From a review of 105 consecutive cases of primary biliary tract disease involving surgery at Public Health Service Indian Hospital, Shiprock, NM, it seems that the disease appears earlier among Navajos and is more aggressive than in other populations.
Brown JE, Christensen C. Biliary Tract Disease Among the Navajos. JAMA. 1967;202(11):1050–1052. doi:10.1001/jama.1967.03130240092021
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