03b3\u03af\u03b4\u03b1 2:<\/strong> \u201c\u0391\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc = \u03b4\u03b5\u03bd \u03ad\u03c7\u03c9 \u03c4\u03af\u03c0\u03bf\u03c4\u03b1\u201d. \u0395\u03c0\u03af\u03c3\u03b7\u03c2 \u03cc\u03c7\u03b9. \u0397 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bc\u03ad\u03bd\u03b5\u03b9 \u03ba\u03b1\u03b8\u03bf\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae.<\/li>\n<li><strong>\u03a0\u03b1\u03b3\u03af\u03b4\u03b1 3:<\/strong> \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03c4\u03b9\u03bc\u03ce\u03bd \u03b1\u03c0\u03cc \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03ac \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03b1 \u03c3\u03b1\u03bd \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03cc\u03bb\u03c5\u03c4\u03b1 \u03af\u03b4\u03b9\u03b5\u03c2.<\/li>\n<li><strong>\u03a0\u03b1\u03b3\u03af\u03b4\u03b1 4:<\/strong> \u03b1\u03c0\u03bf\u03bc\u03cc\u03bd\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 anti-RNP \u03b1\u03c0\u03cc \u03c4\u03b1 ANA, \u03c4\u03bf ENA panel \u03ba\u03b1\u03b9 \u03c4\u03bf \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc.<\/li>\n<li><strong>\u03a0\u03b1\u03b3\u03af\u03b4\u03b1 5:<\/strong> \u03c5\u03c0\u03b5\u03c1\u03b2\u03bf\u03bb\u03b9\u03ba\u03cc \u03ac\u03b3\u03c7\u03bf\u03c2 \u03b3\u03b9\u03b1 \u03bf\u03c1\u03b9\u03b1\u03ba\u03ae \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c7\u03c9\u03c1\u03af\u03c2 \u03c3\u03c5\u03bc\u03b2\u03b1\u03c4\u03ac \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1.<\/li>\n<\/ul>\n<p>\u0395\u03c0\u03b9\u03c0\u03bb\u03ad\u03bf\u03bd, \u03c3\u03c4\u03b1 \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03b1 \u03ad\u03c7\u03b5\u03b9 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1 \u03b7 <strong>\u03b4\u03c5\u03bd\u03b1\u03bc\u03b9\u03ba\u03ae<\/strong> \u03c4\u03b7\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1\u03c2. \u039f\/\u03b7 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03ba\u03ac\u03bd\u03b5\u03b9 \u03ad\u03bd\u03b1 \u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc<br \/>\n\u03ad\u03bb\u03b5\u03b3\u03c7\u03bf \u03c3\u03b5 \u03c6\u03ac\u03c3\u03b7 \u03cd\u03c6\u03b5\u03c3\u03b7\u03c2, \u03c3\u03b5 \u03c6\u03ac\u03c3\u03b7 \u03ad\u03be\u03b1\u03c1\u03c3\u03b7\u03c2 \u03ae \u03b5\u03bd\u03ce \u03ae\u03b4\u03b7 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03b1\u03b3\u03c9\u03b3\u03ae. \u0391\u03c5\u03c4\u03cc \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03cc\u03c4\u03b9 \u03b1\u03ba\u03cc\u03bc\u03b7 \u03ba\u03b1\u03b9 \u03ad\u03bd\u03b1 \u03c3\u03c9\u03c3\u03c4\u03cc<br \/>\n\u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b4\u03b9\u03b1\u03b2\u03b1\u03c3\u03c4\u03b5\u03af \u03bc\u03b5 \u201c\u03c7\u03c1\u03bf\u03bd\u03b9\u03ba\u03cc \u03c6\u03af\u03bb\u03c4\u03c1\u03bf\u201d.<\/p>\n<p>\u03a4\u03bf \u03b1\u03c3\u03c6\u03b1\u03bb\u03ad\u03c3\u03c4\u03b5\u03c1\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03bd\u03b1 \u03b1\u03c0\u03bf\u03c6\u03b5\u03cd\u03b3\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03b7 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03b1\u03c0\u03cc internet \u03ae \u03b1\u03c0\u03cc \u03bc\u03b9\u03b1 \u03bc\u03b5\u03bc\u03bf\u03bd\u03c9\u03bc\u03ad\u03bd\u03b7 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7.<br \/>\n\u0397 \u03c3\u03c9\u03c3\u03c4\u03ae \u03c3\u03c5\u03b6\u03ae\u03c4\u03b7\u03c3\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9: <strong>\u201c\u03c4\u03b9 \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03b1\u03c5\u03c4\u03cc \u03c4\u03bf anti-RNP \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03ba\u03ae \u03bc\u03bf\u03c5 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1;\u201d<\/strong> \u03ba\u03b1\u03b9 \u03cc\u03c7\u03b9<br \/>\n\u201c\u03c3\u03b5 \u03c0\u03bf\u03b9\u03b1 \u03bd\u03cc\u03c3\u03bf \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af \u03b3\u03b5\u03bd\u03b9\u03ba\u03ac \u03c3\u03c4\u03bf Google;\u201d.<\/p>\n<\/section>\n<p><!-- ==================== SECTION 14 ==================== --><\/p>\n<section id=\"section14\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">14<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a0\u03cc\u03c4\u03b5 \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c0\u03b1\u03bd\u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03ae \u03c1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7;<\/span><\/h2>\n<p>\u039f \u03b5\u03c0\u03b1\u03bd\u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03af\u03b4\u03b9\u03bf\u03c2 \u03b3\u03b9\u03b1 \u03cc\u03bb\u03bf\u03c5\u03c2. \u0395\u03be\u03b1\u03c1\u03c4\u03ac\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b1\u03bd \u03c4\u03bf anti-RNP \u03b2\u03c1\u03ad\u03b8\u03b7\u03ba\u03b5 \u03c3\u03b5 <strong>\u03b1\u03c1\u03c7\u03b9\u03ba\u03ae \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7<\/strong>,<br \/>\n\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03ae\u03b4\u03b7 \u03b3\u03bd\u03c9\u03c3\u03c4\u03cc \u03bd\u03cc\u03c3\u03b7\u03bc\u03b1, \u03b1\u03c0\u03cc \u03c4\u03bf \u03c0\u03cc\u03c3\u03bf \u03b9\u03c3\u03c7\u03c5\u03c1\u03ae \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b1\u03bd \u03ad\u03c7\u03bf\u03c5\u03bd \u03b5\u03bc\u03c6\u03b1\u03bd\u03b9\u03c3\u03c4\u03b5\u03af<br \/>\n\u03bd\u03ad\u03b5\u03c2 \u03bf\u03c1\u03b3\u03b1\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b5\u03ba\u03b4\u03b7\u03bb\u03ce\u03c3\u03b5\u03b9\u03c2.<\/p>\n<p>\u03a1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c0\u03b9\u03bf \u03ac\u03bc\u03b5\u03c3\u03b1 \u03cc\u03c4\u03b1\u03bd \u03c3\u03c5\u03bd\u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd:<\/p>\n<ul style=\"margin: 0 0 12px 20px; padding: 0;\">\n<li>\u03b8\u03b5\u03c4\u03b9\u03ba\u03cc anti-RNP \u03bc\u03b5 <strong>Raynaud<\/strong> \u03ae \u03c0\u03c1\u03b7\u03c3\u03bc\u03ad\u03bd\u03b1 \u03b4\u03ac\u03ba\u03c4\u03c5\u03bb\u03b1,<\/li>\n<li>\u03bc\u03c5\u03ca\u03ba\u03ae \u03b1\u03b4\u03c5\u03bd\u03b1\u03bc\u03af\u03b1 \u03ae \u03c3\u03b1\u03c6\u03ae\u03c2 \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 <strong>CK\/CPK<\/strong>,<\/li>\n<li>\u03b5\u03c0\u03af\u03bc\u03bf\u03bd\u03b5\u03c2 \u03b1\u03c1\u03b8\u03c1\u03b1\u03bb\u03b3\u03af\u03b5\u03c2\/\u03b1\u03c1\u03b8\u03c1\u03af\u03c4\u03b9\u03b4\u03b1,<\/li>\n<li>\u03b4\u03cd\u03c3\u03c0\u03bd\u03bf\u03b9\u03b1, \u03b2\u03ae\u03c7\u03b1\u03c2 \u03ae \u03c5\u03c0\u03bf\u03c8\u03af\u03b1 \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03bf\u03c7\u03ae\u03c2,<\/li>\n<li>\u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc\u03c2 \u03bc\u03b5 \u03ac\u03bb\u03bb\u03b1 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1.<\/li>\n<\/ul>\n<p>\u0395\u03c0\u03b1\u03bd\u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b6\u03b7\u03c4\u03b7\u03b8\u03b5\u03af \u03cc\u03c4\u03b1\u03bd \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 <strong>\u03bf\u03c1\u03b9\u03b1\u03ba\u03cc<\/strong>, \u03cc\u03c4\u03b1\u03bd \u03b7 \u03b1\u03c1\u03c7\u03b9\u03ba\u03ae \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9<br \/>\n\u03b1\u03ba\u03cc\u03bc\u03b7 \u03be\u03b5\u03ba\u03ac\u03b8\u03b1\u03c1\u03b7 \u03ae \u03cc\u03c4\u03b1\u03bd \u03bf\/\u03b7 \u03b3\u03b9\u03b1\u03c4\u03c1\u03cc\u03c2 \u03b8\u03ad\u03bb\u03b5\u03b9 \u03bd\u03b1 \u03c3\u03c5\u03b3\u03ba\u03c1\u03af\u03bd\u03b5\u03b9 \u03c4\u03bf \u03c0\u03c1\u03bf\u03c6\u03af\u03bb \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03ba\u03ac\u03c0\u03bf\u03b9\u03bf \u03b4\u03b9\u03ac\u03c3\u03c4\u03b7\u03bc\u03b1.<br \/>\n\u0394\u03b5\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03ad\u03bd\u03b1\u03c2 \u201c\u03c5\u03c0\u03bf\u03c7\u03c1\u03b5\u03c9\u03c4\u03b9\u03ba\u03cc\u03c2\u201d \u03c7\u03c1\u03cc\u03bd\u03bf\u03c2 \u03b5\u03c0\u03b1\u03bd\u03ac\u03bb\u03b7\u03c8\u03b7\u03c2 \u03b3\u03b9\u03b1 \u03cc\u03bb\u03bf\u03c5\u03c2. \u0397 \u03b1\u03c0\u03cc\u03c6\u03b1\u03c3\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03be\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03b5\u03c5\u03bc\u03ad\u03bd\u03b7.<\/p>\n<p>\u0391\u03bd \u03ae\u03b4\u03b7 \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03bf\u03c5, \u03b7 \u03b1\u03be\u03af\u03b1 \u03c4\u03b7\u03c2 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7\u03c2 \u03b4\u03b5\u03bd \u03b2\u03b1\u03c3\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c3\u03c4\u03bf anti-RNP \u03b1\u03bb\u03bb\u03ac \u03c3\u03b5 \u03bf\u03bb\u03cc\u03ba\u03bb\u03b7\u03c1\u03bf<br \/>\n\u03c4\u03bf \u03c0\u03b1\u03ba\u03ad\u03c4\u03bf: \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1, \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ce\u03b4\u03b5\u03b9\u03c2 \u03b4\u03b5\u03af\u03ba\u03c4\u03b5\u03c2, \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03bf\u03c1\u03b3\u03ac\u03bd\u03c9\u03bd \u03ba\u03b1\u03b9 \u03b1\u03bd\u03c4\u03b1\u03c0\u03cc\u03ba\u03c1\u03b9\u03c3\u03b7 \u03c3\u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1.<\/p>\n<\/section>\n<p><!-- ==================== SECTION 15 ==================== --><\/p>\n<section id=\"section15\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">15<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a3\u03c5\u03c7\u03bd\u03ad\u03c2 \u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2<\/span><\/h2>\n<details style=\"margin-bottom: 14px; border: 1px solid #e5e7eb; border-radius: 10px; padding: 12px 14px;\">\n<summary style=\"cursor: pointer; font-weight: 600; font-size: 15px; color: #1d4ed8;\">\u03a7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b7\u03c3\u03c4\u03b5\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b1 anti-RNP;<\/summary>\n<p>\u038c\u03c7\u03b9, \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03b4\u03b5\u03bd \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b7\u03c3\u03c4\u03b5\u03af\u03b1, \u03b5\u03ba\u03c4\u03cc\u03c2 \u03b1\u03bd \u03bf\/\u03b7 \u03b3\u03b9\u03b1\u03c4\u03c1\u03cc\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03b6\u03b7\u03c4\u03ae\u03c3\u03b5\u03b9 \u03ba\u03b1\u03b9 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03bc\u03b1\u03b6\u03af \u03c0\u03bf\u03c5 \u03b1\u03c0\u03b1\u03b9\u03c4\u03bf\u03cd\u03bd \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03b5\u03c4\u03bf\u03b9\u03bc\u03b1\u03c3\u03af\u03b1.<\/p>\n<\/details>\n<details style=\"margin-bottom: 14px; border: 1px solid #e5e7eb; border-radius: 10px; padding: 12px 14px;\">\n<summary style=\"cursor: pointer; font-weight: 600; font-size: 15px; color: #1d4ed8;\">\u0398\u03b5\u03c4\u03b9\u03ba\u03cc anti-RNP \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03bf\u03c0\u03c9\u03c3\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 MCTD;<\/summary>\n<p>\u038c\u03c7\u03b9\u00b7 \u03c4\u03bf anti-RNP \u03c3\u03c5\u03bd\u03b4\u03ad\u03b5\u03c4\u03b1\u03b9 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03bf MCTD, \u03b1\u03bb\u03bb\u03ac \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03c3\u03c9\u03c3\u03c4\u03ac \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ac \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03c4\u03b5\u03b8\u03b5\u03af \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7.<\/p>\n<\/details>\n<details style=\"margin-bottom: 14px; border: 1px solid #e5e7eb; border-radius: 10px; padding: 12px 14px;\">\n<summary style=\"cursor: pointer; font-weight: 600; font-size: 15px; color: #1d4ed8;\">\u039c\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03ac\u03bb\u03bb\u03b1 \u03bd\u03bf\u03c3\u03ae\u03bc\u03b1\u03c4\u03b1;<\/summary>\n<p>\u039d\u03b1\u03b9, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b2\u03c1\u03b5\u03b8\u03b5\u03af \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03bb\u03cd\u03ba\u03bf, \u03c3\u03ba\u03bb\u03b7\u03c1\u03cc\u03b4\u03b5\u03c1\u03bc\u03b1, Sj\u00f6gren, \u03bc\u03c5\u03bf\u03c3\u03af\u03c4\u03b9\u03b4\u03b5\u03c2 \u03ae overlap \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03b1, \u03b3\u03b9\u2019 \u03b1\u03c5\u03c4\u03cc \u03b4\u03b5\u03bd \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03cd\u03b5\u03c4\u03b1\u03b9 \u03c0\u03bf\u03c4\u03ad \u03b1\u03c0\u03bf\u03bc\u03bf\u03bd\u03c9\u03bc\u03ad\u03bd\u03b1.<\/p>\n<\/details>\n<details style=\"margin-bottom: 14px; border: 1px solid #e5e7eb; border-radius: 10px; padding: 12px 14px;\">\n<summary style=\"cursor: pointer; font-weight: 600; font-size: 15px; color: #1d4ed8;\">\u0391\u03bd \u03c4\u03b1 ANA \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ac, \u03ad\u03c7\u03b5\u03b9 \u03bd\u03cc\u03b7\u03bc\u03b1 \u03c4\u03bf anti-RNP;<\/summary>\n<p>\u03a3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03b7 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 \u03c4\u03bf\u03c5 anti-RNP \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc ANA \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bc\u03b2\u03b1\u03c4\u03ae \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03c5\u03c0\u03bf\u03c8\u03af\u03b1.<\/p>\n<\/details>\n<details style=\"margin-bottom: 14px; border: 1px solid #e5e7eb; border-radius: 10px; padding: 12px 14px;\">\n<summary style=\"cursor: pointer; font-weight: 600; font-size: 15px; color: #1d4ed8;\">\u03a0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03c0\u03b1\u03bd\u03b1\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7;<\/summary>\n<p>\u039c\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03c6\u03bf\u03c1\u03ad\u03c2 \u03bd\u03b1\u03b9, \u03b1\u03bb\u03bb\u03ac \u03cc\u03c7\u03b9 \u03b1\u03c5\u03c4\u03cc\u03bc\u03b1\u03c4\u03b1 \u03c3\u03b5 \u03cc\u03bb\u03bf\u03c5\u03c2\u00b7 \u03b7 \u03b1\u03bd\u03ac\u03b3\u03ba\u03b7 \u03b3\u03b9\u03b1 \u03b5\u03c0\u03b1\u03bd\u03ac\u03bb\u03b7\u03c8\u03b7 \u03b5\u03be\u03b1\u03c1\u03c4\u03ac\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc, \u03c4\u03b7 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1, \u03c4\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03bf \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03c0\u03bb\u03ac\u03bd\u03bf.<\/p>\n<\/details>\n<details style=\"margin-bottom: 14px; border: 1px solid #e5e7eb; border-radius: 10px; padding: 12px 14px;\">\n<summary style=\"cursor: pointer; font-weight: 600; font-size: 15px; color: #1d4ed8;\">\u0395\u03af\u03bd\u03b1\u03b9 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b3\u03b9\u03b1 \u03c0\u03c1\u03cc\u03bb\u03b7\u03c8\u03b7 \u03c3\u03b5 \u03c5\u03b3\u03b9\u03ae \u03ac\u03c4\u03bf\u03bc\u03b1;<\/summary>\n<p>\u038c\u03c7\u03b9, \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 screening \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03b3\u03b5\u03bd\u03b9\u03ba\u03cc \u03c0\u03bb\u03b7\u03b8\u03c5\u03c3\u03bc\u03cc\u00b7 \u03b6\u03b7\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03c7\u03b5\u03c5\u03bc\u03ad\u03bd\u03b1 \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7.<\/p>\n<\/details>\n<details style=\"margin-bottom: 14px; border: 1px solid #e5e7eb; border-radius: 10px; padding: 12px 14px;\">\n<summary style=\"cursor: pointer; font-weight: 600; font-size: 15px; color: #1d4ed8;\">\u03a0\u03bf\u03b9\u03b1 \u03ac\u03bb\u03bb\u03b1 \u03c4\u03b5\u03c3\u03c4 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03c3\u03c5\u03bd\u03bf\u03b4\u03b5\u03cd\u03bf\u03c5\u03bd \u03c4\u03bf anti-RNP;<\/summary>\n<p>\u03a3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 ANA, ENA panel, anti-dsDNA, C3\/C4, \u03b3\u03b5\u03bd\u03b9\u03ba\u03ae \u03b1\u03af\u03bc\u03b1\u03c4\u03bf\u03c2, \u03b4\u03b5\u03af\u03ba\u03c4\u03b5\u03c2 \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ae\u03c2 \u03ba\u03b1\u03b9, \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03c5\u03c0\u03bf\u03c8\u03af\u03b1 \u03bc\u03c5\u03ca\u03ba\u03ae\u03c2 \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03bf\u03c7\u03ae\u03c2, CK\/CPK.<\/p>\n<\/details>\n<\/section>\n<p><!-- ==================== SECTION 16 ==================== --><\/p>\n<section id=\"section16\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">16<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u03a4\u03b9 \u03bd\u03b1 \u03b8\u03c5\u03bc\u03ac\u03c3\u03c4\u03b5<\/span><\/h2>\n<div style=\"background: #f8fafc; border: 1px solid #e5e7eb; border-radius: 12px; padding: 14px 16px;\">\n<ul style=\"margin: 0; padding-left: 20px;\">\n<li style=\"margin: 8px 0;\">\u03a4\u03b1 <strong>anti-RNP<\/strong> \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ac \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1, \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c3\u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 <strong>MCTD<\/strong> \u03ba\u03b1\u03b9 overlap \u03bd\u03bf\u03c3\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd.<\/li>\n<li style=\"margin: 8px 0;\">\u0397 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03ad\u03c7\u03b5\u03b9 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b1\u03be\u03af\u03b1 \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 <strong>\u03b8\u03b5\u03c4\u03b9\u03ba\u03cc ANA<\/strong> \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bc\u03b2\u03b1\u03c4\u03ae \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1.<\/li>\n<li style=\"margin: 8px 0;\">\u0388\u03bd\u03b1 <strong>\u03b8\u03b5\u03c4\u03b9\u03ba\u03cc \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03b4\u03b5\u03bd \u03b1\u03c1\u03ba\u03b5\u03af \u03bc\u03cc\u03bd\u03bf \u03c4\u03bf\u03c5<\/strong> \u03b3\u03b9\u03b1 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7.<\/li>\n<li style=\"margin: 8px 0;\">\u0397 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b1\u03b6\u03af \u03bc\u03b5 <strong>\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1, \u03ac\u03bb\u03bb\u03b1 \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf \u03bf\u03c1\u03b3\u03ac\u03bd\u03c9\u03bd<\/strong>.<\/li>\n<li style=\"margin: 8px 0;\">\u03a3\u03b5 \u03cd\u03c0\u03bf\u03c0\u03c4\u03bf MCTD \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c3\u03bf\u03c7\u03ae \u03cc\u03c7\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c3\u03c4\u03b1 \u03b1\u03c1\u03b8\u03c1\u03b9\u03ba\u03ac \u03ae \u03b4\u03b5\u03c1\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c0\u03b9\u03b8\u03b1\u03bd\u03ae <strong>\u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ae \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03bf\u03c7\u03ae<\/strong>.<\/li>\n<li style=\"margin: 8px 0;\">\u0397 \u03c3\u03c9\u03c3\u03c4\u03ae \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7 \u03bf\u03c1\u03b3\u03b1\u03bd\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc <strong>\u03c1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03cc\u03b3\u03bf<\/strong> \u03ae \u03c4\u03bf\u03bd\/\u03c4\u03b7\u03bd \u03b8\u03b5\u03c1\u03ac\u03c0\u03bf\u03bd\u03c4\u03b1 \u03b9\u03b1\u03c4\u03c1\u03cc, \u03cc\u03c7\u03b9 \u03b1\u03c0\u03cc \u03bc\u03b5\u03bc\u03bf\u03bd\u03c9\u03bc\u03ad\u03bd\u03b7 \u03b1\u03bd\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03b5\u03bd\u03cc\u03c2 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03bf\u03c2.<\/li>\n<\/ul>\n<\/div>\n<\/section>\n<p><!-- ==================== SECTION 17 ==================== --><\/p>\n<section id=\"section17\" style=\"margin: 26px 0;\">\n<h2 style=\"display: inline-flex; align-items: center; gap: 12px; margin: 26px 0 10px;\"><span style=\"width: 36px; height: 36px; display: inline-flex; align-items: center; justify-content: center; transform: rotate(45deg); background: linear-gradient(135deg,#f1f5f9,#9ca3af); border-radius: 10px; box-shadow: inset 0 1px 0 rgba(255,255,255,.85),0 4px 10px rgba(0,0,0,.10); flex: 0 0 36px;\"> <span style=\"transform: rotate(-45deg); font-size: 14px; font-weight: 800; color: #111827;\">17<\/span> <\/span> <span style=\"font-size: 24px; font-weight: 900; color: #111827;\">\u039a\u03bb\u03b5\u03af\u03c3\u03c4\u03b5 \u03a1\u03b1\u03bd\u03c4\u03b5\u03b2\u03bf\u03cd &amp; \u0392\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1<\/span><\/h2>\n<p>\u0395\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03c3\u03bc\u03ac\u03c4\u03c9\u03bd \u03b1\u03c0\u03cc \u03b9\u03b1\u03c4\u03c1\u03cc \u03c3\u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03cc \u03bc\u03b1\u03c2. \u039c\u03c0\u03bf\u03c1\u03b5\u03af\u03c4\u03b5 \u03bd\u03b1 \u03c0\u03c1\u03bf\u03b3\u03c1\u03b1\u03bc\u03bc\u03b1\u03c4\u03af\u03c3\u03b5\u03c4\u03b5 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03ae \u03bd\u03b1 \u03b4\u03b5\u03af\u03c4\u03b5 \u03c4\u03bf\u03bd \u03c0\u03bb\u03ae\u03c1\u03b7 \u03ba\u03b1\u03c4\u03ac\u03bb\u03bf\u03b3\u03bf \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03c9\u03bd \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd.<\/p>\n<div style=\"background: #fdf2f2; border: 1px solid #b70000; border-radius: 10px; padding: 18px 14px; text-align: center; margin: 14px 0 22px;\">\n<p style=\"margin: 0 0 10px;\">\u03a3\u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03cc \u03bc\u03b1\u03c2 \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bc\u03b5 \u03b1\u03be\u03b9\u03cc\u03c0\u03b9\u03c3\u03c4\u03b1 \u03c4\u03b7 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd <strong>\u03b1\u03bd\u03c4\u03b9\u03c3\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd anti-RNP<\/strong><br \/>\n\u03ba\u03b1\u03b9 \u03ac\u03bb\u03bb\u03c9\u03bd \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03c4\u03b9\u03c3\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd, \u03bc\u03b5 \u03b4\u03c5\u03bd\u03b1\u03c4\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c3\u03c5\u03c3\u03c7\u03ad\u03c4\u03b9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03bf\u03c2 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03cc \u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf.<\/p>\n<div style=\"margin: 10px 0 8px;\"><a style=\"display: inline-block; vertical-align: middle; width: 200px; height: 44px; line-height: 44px; white-space: nowrap; text-align: center; background: #b70000; color: #fff; border-radius: 8px; text-decoration: none; font-weight: bold; margin: 6px 5px;\" href=\"https:\/\/mikrobiologikolamia.gr\/staging\/about-us\/appointments\/\">\u039a\u03bb\u03b5\u03af\u03c3\u03c4\u03b5 \u03a1\u03b1\u03bd\u03c4\u03b5\u03b2\u03bf\u03cd<\/a><br \/>\n<a style=\"display: inline-block; vertical-align: middle; width: 200px; height: 44px; line-height: 44px; white-space: nowrap; text-align: center; background: #b70000; color: #fff; border-radius: 8px; text-decoration: none; font-weight: bold; margin: 6px 5px;\" href=\"https:\/\/mikrobiologikolamia.gr\/staging\/katalogos-eksetaseon\/\">\u039a\u03b1\u03c4\u03ac\u03bb\u03bf\u03b3\u03bf\u03c2 \u0395\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd<\/a><\/div>\n<p style=\"margin: 8px 0 0; font-size: 14px;\">\ud83d\udcde +30-22310-66841 \u2022 \u0394\u03b5\u03c5\u03c4\u03ad\u03c1\u03b1\u2013\u03a0\u03b1\u03c1\u03b1\u03c3\u03ba\u03b5\u03c5\u03ae 07:00\u201313:30<\/p>\n<\/div>\n<div style=\"border-left: 3px solid #e5e7eb; padding-left: 10px; margin: 6px 0; line-height: 1.35; font-size: 14px;\">ARUP Consult. <em>Mixed Connective Tissue Disease (MCTD).<\/em><br \/>\n<a href=\"https:\/\/arupconsult.com\/content\/mixed-connective-tissue-disease\" target=\"_blank\" rel=\"nofollow noopener\">https:\/\/arupconsult.com\/content\/mixed-connective-tissue-disease<\/a><\/div>\n<div style=\"border-left: 3px solid #e5e7eb; padding-left: 10px; margin: 6px 0; line-height: 1.35; font-size: 14px;\">Merck Manual Professional Edition. <em>Mixed Connective Tissue Disease (MCTD).<\/em><br \/>\n<a href=\"https:\/\/www.merckmanuals.com\/professional\/musculoskeletal-and-connective-tissue-disorders\/systemic-rheumatic-diseases\/mixed-connective-tissue-disease-mctd\" target=\"_blank\" rel=\"nofollow noopener\">https:\/\/www.merckmanuals.com\/professional\/musculoskeletal-and-connective-tissue-disorders\/systemic-rheumatic-diseases\/mixed-connective-tissue-disease-mctd<\/a><\/div>\n<div style=\"border-left: 3px solid #e5e7eb; padding-left: 10px; margin: 6px 0; line-height: 1.35; font-size: 14px;\">Mayo Clinic Laboratories. <em>RNP Antibodies, IgG, Serum.<\/em><br \/>\n<a href=\"https:\/\/www.mayocliniclabs.com\/test-catalog\/overview\/81357\" target=\"_blank\" rel=\"nofollow noopener\">https:\/\/www.mayocliniclabs.com\/test-catalog\/overview\/81357<\/a><\/div>\n<div style=\"border-left: 3px solid #e5e7eb; padding-left: 10px; margin: 6px 0; line-height: 1.35; font-size: 14px;\">StatPearls. <em>Mixed Connective Tissue Disease.<\/em><br \/>\n<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK542198\/\" target=\"_blank\" rel=\"nofollow noopener\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK542198\/<\/a><\/div>\n<div style=\"border-left: 3px solid #e5e7eb; padding-left: 10px; margin: 6px 0; line-height: 1.35; font-size: 14px;\">Lab Tests Online UK. <em>ENA Panel.<\/em><br \/>\n<a href=\"https:\/\/labtestsonline.org.uk\/tests\/ena-panel\" target=\"_blank\" rel=\"nofollow noopener\">https:\/\/labtestsonline.org.uk\/tests\/ena-panel<\/a><\/div>\n<div style=\"border-left: 3px solid #e5e7eb; padding-left: 10px; margin: 6px 0; line-height: 1.35; font-size: 14px;\"><strong>\u039a\u03b1\u03c4\u03ac\u03bb\u03bf\u03b3\u03bf\u03c2 \u0395\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd \u2013 \u039c\u03b9\u03ba\u03c1\u03bf\u03b2\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u039b\u03b1\u03bc\u03af\u03b1<\/strong><br \/>\n<a href=\"https:\/\/mikrobiologikolamia.gr\/staging\/katalogos-eksetaseon\/\" target=\"_blank\" rel=\"noopener\">https:\/\/mikrobiologikolamia.gr\/staging\/katalogos-eksetaseon\/<\/a><\/div>\n<div style=\"background: #f1f5f9; border-left: 4px solid #2563eb; padding: 10px 14px; border-radius: 8px; margin-top: 10px;\"><strong style=\"color: #1d4ed8;\">\u0395\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03bf\u03bd\u03b9\u03ba\u03ae \u03b5\u03c0\u03b9\u03bc\u03ad\u03bb\u03b5\u03b9\u03b1:<\/strong><br \/>\n\u0394\u03c1. \u03a0\u03b1\u03bd\u03c4\u03b5\u03bb\u03ae\u03c2 \u0391\u03bd\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03cc\u03c0\u03bf\u03c5\u03bb\u03bf\u03c2, \u0399\u03b1\u03c4\u03c1\u03cc\u03c2 \u039c\u03b9\u03ba\u03c1\u03bf\u03b2\u03b9\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2 \u2013 \u0392\u03b9\u03bf\u03c0\u03b1\u03b8\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2<br \/>\n\u039c\u03b9\u03ba\u03c1\u03bf\u03b2\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u0395\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf \u039b\u03b1\u03bc\u03af\u03b1\u03c2, \u0388\u03c3\u03bb\u03b9\u03bd 19, \u039b\u03b1\u03bc\u03af\u03b1 35100<br \/>\n\ud83d\udcde +30-22310-66841 \u2022 \u0394\u03b5\u03c5\u03c4\u03ad\u03c1\u03b1\u2013\u03a0\u03b1\u03c1\u03b1\u03c3\u03ba\u03b5\u03c5\u03ae 07:00\u201313:30<\/div>\n<\/section>\n<\/article>\n","protected":false},"excerpt":{"rendered":"<p>\u0391\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 anti-RNP \u2013 \u03a6\u03b9\u03bb\u03b9\u03ba\u03cc\u03c2 \u039f\u03b4\u03b7\u03b3\u03cc\u03c2 \u0394\u03b7\u03bc\u03bf\u03c3\u03af\u03b5\u03c5\u03c3\u03b7: 29 \u03a3\u03b5\u03c0\u03c4\u03b5\u03bc\u03b2\u03c1\u03af\u03bf\u03c5 2025 \u2022 \u03a4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b1 \u03b5\u03bd\u03b7\u03bc\u03ad\u03c1\u03c9\u03c3\u03b7: 4 \u0391\u03c0\u03c1\u03b9\u03bb\u03af\u03bf\u03c5 2026 \u03a3\u03cd\u03bd\u03c4\u03bf\u03bc\u03b7 \u03c0\u03b5\u03c1\u03af\u03bb\u03b7\u03c8\u03b7: \u03a4\u03b1 \u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 anti-RNP \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03b1\u03c5\u03c4\u03bf\u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03b1\u03be\u03b9\u03bf\u03bb\u03bf\u03b3\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03c5\u03c0\u03bf\u03c8\u03af\u03b1 \u03b1\u03c5\u03c4\u03bf\u03ac\u03bd\u03bf\u03c3\u03bf\u03c5 \u03bd\u03bf\u03c3\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03c5\u03bd\u03b4\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd \u03b9\u03c3\u03c4\u03bf\u03cd, \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03cc\u03c4\u03b1\u03bd \u03c4\u03b1 ANA \u03b5\u03af\u03bd\u03b1\u03b9 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bd\u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03cc\u03c0\u03c9\u03c2 Raynaud, \u03b1\u03c1\u03b8\u03c1\u03b1\u03bb\u03b3\u03af\u03b5\u03c2, \u03c0\u03c1\u03b7\u03c3\u03bc\u03ad\u03bd\u03b1 \u03b4\u03ac\u03ba\u03c4\u03c5\u03bb\u03b1, \u03bc\u03c5\u03ca\u03ba\u03ae \u03b1\u03b4\u03c5\u03bd\u03b1\u03bc\u03af\u03b1, \u03b5\u03be\u03b1\u03bd\u03b8\u03ae\u03bc\u03b1\u03c4\u03b1 \u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u201coverlap\u201d \u03bc\u03b5\u03c4\u03b1\u03be\u03cd [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":6276,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2534],"tags":[582,2075,581,2074,583,2077,2076],"class_list":["post-6274","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exetaseis-aimatos","tag-ana","tag-autoantibodies","tag-antipyrinika-antisomata","tag-antisomata-anti-rnp","tag-avtoanosa-nosimata","tag-exetasi-anti-rnp","tag-mikto-nosima-syndetikou-istou"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/mikrobiologikolamia.gr\/staging\/wp-json\/wp\/v2\/posts\/6274","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mikrobiologikolamia.gr\/staging\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mikrobiologikolamia.gr\/staging\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mikrobiologikolamia.gr\/staging\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/mikrobiologikolamia.gr\/staging\/wp-json\/wp\/v2\/comments?post=6274"}],"version-history":[{"count":3,"href":"https:\/\/mikrobiologikolamia.gr\/staging\/wp-json\/wp\/v2\/posts\/6274\/revisions"}],"predecessor-version":[{"id":10764,"href":"https:\/\/mikrobiologikolamia.gr\/staging\/wp-json\/wp\/v2\/posts\/6274\/revisions\/10764"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mikrobiologikolamia.gr\/staging\/wp-json\/wp\/v2\/media\/6276"}],"wp:attachment":[{"href":"https:\/\/mikrobiologikolamia.gr\/staging\/wp-json\/wp\/v2\/media?parent=6274"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mikrobiologikolamia.gr\/staging\/wp-json\/wp\/v2\/categories?post=6274"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mikrobiologikolamia.gr\/staging\/wp-json\/wp\/v2\/tags?post=6274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}