Which of the following conditions most often causes primary acquired hypothyroidism?
a. childhood communicable diseases such as chickenpox or mumps
b. an unusual reaction to immunizations for childhood communicable diseases
c. autoimmune chronic lymphocytic thyroiditis called Hashimoto's thyroiditis
d. infections, particularly beta-hemolytic streptococcus infections
C
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A Incorrect. Primary acquired hypothyroidism is not caused by childhood communicable diseases such as chickenpox or mumps.
B Incorrect. Primary acquired hypothyroidism is not caused by an unusual reaction to immunizations for childhood communicable diseases.
C Correct. Primary acquired hypothyroidism is the most common form and is usually caused by autoimmune chronic lymphocytic thyroiditis called Hashimoto's thyroiditis. This condition occurs during childhood and adolescence and more frequently in girls.
D Incorrect. Primary acquired hypothyroidism is not caused by infections, particularly beta-hemolytic streptococcus infections.
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