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used in The Fountainhead

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a physiological attribute present at birth; or an ingrained trait
  • It was as if he had spent his life believing that he carried a congenital disease, and suddenly the words of the greatest specialist on earth had pronounced him healthy.
    2.4 — Part 2 Chapter 4 (53% in)

There are no more uses of "congenital" in The Fountainhead.

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Dictionary / pronunciation — Google®Dictionary list —®Wikipedia:  Congenital Disorder