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Clinical aspects of endogenous hypothyroidism and subclinical hyperthyroidism in patients with differentiated thyroid carcinoma

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Clinical aspects of endogenous hypothyroidism and subclinical hyperthyroidism in patients with differentiated thyroid carcinoma

Heemstra, K.A.

Citation

Heemstra, K. A. (2009, September 2). Clinical aspects of endogenous hypothyroidism and subclinical hyperthyroidism in patients with differentiated thyroid carcinoma. Retrieved from https://hdl.handle.net/1887/13946

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/13946

Note: To cite this publication please use the final published version (if applicable).

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Clinical aspects of endogenous hypothyroidism and

subclinical hyperthyroidism

in patients with differentiated

thyroid carcinoma

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Publication of this thesis was financially supported by Ipsen Farmaceutica BV, Novo Nordisk BV, Bayer Schering Pharma and Novartis Oncology.

Lay out & cover design: Froukje van de Klundert Printed by: Gildeprint Drukkerijen

ISBN/EAN 9789490122461

© 2009 K.A. Heemstra

All rights reserved. No part of this thesis may be reproduced or transmitted in any form, by any means, electronic or mechanical, without the prior written permission of the author, or where appropriate, of the publisher of the articles.

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Clinical aspects of endogenous hypothyroidism and subclinical hyperthyroidism in

patients with differentiated thyroid carcinoma

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden

op gezag van Rector Magnificus prof. mr. P.F. van der Heijden, volgens besluit van het College voor Promoties

te verdedigen op woensdag 2 september 2009

klokke 15.00 uur

door

Karen Anne Heemstra

geboren te Weert in 1982

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Promotiecommissie

Promotores: Prof. Dr. J.W.A. Smit Prof. Dr. J.A. Romijn

Copromotor: Dr. E.P.M. van der Kleij-Corssmit

Referent: Prof. P. Lips (VU Medisch Centrum, Amsterdam) Overige leden: Prof. J.H. Bolk

Prof. H.A. Delemarre-van der Waal

Prof. J. Kievit

Prof. H. Pijl

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Voor mijn ouders

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Contents

01 General Introduction

02 Serum Thyroglobulin Concentrations Predict Disease-free Remission and Death in Differentiated Thyroid Carcinoma

03 Type 2 Iodothyronine Deiodinase in Human Skeletal Muscle: Effects of Hypothyroidism and Fasting.

04 The Effects of Thyrotropin Suppressive Therapy on Bone Metabolism in Patients with Well-Differentiated Thyroid Carcinoma

05 Thyroid Hormone Independent Associations between serum TSH levels and Indicators of Bone Turnover in Cured Patients with Differentiated Thyroid Carcinoma

06 Thyroid hormone rather than TSH decreases bone turnover during hypothyroidism in athyroid patients with differentiated thyroid carcinoma 07 The Type 2 Deiodinase Thr92Ala Polymorphism is Associated with

Decreased Femoral Neck Bone Mineral Density and Increased Bone Turn-over

08 Glucose Tolerance and Lipid Profile in Long-term Exogenous Subclinical Hyperthyroidism and the Effects of Restoration of Euthyroidism, a Randomised Controlled Trial

09 Autonomic nervous system function in chronic exogenous subclinical thyrotoxicosis and the effect of restoring euthyroidism

10 Short-term overt hypothyroidism induces sympathovagal imbalance in thyroidectomized differentiated thyroid carcinoma patients

11 Quality of Life in Cured patients with Differentiated Thyroid Carcinoma 12 The Thr92Ala polymorphism in the type 2 deiodinase is not associated

with thyroxin dose in athyroid patients or patients with Hashimoto thyroiditis

13 General discussion and Summary 14 Nederlandse samenvatting

List of publications Curriculum Vitae

9 33 47 61 77

91 103

119

135 149 161 171

181 197 208 211

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