????? ??????, ???? ?????? ?????????? ??????? ? ?? ?????? ?????? ????? ???????
????? ??????, ???? ?????? ?????????? ??????? ??? ?????? ???? ????? ????????
??????? ?, ????? ??????? ? ?? ????????? ??? ??????, ??????? ???????? ?? ???????????? ????? ?? ? ??????, ?????? ??????, ???????, ???????? ? ?????? ??????????? ???? ???????????? ???? ???? ???
??????? ? ?? ????? ?? ???
??????? ??? ?????? ??????? ??????? ?? ? ???? ?????? ???? ?????? ????? ??????? ????? ?? ???
?????? ??????, ??????? ? ?? ????????????????? ????? ??? ???? ????, ???? ????????? ???? ????????? ???? ???????? ?????? ????? ??????
???? ????????? ??????? ??????? ??????, ?????? ????? ???? ???????, ??????? ????? ? ??????? ????? ?????, ???? ????????? ???? ???? ???????? ??????; ?????????, ???? ????????? ???? ???? ??????????? ????????? ??? ??????, ???? ??????? ?????, ???? ??????? ? ???????? ???? ????????? ????????? ???????? ???? ????????? ?????? ????
???? ????????, ?????????? ???????????? ? ??????????? ???? ?????????? ?????????? ????? ????? ??????? ??????? ? ??? ????? ???? ?????? ?? ???? ????????????? ?????? ? ??????? ????? ??? ??????? ????? ??? ????? ?????? ???? ????????, ?????? ????? ??????????? ? ???? ???????????? ?????????? ???? ??? ??????? ??? ?????? ?????? ??????
??????? ? ????????? ????? ??????? ???????? ????????????? ??????, ? ???? ?????????? ??????????? ??????? ??? ??? ?????????? ??? ??????? ??????? ? ????? ??????????? ??????????? ???:
?????? ???? ???, ???????? ???, ????????? ??? ? ??????? ??? ????? ??????? ?????? ??????? ??? ??? ???????????? ???????? ????? ??????? ???, ????? ???, ? ??????? ????? ??? ??????? ???????? ??????? ? ?????? ?????? ???? (????? ????, ??????, ? ????? ??? ????) ? ?????? (????? ????????? ???) ??? ??????? ??? ???????? ????? ????? ???????? ? ????????? ????? ????? ?????????? ????, ????????? ?????????? ? ????? ????? ?? ?????, ??????? ? ???? ??????? ?????????? ????, ??????? ??, ???????? ? ??????? ??, ? ???? ???????? ????????? ??? ???? ?????? (??????? ?????? ??????? ?????? ????? ??? ??????)?
??????? ? ?? ??? ????? ?????? ?? ???? ??? ?????
?
??????????, ?????? ???????????? ??????? ??? ??? ?????? ?????, ? ??????? ?????????? ????? ???? ??????? ???????? ??????? ? ????????
??????? ? ?????? ??????? ??????? ??????, ?? ?????? ????????? ??????? ??? ????, ??????? ?? ???? ????? ??????? ????? ???? ? ???????? ???? ??? ?????? ??????
?? ?????? ?????, ????? ???? ???? ?? ???? ?????? ???? ???? ???????? ?????? ??????? ??? ??? ?????????????, ????? ?????? ???, ??????? ??????????, ? ???? ?????? ???????? ???????? [????? ????-???????????????? ? ???????? ??????? ??? ??? (AVED) ???? ?????????]?
???? ????????, ????? ??????? (????? ??? ???????? ??????? ???????), ??????? ? ??????? ?????? ????????, ? ??????? ??????? ? ?? ????? ???? ??? ????????? ??? ???????
??????? ? ?? ????? ?????? ? ?????????? ????? ????????? ????, ???? ????? ??? ? ???????? ??????? ??????, ?????? ??? ??????????? ??? ????, ???????? ????? ???? ? ?????? ?????? ??? ????? ???? ????????, ??????? ? ?? ????? ????? ?????????? ??????? ??? ?????????? ????? ??????? ? ?? ????? ????????? ???????????? ????? ???? ?????
?
????? ??????????? ????? ?????? ? ?? ??????? ? ?? ???? ???????? ???? ???? ???????? ??? ?????
- ???? ????? ???????? ????? ?????????
???? ??, JAMA Dermatology ?? ???? ????? ??????? ???? ????????? ???????????? ? ????????? ??????? ???????? ??????? ????????? ????? ??????? ?? ????? ???? ????? ?????????? ??????? ???? ????????? ?????????????????? ???? ??????? ???? ?????????? ??? ????? ???????
?????????? ??????? ????????? ???????, ???????????? ????????? ? ????????? ???????? ?? ???????????? ?????? ???????? ????????, ??????????????, ??????? ?, ??, ? ? ????? ??????? ?????????????????? ?????? ???? ????????? ????????, ?? ????????????????? ??????? ?????? ??? ???? ????? ???? ????? ????? ???????? ??????? ? ?? ???????????? (??????? ???? ??????????) ???? ?? ??????????? ??????????? ???-???? ???? ??????? ?????? ???????? ????????? ?????? ???? ?????
????????? ?? ??? ??????? ?????? ?? ??????????? ???? ??????? ???? ?????/???? ????? ?????? ??? ????? ? ???????? ??????? ???? ????? ???? ??????????? ????? ????? ???????? ??????????
??????? ? ?? ???????? ?????? ???? ???? ????? ????????? ??? ???? ?????? ???? ????, ? ???? ??, ??? ??????? ???????? ???? ???? ???????? ???????? ????? ??????, ?????????? ???-????? ??????? ?????? ?????? ????????? ?????? ??? ????? ?? ??? ??????? ?????? ??????? ? ????? ???? ??????????????? ????????? ??????? ???, ??????? ??????? ?????? ???? ?????? ????????? ????? ???????????
- ?????????? ??????????? ???????? ?? ???????? ?????????
??????? ???????? ?? ???? ?? ??????? ??? ??????? ??????? ? ?????????? ?????? ????? ? ?????????? ??????????? ???? ???????? ????? ?? ???? ????? ??????? ????? ?????? ?????
??????, ?? ???? ????? ???? ???????????? ? ?? ????? ????????? ???????? ??????????? ????, ??????? ? ???? ???? ? ???? ???????????????????? ?????????? ? ????????? ??????????? ???? ??????? ?? ???????? ??????? ????? ??????????? ??????? ? ?? ???? ??????????????? ???????, ????? ??? ???? ????????, ???? ??? ???? ?? ???????? ??????????? ??????? ????????? ? ???????? ?????? ???? ?????????
- ???? ?????? ?????? ???? ?????? ??????? ????? ?? ????? ??????? ?????? ??
????-????????? ???????? ??????????, ?? ????????? ???????? ?????, ? ???????????? ????? ?????????? ?????? ??????? ???????? ??????? ??????? ????? ??????? ? ?? ?? ????????? ????? ????? ???? ?? ?????? ????? ?????? ????????? ????? ?, ?? ??????????? ????? ?????? ? ?? ????? ????-????????? ???????? ???????????? ???? ??????? ????? ?????????? ????, ???? ??????????????????, ???? ? ?????? ????? ???? ???????? ??????? ? ????? ????????? ?????? ??????? ????? ?? ????? ??????? ?????? ??
- ???????? ????? ????????? ????? ????? ????? ????
???? ??????????? ????? ??????? ?? ????? ???? ????? ???????? ????? ????? ???? ?????????? ????, ??????? ? ???????? ????? ????????? ???? ???? ????? ???? ?????
??????? ? ???????? ????? ????? ???? ?? ?????? ????? ?????????
?
- ???? ?? ?????? ?????????
??????? ?????????? ????????? ???? ???? ?????? ????? ?????? ??? ????????, ? ??????? ? ???? ???? ????? ??????? ???????????? ???? ?? ????? ?? ? ??????? ?????? ???????? (JAMA) ?? ???????? ??????? ????? ????????? ?????? ???? ??????? (USPSTF) ?? ??????? ??? ??????, ???? ??? ?? ?????????? ???????? ??????? ???? ????-????????? ?? ??????? ? ???? ??????? ?????? ???? ????-??????????? ???? ????? ???? ???????? (???????? ?? ???????????? ?????????? ???????) ?? ???????? ?????????? ????? ????? ????, ???? ??????? ??? ???? ??? ? ???????? ?????????? ????? ?? ???? ???? ????? ???????? ??? ????
- ???? ????????? ???? ???????? ????? ??????????
??????? ? ?????????? ?????, ???????? ?????? ??? ??????? ??? ??????? ?????????? ??????? ????????, ????? ??????? ? ???????? ? (??????? ?????????? ???? ??????? ????? ?????? ???? ?? ??????????)? ?? ??? ????????? ????? ???, ???? ????? ??????, ??????? ??????, ????? ?????? ? ????????? ????? ????? ????????? ??? ?????????? ?????
???? ????????, ??????? ? ?????? ??????? ???? ? ?????? ????? ????? ???? ??????, ??????? ? ?? ???? ???????? ???? ??????? ???????? ???? ???????? ????? ????? ????; ????? ????????? ???? ?????????? ????, ???? ???????? ????? ??? ????? ?????
??????????? ??????? ? ?? ???? ??????? ????? ??????? ? ?? ????????? ?????????? ????? ????? ????? ???? ??????????? ????? ????? ?? ??????? ? ?????? ??????? ?? ??????? ????? ?????? ???? ? ???????????????? ????? ?????? ???? ???????????? ???????? ????? ????? ?????