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Research Letter |

Variation in Rates of Autoimmune Thyroid Disease by Race/Ethnicity in US Military Personnel

Donald S. A. McLeod, FRACP, MPH1; Patrizio Caturegli, MD, MPH2; David S. Cooper, MD3; Peter G. Matos, DO, MPH4; Susan Hutfless, MS, PhD5
[+] Author Affiliations
1Department of Population Health, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia
2Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland
3Division of Endocrinology and Metabolism, Johns Hopkins University School of Medicine, Baltimore, Maryland
4Joint Munitions Command Headquarters AMSJM-HRS, US Army, Rock Island, Illinois
5Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland
JAMA. 2014;311(15):1563-1565. doi:10.1001/jama.2013.285606.
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The relationship between Graves disease and race/ethnicity is undefined. Based on thyroid antibody prevalence, the rates of Hashimoto thyroiditis may be highest in whites and lowest in blacks.1,2

Using a large and comprehensive data set of medical diagnoses for all US active duty service personnel, we calculated age-standardized incidence rates for Graves disease and Hashimoto thyroiditis by race/ethnicity.

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Figure.
Graves Disease and Hashimoto Thyroiditis by Race/Ethnicity

Incidence rates for each race/ethnicity were age-standardized to the 2010 US resident population. Error bars indicate 95% confidence intervals. The y axis segments shown in blue indicate range from 0 to 35 in both graphs.

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