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University of Groningen

Sjögren's syndrome

van Nimwegen, Jolien Francisca

DOI:

10.33612/diss.127967770

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2020

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

van Nimwegen, J. F. (2020). Sjögren's syndrome: Challenges of a multifaceted disease. University of Groningen. https://doi.org/10.33612/diss.127967770

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Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum.

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Sjögren’s syndrome

Challenges of a multifaceted disease

Jolien Francisca van Nimwegen

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The research presented in this thesis was performed at the Sjögren’s expertise centre, University Medical Center Groningen.

The printing and distribution of this thesis was supported by: Rijksuniversiteit Groningen

The Graduate School of Medical Sciences, University Medical Center Groningen ReumaNederland

Nationale Vereniging Sjögrenpatiënten Drs. W.G. Wevers

Dhr. J.H. Elema en Mw. M.E. Homan

Lay-out: Douwe Oppewal

Cover design: Matthijs J.H. Elema, Jolien F. van Nimwegen Printing: Ipskamp Printing

ISBN: 978-94-034-2693-8

©J.F. van Nimwegen, 2020

No part of this thesis may be reproduced, stored in a retrieval system or transmitted in any form by any means, without permission of the author, or, when appropriate, of the publisher of the publication or illustration material.

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Sjögren’s syndrome

Challenges of a multifaceted disease

Proefschrift

ter verkrijging van de graad van doctor aan de

Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. C. Wijmenga

en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op

woensdag 1 juli om 11.00 uur

door

Jolien Francisca van Nimwegen

geboren op 15 maart 1989

te Leeuwarden

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4 Promotores Prof. dr. H. Bootsma Prof. dr. F.G.M. Kroese Prof. dr. A. Vissink Copromotor Dr. S. Boezerooij-Arends Beoordelingscommissie Prof. dr. H.W. Nijman Prof. dr. J.M. Van Laar Prof. dr. A.E. Voskuyl

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5

Paranimfen

Dr. W.G. van Nimwegen Dr. G.M.P.J. Verstappen

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6

CONTENTS

Chapter 1 General introduction 9

Part I Vaginal dryness and sexual dysfunction

Chapter 2 The impact of primary Sjögren’s syndrome on female sexual function 23 Rheumatology 2015; 54: 1286–93

Chapter 3 Vaginal dryness in primary Sjögren’s syndrome: 39 a histopathological case-control study

Rheumatology; published online: 11 February 2020

Chapter 4 Normal vaginal microbiome in women with primary Sjögren’s 63 syndrome-associated vaginal dryness

Ann Rheum Dis 2019; 78: 707–9

Part II Classification and stratification

Chapter 5 Validation of the ACR-EULAR criteria for primary Sjögren’s syndrome 73 in a Dutch prospective diagnostic cohort

Rheumatology 2018; 57: 513-24

Chapter 6 Incorporation of salivary gland ultrasonography into the ACR-EULAR 91 criteria for primary Sjögren’s syndrome

Arthritis Care Res 2020; 72: 583-590

Chapter 7 Clinical phenotyping of primary Sjögren’s patients using 111 salivary gland ultrasonography – data from the Registry of

Sjögren syndrome in Umcg LongiTudinal (RESULT) cohort Manuscript submitted

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7

Part III Systemic treatment

Chapter 8 Abatacept treatment for patients with early active primary 137 Sjögren’s syndrome: a single-centre, randomised, double-blind,

placebo-controlled, phase 3 trial (ASAP-III study) Lancet Rheumatol 2020; 2: PE153-E163

Chapter 9 The value of rituximab treatment in primary Sjögren’s syndrome 165 Clin Immunol 2017; 182: 62-71

Chapter 10 Safety of treatments for primary Sjögren’s syndrome 185 Expert Opin Drug Saf 2016; 15: 513-24

Chapter 11 General discussion 211

Summary 231 Samenvatting 237 Dankwoord 245 Curriculum vitae 251 List of publications 252 List of abbreviations 255

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