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Congenital Hypothyroidism

Epidemiology

Incidence

  • Worldwide: 1 in 3,000–4,000 births; in North America, 1 in 3,700
  • Male/Female ratio is 1:2–1:3.
  • 80% dysgenesis or agenesis; 20% dyshormonogenesis

Prevalence
  • Racial differences: Prevalence in black infants ~1/3 that in whites
  • Higher prevalence of congenital hypothyroidism in low–birth-weight (>2,000 g) and macrosomic (≥4,500 g) babies