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TABLE 1

Medical Problems Common in Down Syndrome

Condition%
Hearing problems 75 
Vision problems 60–80 
 Nystagmus 3–33 
 Glaucoma <1–7 
 Nasolacrimal duct occlusion 3–36 
 Cataracts 
 Strabismus 36 
 Refractive errors 36–80 
 Keratoconus 1–13 
Obstructive sleep apnea 50–79 
Otitis media with effusion 50–70 
Congenital heart disease 40–50 
Feeding difficulty 31–80 
Respiratory infection 20–36 
Dermatologic problems 56 
Hypodontia and delayed dental eruption 23 
Congenital hypothyroidism 2–7 
Antithyroid antibody positive (Hashimoto thyroiditis; incidence dependent on age) 13–39 
Hyperthyroidism 0.65–3 
Thyroid disease by adulthood 50 
Gastrointestinal atresias 12 
Seizures 1–13 
Hematologic problems  
 Anemia 1.2 
 Iron deficiency 6.7 
 Transient abnormal myelopoiesis 10 
 Leukemia 
Autoimmune conditions  
 Hashimoto thyroiditis 13–39 
 Graves’ disease 
 Celiac disease 1–5 
 Type 1 diabetes 
 Juvenile idiopathic arthritis <1 
 Alopecia 
Symptomatic atlantoaxial instability 1–2 
Autism 7–19 
Hirschsprung disease <1 
Moyamoya disease Down syndrome 26 times greater in patients with Moyamoya than Down syndrome in live births 
Condition%
Hearing problems 75 
Vision problems 60–80 
 Nystagmus 3–33 
 Glaucoma <1–7 
 Nasolacrimal duct occlusion 3–36 
 Cataracts 
 Strabismus 36 
 Refractive errors 36–80 
 Keratoconus 1–13 
Obstructive sleep apnea 50–79 
Otitis media with effusion 50–70 
Congenital heart disease 40–50 
Feeding difficulty 31–80 
Respiratory infection 20–36 
Dermatologic problems 56 
Hypodontia and delayed dental eruption 23 
Congenital hypothyroidism 2–7 
Antithyroid antibody positive (Hashimoto thyroiditis; incidence dependent on age) 13–39 
Hyperthyroidism 0.65–3 
Thyroid disease by adulthood 50 
Gastrointestinal atresias 12 
Seizures 1–13 
Hematologic problems  
 Anemia 1.2 
 Iron deficiency 6.7 
 Transient abnormal myelopoiesis 10 
 Leukemia 
Autoimmune conditions  
 Hashimoto thyroiditis 13–39 
 Graves’ disease 
 Celiac disease 1–5 
 Type 1 diabetes 
 Juvenile idiopathic arthritis <1 
 Alopecia 
Symptomatic atlantoaxial instability 1–2 
Autism 7–19 
Hirschsprung disease <1 
Moyamoya disease Down syndrome 26 times greater in patients with Moyamoya than Down syndrome in live births 
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