{"0": "Insulin resistance", "1": "Chronic constipation", "2": "Thin ribs", "3": "Atrophy degeneration affecting the brainstem", "4": "Premature birth", "5": "Tube feeding", "6": "Abnormal biliary tract morphology", "7": "Abnormal middle phalanx morphology of the hand", "8": "Biliary tract abnormality", "9": "Retrognathia", "10": "Horizontal nystagmus", "11": "Bruising susceptibility", "12": "Abnormality of the 1st metacarpal", "13": "Epistaxis", "14": "Aspiration pneumonia", "15": "Orthostatic hypotension due to autonomic dysfunction", "16": "Narrow nasal ridge", "17": "Nyctalopia", "18": "Dental crowding", "19": "Limited elbow movement", "20": "Elbow flexion contracture", "21": "Hyperlipidemia", "22": "Urinary urgency", "23": "Abnormal csf metabolite level", "24": "Microretrognathia", "25": "Variable expressivity", "26": "External ophthalmoplegia", "27": "Delusions", "28": "Poor suck", "29": "Narrow forehead", "30": "Poor head control", "31": "Lipodystrophy", "32": "Abnormality of humoral immunity", "33": "Abnormal peripheral myelination", "34": "Falls", "35": "Disproportionate short stature", "36": "Aplasia hypoplasia of the optic nerve", "37": "Decreased absent ankle reflexes", "38": "Microvesicular hepatic steatosis", "39": "Neck muscle weakness", "40": "Gait ataxia", "41": "Tachycardia", "42": "Abnormal csf protein level", "43": "Optic nerve hypoplasia", "44": "Hypertriglyceridemia", "45": "Wide cranial sutures", "46": "Abnormal activity of mitochondrial respiratory chain", "47": "Narrow nose", "48": "Thoracic hypoplasia", "49": "Areflexia of lower limbs"}