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Although the level of evidence is not very high, it is the best summary of the current evidence

Klubo-Gwiezdzinska And Wartofsky 2022) and may be accompanied by laboratory abnormalities (Antonini et al

[1] A review of literature shows that the prevalence of PA is higher in Northern Europe, especially in Scandinavian countries, and among people of African descent, and that increased awareness of the disease and better diagnostic tools might play a role in apparently higher rates of incidence

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