{"0": "Nasogastric tube feeding in infancy", "1": "Psychomotor deterioration", "2": "Capillary hemangioma", "3": "Epistaxis", "4": "Fatigable weakness of bulbar muscles", "5": "Insulin resistant diabetes mellitus", "6": "Xerostomia", "7": "Cns demyelination", "8": "Pituitary adenoma", "9": "Zonular cataract", "10": "Bulbar signs", "11": "Type i diabetes mellitus", "12": "Obstructive sleep apnea", "13": "Ragged red muscle fibers", "14": "Amyotrophic lateral sclerosis", "15": "Gangrene", "16": "Abnormal brain lactate level by mrs", "17": "Neoplasm of the pituitary gland", "18": "Deep palmar crease", "19": "Neoplasm of the stomach", "20": "Postural tremor", "21": "Young adult onset", "22": "Muscle stiffness", "23": "Rhizomelia", "24": "Dysdiadochokinesis", "25": "Peripheral demyelination", "26": "Oral pharyngeal dysphagia", "27": "Frontotemporal dementia", "28": "Abnormality of circulating adrenocorticotropin level", "29": "Wormian bones", "30": "Morphological abnormality of the pyramidal tract", "31": "Abnormal lung lobation", "32": "Hemianopia", "33": "Tremor by anatomical site", "34": "Hemorrhage of the eye", "35": "Motor neuron atrophy", "36": "Steppage gait", "37": "Microretrognathia", "38": "Submucous cleft of soft and hard palate", "39": "Abnormal metabolic brain imaging by mrs", "40": "Abnormal pleura morphology", "41": "Pathologic fracture", "42": "Disproportionate short limb short stature", "43": "Tetraplegia", "44": "Skin ulcer", "45": "Generalized hypopigmentation", "46": "Insulin resistance", "47": "Demyelinating peripheral neuropathy", "48": "Abnormal talus morphology", "49": "Periorbital fullness"}