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{"0": "Mental deterioration", "1": "Dementia", "2": "Abnormality of the mitochondrion", "3": "Abnormal activity of mitochondrial respiratory chain", "4": "Abnormality of hepatobiliary system physiology", "5": "Decreased activity of mitochondrial complex i", "6": "Abnormal retinal artery morphology", "7": "Myoclonus", "8": "Abnormal brainstem mri signal intensity", "9": "Corneal opacity", "10": "Progressive neurologic deterioration", "11": "Abnormal retinal vascular morphology", "12": "Respiratory failure", "13": "Proximal tubulopathy", "14": "Abnormal tissue metabolite concentration", "15": "Muscle abnormality related to mitochondrial dysfunction", "16": "Abnormal mitochondria in muscle tissue", "17": "Abnormality of head blood vessel", "18": "Abnormal social behavior", "19": "Abnormality of extrapyramidal motor function", "20": "Cognitive impairment", "21": "Focal t2 hyperintense brainstem lesion", "22": "Horizontal nystagmus", "23": "Optic neuropathy", "24": "Abnormal circulating lipid concentration", "25": "Fetal distress", "26": "Increased csf lactate", "27": "Mitochondrial myopathy", "28": "Blindness", "29": "Ectopic calcification", "30": "Phenotypic variability", "31": "Cherry red spot of the macula", "32": "Increased serum lactate", "33": "Toe walking", "34": "Hallucinations", "35": "Optic disc pallor", "36": "Abnormal epiphyseal ossification", "37": "Bulbar signs", "38": "Action tremor", "39": "Abnormal circulating cholesterol concentration", "40": "Variable expressivity", "41": "Cachexia", "42": "Lower limb spasticity", "43": "Paroxysmal involuntary eye movements", "44": "Pathologic fracture", "45": "Mortality aging", "46": "Abnormality of corneal stroma", "47": "Posterior embryotoxon", "48": "Poor eye contact", "49": "Poor head control"}