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University of Groningen

Raynaud’s phenomenon: a mirror of autoimmune disease

van Roon, Anniek Maaike

DOI:

10.33612/diss.98238042

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: 2019

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

van Roon, A. M. (2019). Raynaud’s phenomenon: a mirror of autoimmune disease. Rijksuniversiteit Groningen. https://doi.org/10.33612/diss.98238042

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Raynaud’s phenomenon: a mirror

of autoimmune disease

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Financial support for this thesis by the Junior Scientific Masterclass Groningen, Graduate School of Medical Sciences and Actelion Pharmaceutics is gratefully acknowledged. Financial support for printing of this thesis was kindly provided by NVLE Fonds, Nationale Vereniging Sjögrenpatiënten and ChipSoft.

Financial support by the Dutch Heart Foundation for the publication of this thesis is gratefully acknowledged.

Raynaud’s phenomenon: a mirror of autoimmune disease

ISBN for printed version: 978-94-034-1891-9 ISBN for electronic version: 978-94-034-1890-2

© A.M. van Roon, 2019 Groningen

All rights reserved. No part of this thesis may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without prior written permission of the author.

Layout and design: David de Groot, persoonlijkproefschrift.nl Printing: Ridderprint BV, ridderprint.nl

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Raynaud’s phenomenon: a mirror

of autoimmune 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 30 oktober om 14:30 uur

door

Anniek Maaike van Roon

geboren op 11 november 1991 te Groningen

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Promotores

Prof. dr. A.J. Smit Prof. dr. H. Bootsma

Copromotores

Dr. D.J. Mulder Dr. A.J. Stel

Beoordelingscommissie

Prof. dr. H. van Goor Prof. dr. A.L. Herrick Prof. dr. J.M. van Laar

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Paranimfen

Saskia van de Zande Liza Milosevic

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CONTENTS

Chapter 1 9

General introduction

CHAPTER 2 33

Digital ischemia during cooling is independently related to nailfold capillaroscopic pattern in patients with Raynaud’s phenomenon

CHAPTER 3 53

Longitudinal nailfold capillaroscopy tracking of microangiopathic changes in systemic sclerosis

CHAPTER 4 59

Assessing recovery after cold challenge and thumb involvement can help to rule out systemic sclerosis in patients presenting with Raynaud’s phenomenon

CHAPTER 5 71

Nailfold capillaroscopy abnormalities are associated with BMI in subjects with Raynaud’s phenomenon

CHAPTER 6 83

Abnormal nailfold capillaroscopy is common in patients with connective tissue disease and associated with abnormal pulmonary function tests

CHAPTER 7 103

Pulse Wave Velocity in Systemic Sclerosis: potential beneficial effects of bosentan on forearm arterial stiffness? An exploratory study

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CHAPTER 8 123

Treatment of resistant Raynaud’s phenomenon with single-port thoracoscopic sympathicotomy: a novel minimally invasive endoscopic technique

CHAPTER 9 137

Summary, general discussion and future perspectives

Nederlandse samenvatting 160

Dankwoord 168

Curriculum vitae 175

Bibliography 176

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