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Cushing's Syndrome : hormonal secretion patterns, treatment and

outcome.

Aken, M.O. van

Citation

Aken, M. O. van. (2005, March 17). Cushing's Syndrome : hormonal secretion patterns,

treatment and outcome. Retrieved from https://hdl.handle.net/1887/3748

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/1887/3748

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Cushing’s Syndrome

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postz egel met afbeelding van H. Cushing, in de serie “ G reat A meric ans” (19 8 8 ).

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Cushing’s Syndrome

Hormonal secretion patterns, treatment and outcome

P roefschrift

ter verkrijging van de graad van Doctor aan de U niversiteit L eiden,

op gezag van de

Rector M agnifi cus Dr. D.D. B reimer, hoogleraar in de faculteit der W iskunde en N atuurw etenschappen en die der Geneeskunde,

volgens besluit van het College voor Promoties te verdedigen op donderdag

17 maart 2 0 0 5 klokke 14 .15 uur door

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Promotores: Prof. dr. J.A. Romijn

Prof. dr. S .W.J. Lamberts, E rasmus Universiteit Rotterdam Copromotor: dr. W.W. de Herder, E rasmus Universiteit Rotterdam

Referent: Prof. dr. A.R.M.M. Hermus, Universitair Medisch Centrum S t. Radboud

Overige leden: Prof. dr. E .R. de K loet Prof. dr. S .E . Papapoulos

Prof. dr. H.A.P. Pols, E rasmus Universiteit Rotterdam dr. F . Roelfsema

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Aan Manon

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CONTENTS

Chapter 1 Introduction Chapter 2

Irregular and freq uent cortisol secretory episodes with preserved diurnal rhythmicity in primary adrenal Cushing’s syndrome.

Journal of Clinical Endocrinology and Metabolism, online publication dec. 2 0 0 4

Chapter 3

Growth hormone secretion in primary adrenal Cushing’s syndrome is disorderly and inversely correlated with body mass index .

A merican Journal of P h ysiology: Endocrinology and Metabolism 2 0 0 5 : 2 8 8 (1 ); E6 3 -7 0

Chapter 4

Profound amplifi cation of secretory-burst mass and anomalous regularity of ACT H secretory process in patients with Nelson’s syndrome compared with Cushing’s disease.

Clinical Endocrinology 2 0 0 4 :6 0 ;7 6 5 -7 7 2 Chapter 5

Salivary cortisol in the diagnosis of Cushing’s syndrome. P ublish ed in part in Clinical Ch emistry 2 0 0 3 :4 9 (8 );1 4 0 8 -1 4 0 9 Chapter 6

Risk factors for meningitis after transsphenoidal surgery. Clinical I nfectious D iseases 1 9 9 7 ;2 5 :8 5 2 -6

Chapter 7

Cerebrospinal fl uid leakage during transsphenoidal surgery: postoperative ex ternal lumbar drainage reduces the risk for meningitis.

P ituitary 2 0 0 4 ;7 : 9 3 -9 7 Chapter 8

Postoperative metyrapone test in the early assessment of outcome of pituitary surgery for Cushing’s disease.

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Long-term predictive value of postsurgical cortisol concentrations for cure and risk of recurrence in Cushing’s disease.

Journal of Clinical Endocrinology and Metabolism 2003: 88;5858-5864

Chapter 10

Decreased quality of life in patients despite long-term biochemical cure of Cushing’s disease

S ubmitted Chapter 11

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