{"0": "Abnormal circulating acetylcarnitine concentration", "1": "Hypoketotic hypoglycemia", "2": "Left ventricular systolic dysfunction", "3": "Macrovesicular hepatic steatosis", "4": "Atrophy degeneration involving the spinal cord", "5": "Decreased plasma carnitine", "6": "Decreased activity of mitochondrial complex iv", "7": "Neonatal hypoglycemia", "8": "3 methylglutaconic aciduria", "9": "Proximal upper limb amyotrophy", "10": "Abnormality of the musculature of the upper arm", "11": "Abnormal muscle fiber protein expression", "12": "Abnormal pericardium morphology", "13": "Arterial stenosis", "14": "Abnormal circulating fatty acid anion concentration", "15": "Abnormality of prothrombin", "16": "Limb girdle muscular dystrophy", "17": "Hyperreflexia in upper limbs", "18": "Shallow orbits", "19": "Inverted nipples", "20": "Thin ribs", "21": "Dicarboxylic aciduria", "22": "Impaired vibration sensation in the lower limbs", "23": "Ragged red muscle fibers", "24": "Cytochrome c oxidase negative muscle fibers", "25": "Ketosis", "26": "Abnormal circulating fatty acid concentration", "27": "Hand muscle weakness", "28": "Large for gestational age", "29": "Microvesicular hepatic steatosis", "30": "Achilles tendon contracture", "31": "Abnormal anatomic location of the heart", "32": "Abnormality of the musculature of the thigh", "33": "Hyperactive patellar reflex", "34": "Oval face", "35": "Central apnea", "36": "Distal lower limb amyotrophy", "37": "Type 1 muscle fiber atrophy", "38": "Hyporeflexia of lower limbs", "39": "Insulin resistance", "40": "Acne", "41": "Tissue ischemia", "42": "Decreased number of peripheral myelinated nerve fibers", "43": "Shoulder girdle muscle weakness", "44": "Slender long bone", "45": "Abnormality of thalamus morphology", "46": "Primary adrenal insufficiency", "47": "Proximal muscle weakness in upper limbs", "48": "Rimmed vacuoles", "49": "Distal upper limb amyotrophy"}