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University of Groningen

Hand eczema

Oosterhaven, Jart

DOI:

10.33612/diss.98242014

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):

Oosterhaven, J. (2019). Hand eczema: impact, treatment and outcome measures. https://doi.org/10.33612/diss.98242014

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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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Hand Eczema

Impact, Treatment and Outcome Measures

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ISBN

978-94-034-1949-7 (printed version) 978-94-034-1948-0 (e-version)

© 2019, J.A.F. Oosterhaven, Groningen, The Netherlands

All rights reserved. No part of this thesis may be reproduced or transmitted in any form or by any means without prior permission from the author.

Financial support for the publication of this thesis was provided by:

Almirall, BAP Medical, DermaCura, Eurocept Homecare, Galderma, La Roche Posay, LEO Pharma, Researchfonds Dermatologie, Rijksuniversiteit Groningen, Stichting Milieu en Arbeidsdermatologie, Universitair Medisch Centrum Groningen, Vereniging voor Mensen met Constitutioneel Eczeem.

The study in chapter 9 was supported by Stichting Milieu en Arbeidsdermatologie. Cover design: Evelien Jagtman, https://evelienjagtman.com

Layout: Jart Oosterhaven

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HAND ECZEMA

Impact, Treatment and Outcome Measures

PhD thesis

to obtain the degree of PhD at the

University of Groningen

on the authority of the

Rector Magnificus prof. C. Wijmenga

and in accordance with

the decision by the College of Deans.

This thesis will be defended in public on

Wednesday 16 October 2019 at 12.45 hours

by

Jan Ate Franke Oosterhaven

born on 18 November 1987

in Sneek

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Supervisors

Dr. M.L.A. Schuttelaar

Prof. P.J. Coenraads

Assessment Committee

Prof. T. Agner

Prof. M. Fartasch

Prof. S.A. Reijneveld

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Paranimfen / Paranymphs

Drs. F.B. Poelmann

Dr. J.H. Koetje

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Table of contents

Chapter 1 General introduction 8

Section I – Impact

Chapter 2 Systematic review of cost-of-illness studies in hand eczema 22

Chapter 3 Presenteeism in a Dutch hand eczema population – 40

a cross-sectional survey Section II – Treatment

Chapter 4 Study protocol: efficacy of oral alitretinoin versus oral 70

cyclosporine A in patients with severe recurrent vesicular hand eczema (ALICsA). A randomized prospective open-label trial with blinded outcome assessment.

Chapter 5 Azathioprine treatment and drug survival in patients with 92

chronic hand eczema – results from daily practice

Chapter 6 Dupilumab treatment of very severe refractory atopic hand 98

eczema

Chapter 7 The effect of dupilumab on hand eczema in patients with 102

atopic dermatitis – an observational study Section III – Outcome measures

Chapter 8 Guideline for translation and national validation of the 122

Quality Of Life in Hand Eczema Questionnaire (QOLHEQ)

Chapter 9 Validation of the Dutch QOLHEQ 156

Chapter 10 Cross-cultural validation of the QOLHEQ 206

Chapter 11 Interpretability of the QOLHEQ 256

Chapter 12 Responsiveness and interpretability of the Hand Eczema 298

Severity Index

Chapter 13 General discussion and future perspectives 318

Chapter 14 Appendices 328

Summary 330

Samenvatting (Dutch summary) 332 Dankwoord (Acknowledgements) 334

List of publications 338

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