{"0": "Abnormal muscle fiber morphology", "1": "Dicarboxylic aciduria", "2": "Abnormal circulating fatty acid concentration", "3": "Organic aciduria", "4": "Hyperammonemia", "5": "Abnormal circulating fatty acid anion concentration", "6": "Abnormal urine ph", "7": "Decreased plasma carnitine", "8": "Postaxial polydactyly", "9": "Muscle fiber atrophy", "10": "Coma", "11": "Distal muscle weakness", "12": "Lethargy", "13": "Abnormality of the diencephalon", "14": "Abnormal circulating nitrogen compound concentration", "15": "Polymicrogyria", "16": "Brachydactyly", "17": "Sensory axonal neuropathy", "18": "Amyotrophic lateral sclerosis", "19": "Abnormality of the gastric mucosa", "20": "Toe walking", "21": "Apnea", "22": "Contractures of the joints of the upper limbs", "23": "Tremor by anatomical site", "24": "Metabolic acidosis", "25": "Thin ribs", "26": "Focal dystonia", "27": "Positive romberg sign", "28": "Enlarged thorax", "29": "Demyelinating peripheral neuropathy", "30": "Symptomatic seizures", "31": "Decreased circulating iga level", "32": "Confusion", "33": "Nonprogressive", "34": "Hand polydactyly", "35": "Cerebellar cyst", "36": "Disproportionate short limb short stature", "37": "Slowly progressive", "38": "Thin skin", "39": "Abnormality of the basal ganglia", "40": "Abnormal circulating dicarboxylic acid concentration", "41": "Rimmed vacuoles", "42": "Abnormal circulating iga level", "43": "Abnormal peripheral nervous system physiology", "44": "Aplasia hypoplasia of the nails", "45": "Platyspondyly", "46": "Skin rash", "47": "Dilated fourth ventricle", "48": "Abnormal nerve conduction velocity", "49": "Proportionate short stature"}