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{"0": "Cognitive impairment", "1": "Sensorimotor neuropathy", "2": "Progressive visual loss", "3": "Postural tremor", "4": "Abnormal biliary tract morphology", "5": "Ragged red muscle fibers", "6": "Episodic vomiting", "7": "Biliary tract abnormality", "8": "Clumsiness", "9": "Abnormality of pulmonary circulation", "10": "Muscle stiffness", "11": "Action tremor", "12": "Peripheral demyelination", "13": "Pain", "14": "Abnormal csf protein level", "15": "Decreased activity of mitochondrial complex iv", "16": "Elevated pulmonary artery pressure", "17": "Mitochondrial myopathy", "18": "Progressive gait ataxia", "19": "Impaired proprioception", "20": "Juvenile onset", "21": "Personality changes", "22": "Memory impairment", "23": "Muscle abnormality related to mitochondrial dysfunction", "24": "Delusions", "25": "Visual loss", "26": "Abnormal cellular phenotype", "27": "Horizontal nystagmus", "28": "Tremor", "29": "Impaired vibration sensation in the lower limbs", "30": "Abnormal visual electrophysiology", "31": "3 methylglutaconic aciduria", "32": "Impaired vibratory sensation", "33": "Paresthesia", "34": "Nephrotic syndrome", "35": "Abnormal retinal artery morphology", "36": "Optic neuropathy", "37": "Airway obstruction", "38": "Generalized myoclonic seizure", "39": "Mental deterioration", "40": "Dysdiadochokinesis", "41": "Hypoparathyroidism", "42": "Abnormality of head blood vessel", "43": "Abnormality of corneal stroma", "44": "Hemiparesis", "45": "Decreased activity of mitochondrial complex i", "46": "Hepatomegaly", "47": "Cardiac conduction abnormality", "48": "Abnormal muscle fiber morphology", "49": "Left ventricular hypertrophy"}