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Pediatricians should maintain a high index of suspicion in these children, especially in presence of systemic autoimmune manifestations in the child or family

Thyroid diseases are the most common endocrine system disorders, affecting an estimated 5% of the US population, with Graves disease and Hashimotos thyroiditis accounting for a vast majority of cases. , Despite their prevalence, the underlying causes of thyroid autoimmunity remain complex and multifactorial, evolving over time and involving a perfect storm of risk factors: a genetic predisposition, environmental triggers, and an imbalanced immune system

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10.1016/j.diabres.2003.11.009 68 FedeC.FanC.PirriC.PetrelliL.BizC.PorzionatoA.et al (2022)

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