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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">research-focus</journal-id>
      <journal-title-group>
        <journal-title>Research Focus International Scientific Journal</journal-title>
        <abbrev-journal-title abbrev-type="publisher">Research Focus</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="epub" publication-format="electronic">2181-3833</issn>
      <publisher>
        <publisher-name>Ilm-fan va innovatsiyalar akademiyasi</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.66073/researchfocus.v4i11.1866</article-id>
      <article-id pub-id-type="other" assigning-authority="relibrary.uz">REL-A-013182</article-id>
      <article-categories>
        <subj-group subj-group-type="oak">
          <subject>14.00.00</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title xml:lang="ru">ДИФФЕРЕНЦИАЛЬНАЯ ДИАГНОСТИКА ЭРОЗИВНО-ЯЗВЕННОЙ ФОРМЫ КПЛ СЛИЗИСТОЙ ОБОЛОЧКИ РТА И АУТОИММУННЫХ БУЛЛЁЗНЫХ ДЕРМАТОЗОВ</article-title>
        <trans-title-group xml:lang="en">
          <trans-title>DIFFERENTIAL DIAGNOSIS OF THE EROSIVE-ULCERATIVE FORM OF LICHEN PLANUS OF THE ORAL MUCOSA AND AUTOIMMUNE BULLOUS DERMATOSES</trans-title>
        </trans-title-group>
        <trans-title-group xml:lang="uz">
          <trans-title>OG‘IZ BO‘SHLIG‘I SHILLIQ QAVATI QIZIL YASSI LISHAYINING EROZIV-YARALI SHAKLI VA AUTOIMMUN BULLYOZ DERMATOZLARNING QIYOSIY DIAGNOSTIKASI</trans-title>
        </trans-title-group>
      </title-group>
      <contrib-group content-type="author">
        <contrib contrib-type="author">
          <string-name>Абдурасулова Жасмина Умарджоновна</string-name>
          <aff>Клинический ординатор 1 курса кафедры «Дерматовенерологии и косметологии» Самаркандского государственного медицинского университета. Узбекистан, г. Самарканд, ул. Амира Темура, 18,</aff>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Нарзикулов Рустам Мардонович</string-name>
          <aff>Самаркандский государственный медицинский университет. Узбекистан, г. Самарканд, ул. Амира Темура, 18,</aff>
        </contrib>
      </contrib-group>
      <pub-date publication-format="electronic" date-type="pub" iso-8601-date="2025-12-05">
        <day>05</day>
        <month>12</month>
        <year>2025</year>
      </pub-date>
      <pub-date date-type="collection">
        <year>2025</year>
      </pub-date>
      <volume>4</volume>
      <issue>11</issue>
      <fpage>272</fpage>
      <lpage>279</lpage>
      <permissions>
        <license xlink:href="https://creativecommons.org/licenses/by/4.0">
          <ali:license_ref>https://creativecommons.org/licenses/by/4.0</ali:license_ref>
          <license-p>Это произведение доступно по лицензии Creative Commons «Attribution» («Атрибуция») 4.0 Всемирная.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://relibrary.uz/REL-A-013182/"/>
      <abstract xml:lang="ru">
        <p>в данном исследовании проведён сравнительный клинико - лабораторный анализ пациентов с эрозивно-язвенными поражениями слизистой оболочки рта с целью разработки критериев дифференциальной диагностики красного плоского лишая, вульгарной пузырчатки и мукозной мембранной пузырчатки. Анализ проводился на трёх группах пациентов. На основе клинических, морфологических и иммунологических данных определены диагностические алгоритмы и оценена точность методов. Характер воспалительного инфильтрата, специфичность иммунофлюоресцентной картины и спектр аутоантител были проанализированы с использованием статистических методов. Кроме того, рассчитана совокупная диагностическая точность комплексного подхода, что является важным практическим показателем для клиницистов.</p>
      </abstract>
      <trans-abstract xml:lang="en">
        <p>This study presents a comparative clinical and laboratory analysis of patients with erosive-ulcerative lesions of the oral mucosa in order to develop criteria for the differential diagnosis of lichen planus, pemphigus vulgaris and mucous membrane pemphigoid. The analysis was carried out in three groups of patients. On the basis of clinical, morphological and immunological data, diagnostic algorithms were determined and the accuracy of the methods was assessed. The nature of the inflammatory infiltrate, the specificity of the immunofluorescence pattern and the spectrum of autoantibodies were analysed using statistical methods. In addition, the cumulative diagnostic accuracy of the comprehensive approach was calculated, which is an important practical indicator for clinicians.</p>
      </trans-abstract>
      <trans-abstract xml:lang="uz">
        <p>Ushbu tadqiqotda og‘iz bo‘shlig‘i shilliq qavatining eroziv-yarali zararlanishlari bo‘lgan bemorlarning qiyosiy klinik-laboratoriya tahlili o‘tkazilib, qizil yassi lishay, oddiy pufakcha va shilliq pardali pemfigoidning qiyosiy diagnostika mezonlarini ishlab chiqish ko‘zda tutilgan. Tahlil bemorlarning uchta guruhida o‘tkazildi. Klinik, morfologik va immunologik ma‘lumotlar asosida diagnostik algoritmlar aniqlandi va usullarning aniqligi baholandi. Yallig‘lanish infiltratining xarakteri, immunofluoressent manzaraning o‘ziga xosligi va autoantitanalar spektri statistik usullar yordamida tahlil qilindi. Bundan tashqari, kompleks yondashuvning umumiy diagnostik aniqligi hisoblab chiqildi, bu esa klinisistlar uchun muhim amaliy ko‘rsatkichdir.</p>
      </trans-abstract>
      <kwd-group xml:lang="ru">
        <kwd>красный плоский лишай</kwd>
        <kwd>эрозивно-язвенная форма</kwd>
        <kwd>пемфигус вульгарный</kwd>
        <kwd>мукозная мембранная пемфигоидная болезнь</kwd>
        <kwd>прямая иммунная флюоресценция</kwd>
        <kwd>серологические маркеры</kwd>
        <kwd>иммуногистохимия</kwd>
        <kwd>дифференциальная диагностика</kwd>
        <kwd>слизистая оболочка рта.</kwd>
      </kwd-group>
      <kwd-group xml:lang="en">
        <kwd>lichen planus</kwd>
        <kwd>erosive-ulcerative form</kwd>
        <kwd>pemphigus vulgaris</kwd>
        <kwd>mucous membrane pemphigoid</kwd>
        <kwd>direct immunofluorescence</kwd>
        <kwd>serological markers</kwd>
        <kwd>immunohistochemistry</kwd>
        <kwd>differential diagnosis</kwd>
        <kwd>oral mucosa</kwd>
      </kwd-group>
      <kwd-group xml:lang="uz">
        <kwd>qizil yassi lishay</kwd>
        <kwd>eroziv-yarali shakl</kwd>
        <kwd>pemfigus vulgaris</kwd>
        <kwd>shilliq parda pemfigoidi</kwd>
        <kwd>to‘g‘ridan-to‘g‘ri immunofluoressensiya</kwd>
        <kwd>serologik markerlar</kwd>
        <kwd>immunogistokimyo</kwd>
        <kwd>qiyosiy diagnostika</kwd>
        <kwd>og‘iz bo‘shlig‘i shilliq qavati</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <back>
    <ref-list>
      <ref id="r1">
        <label>1</label>
        <mixed-citation>Scully C, Carrozzo M. Oral lichen planus. Dermatol Clin. 2000;18(3):483–499.</mixed-citation>
      </ref>
      <ref id="r2">
        <label>2</label>
        <mixed-citation>Eisen D. The clinical features, malignant potential, and systemic associations of oral lichen planus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93(2):112–120.</mixed-citation>
      </ref>
      <ref id="r3">
        <label>3</label>
        <mixed-citation>Ismail SB, Kumar SK, Zain RB. Oral lichen planus and lichenoid reactions: etiopathogenesis, diagnosis and management. Singapore Dent J. 2007;28:47–57.</mixed-citation>
      </ref>
      <ref id="r4">
        <label>4</label>
        <mixed-citation>Lodi G, Scully C, Carrozzo M, et al. Current controversies in oral lichen planus: report of an international consensus meeting. Part 1. Definitions and diagnostic criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100:716–722.</mixed-citation>
      </ref>
      <ref id="r5">
        <label>5</label>
        <mixed-citation>van der Meij EH, van der Waal I. Lack of clinicopathologic correlation in the diagnosis of oral lichen planus based on the presently available criteria and suggestions for modifications. J Oral Pathol Med. 2003;32:507–512.</mixed-citation>
      </ref>
      <ref id="r6">
        <label>6</label>
        <mixed-citation>Sugerman PB, Savage NW, Walsh LJ, et al. The pathogenesis of oral lichen planus. Crit Rev Oral Biol Med. 2002;13(4):350–365.</mixed-citation>
      </ref>
      <ref id="r7">
        <label>7</label>
        <mixed-citation>Zhou X, Xu M, Zhang L, et al. Apoptosis and oral lichen planus: a review. J Oral Pathol Med. 2010;39(10):737–742.</mixed-citation>
      </ref>
      <ref id="r8">
        <label>8</label>
        <mixed-citation>Raghuveer HP, Shubha G, Remya V, et al. Role of oxidative stress in oral lichen planus. J Dent Res Rev. 2014;1(1):1–5.</mixed-citation>
      </ref>
      <ref id="r9">
        <label>9</label>
        <mixed-citation>Farhi D, Dupin N. Pathophysiology, diagnosis, and management of oral lichen planus. Curr Opin Dermatol. 2010;17:432–439.</mixed-citation>
      </ref>
      <ref id="r10">
        <label>10</label>
        <mixed-citation>Khan A, Farah CS, Savage NW. The expression of ICAM-1 in oral lichen planus. J Oral Pathol Med. 2003;32:507–512.</mixed-citation>
      </ref>
      <ref id="r11">
        <label>11</label>
        <mixed-citation>Payeras MR, Cherubini K, Figueiredo MA, et al. Immunologic pathways in oral lichen planus: a systematic review. J Oral Pathol Med. 2013;42(6):449–458.</mixed-citation>
      </ref>
      <ref id="r12">
        <label>12</label>
        <mixed-citation>Abbas A, Lichtman AH. Cellular and Molecular Immunology. 8th ed. Elsevier; 2014.</mixed-citation>
      </ref>
      <ref id="r13">
        <label>13</label>
        <mixed-citation>García-Pola MJ, Llorente-Pendás JL, Seoane J, et al. Th1/Th17 cytokine profile in erosive oral lichen planus. Med Oral Patol Oral Cir Bucal. 2017;22(5):e553–e561.</mixed-citation>
      </ref>
      <ref id="r14">
        <label>14</label>
        <mixed-citation>Williams DM. Vesiculobullous diseases of the oral mucosa. J Oral Pathol Med. 1994;23(8):345–352.</mixed-citation>
      </ref>
      <ref id="r15">
        <label>15</label>
        <mixed-citation>Mutasim DF. Autoimmune blistering diseases: a review. Am J Clin Dermatol. 2001;2(6):365–</mixed-citation>
      </ref>
      <ref id="r16">
        <label>16</label>
        <mixed-citation>Hertl M. Pemphigus vulgaris: epidemiology, clinical presentation, and pathogenesis. Autoimmunity. 2006;39(7):511–519.</mixed-citation>
      </ref>
      <ref id="r17">
        <label>17</label>
        <mixed-citation>Joly P, Litrowski N. Pemphigus group (pemphigus vulgaris, foliaceus, paraneoplastic pemphigus). Clin Dermatol. 2011;29:432–443.</mixed-citation>
      </ref>
      <ref id="r18">
        <label>18</label>
        <mixed-citation>Amagai M. Desmoglein as a target in autoimmunity and infection. J Am Acad Dermatol. 2003;48(2):244–252.</mixed-citation>
      </ref>
      <ref id="r19">
        <label>19</label>
        <mixed-citation>Stanley JR. Pemphigus and pemphigoid as paradigms of organ-specific autoimmune disease. J Clin Invest. 1989;83:1443–1448.</mixed-citation>
      </ref>
      <ref id="r20">
        <label>20</label>
        <mixed-citation>Chan LS, Ahmed AR, Anhalt GJ, et al. The first international consensus on mucous membrane pemphigoid: definition, diagnostic criteria, pathogenic factors, medical treatment. Arch Dermatol. 2002;138(3):370–379.</mixed-citation>
      </ref>
      <ref id="r21">
        <label>21</label>
        <mixed-citation>Schmidt E, Zillikens D. The diagnosis and treatment of autoimmune blistering skin diseases. Dtsch Arztebl Int. 2011;108(23):399–405.</mixed-citation>
      </ref>
      <ref id="r22">
        <label>22</label>
        <mixed-citation>Rashid H, Lamberts A, Diercks GF, et al. Diagnostic significance of IgG and complement C3 deposition in mucous membrane pemphigoid. Br J Dermatol. 2016;174:110–116.</mixed-citation>
      </ref>
      <ref id="r23">
        <label>23</label>
        <mixed-citation>Yancey KB. The use of direct immunofluorescence in diagnosis of autoimmune blistering disorders. Dermatol Clin. 2011;29(3):339–352.</mixed-citation>
      </ref>
      <ref id="r24">
        <label>24</label>
        <mixed-citation>Mutasim DF, Adams BB. Immunofluorescence in diagnostic dermatopathology. J Cutan Pathol. 2009;36(1):46–53.</mixed-citation>
      </ref>
      <ref id="r25">
        <label>25</label>
        <mixed-citation>Sirois D, Leigh J, et al. Direct immunofluorescence in blistering diseases of the oral mucosa. Oral Surg Oral Med Oral Pathol. 2000;90:74–82.</mixed-citation>
      </ref>
      <ref id="r26">
        <label>26</label>
        <mixed-citation>Pippi R. Oral lichen planus: Clinical, histopathological and direct immunofluorescence analysis in 30 patients. Ann Stomatol. 2014;5(2):69–75.</mixed-citation>
      </ref>
      <ref id="r27">
        <label>27</label>
        <mixed-citation>Regezi JA, Sciubba JJ, Jordan RC. Oral Pathology. 6th ed. Saunders; 2012.</mixed-citation>
      </ref>
      <ref id="r28">
        <label>28</label>
        <mixed-citation>Gawkrodger DJ. Clinical Dermatology. 5th ed. Wiley-Blackwell; 2016.</mixed-citation>
      </ref>
      <ref id="r29">
        <label>29</label>
        <mixed-citation>Warnakulasuriya S. Oral potentially malignant disorders. J Oral Pathol Med. 2007;36(10):575–580.</mixed-citation>
      </ref>
      <ref id="r30">
        <label>30</label>
        <mixed-citation>Thongprasom K, Carrozzo M, Furness S, Lodi G. Interventions for treating oral lichen planus. Cochrane Database Syst Rev. 2011;(7):CD001168.</mixed-citation>
      </ref>
      <ref id="r31">
        <label>31</label>
        <mixed-citation>Bagan J, Scully C. Oral mucosal diseases: lichenoid lesions. Med Oral Patol Oral Cir Bucal. 2011;16:e685–e693.</mixed-citation>
      </ref>
      <ref id="r32">
        <label>32</label>
        <mixed-citation>Mignogna MD, Fedele S, Lo Russo L. Erosive oral lichen planus: differential diagnosis and management. J Dermatol. 2001;28:93–98.</mixed-citation>
      </ref>
      <ref id="r33">
        <label>33</label>
        <mixed-citation>Carrozzo M, Porter SR. Oral lichen planus: a review. Minerva Stomatol. 2008;57(10):519–</mixed-citation>
      </ref>
      <ref id="r34">
        <label>34</label>
        <mixed-citation>Joly P, Maho-Vaillant M. Clinical guidelines for pemphigus. J Eur Acad Dermatol Venereol. 2020;34:190–198.</mixed-citation>
      </ref>
      <ref id="r35">
        <label>35</label>
        <mixed-citation>Amber KT, Hertl M. An update on treatment options for mucous membrane pemphigoid. Autoimmun Rev. 2018;17(12):1161–1169.</mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>
