Thyroid disease

Familial Risk of Hashimoto's Thyroiditis in a Large Genealogical Database

J Clin Endocrinol MetabPublished Population-based familial risk study

Authors' conclusion

This is the first study to estimate an increased risk of HT for second- and third-degree relatives, who are less likely to share common environments than first-degree relatives.

Study context

Population
Hashimoto thyroiditis (HT) probands, matched controls and their first-, second- and third-degree relatives, Utah Population Database
Participants
92,405 vs 184,810
Exposure
Relatives of HT probands vs relatives of matched controls
  • HT probandsn = 92,405
  • Controlsn = 184,810reference
Outcome
Relative risk (OR) of HT in first-, second- and third-degree relatives
Methodological detailsmatched case-control genealogical study, matched controls, Utah Population Database
  • Matched case-control genealogical study
  • Matched controls
  • Utah Population Database

Main finding

As reported in the abstract

OR of HT in relatives of affected individuals (HT probands)

OR of HT in first-degree relatives

1.77

95% CI 1.74–1.80

OR of HT in second-degree relatives

1.23

95% CI 1.22–1.27

OR of HT in third-degree relatives

1.11

95% CI 1.10–1.12

Observational data: associations, not effects.

Further findings

OR of HT in spouses of HT probands

OR (95% CI)
Husbands of affected wivesSuggesting a significant environmental component1.50 (1.39–1.61)
Wives of affected husbandsSuggesting a significant environmental component1.58 (1.47–1.70)

Sex ratio of HT

Females with HT more common than males
2.71-fold

Original publication

Familial Risk of Hashimoto's Thyroiditis in a Large Genealogical Database. J Clin Endocrinol Metab. Published 28 April 2025. doi:10.1210/clinem/dgaf251

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