{"0": "Skin nodule", "1": "Cardiac arrest", "2": "Abnormal arterial physiology", "3": "Round face", "4": "Abnormal circulating fatty acid concentration", "5": "Abnormality of skull ossification", "6": "Disproportionate short limb short stature", "7": "Dicarboxylic aciduria", "8": "Tissue ischemia", "9": "Subcutaneous nodule", "10": "Epistaxis", "11": "Vestibular dysfunction", "12": "Disproportionate short stature", "13": "Abnormal epiphyseal ossification", "14": "Hyporeflexia of lower limbs", "15": "Rhizomelia", "16": "Decreased activity of mitochondrial complex iv", "17": "Abnormal enchondral ossification", "18": "Distal lower limb amyotrophy", "19": "Epiphyseal stippling", "20": "Lower limb amyotrophy", "21": "Skin ulcer", "22": "Wormian bones", "23": "Cough", "24": "Head tremor", "25": "Dysmetria", "26": "Insulin resistance", "27": "Decreased activity of mitochondrial complex i", "28": "Abnormality of epiphysis morphology", "29": "Joint stiffness", "30": "Vertigo", "31": "Abnormality of the parathyroid gland", "32": "Bone pain", "33": "Arthralgia", "34": "Tachycardia", "35": "Retinopathy", "36": "Hypoventilation", "37": "Posterior embryotoxon", "38": "Ventricular hypertrophy", "39": "Increased susceptibility to fractures", "40": "Abnormal activity of mitochondrial respiratory chain", "41": "Gangrene", "42": "Abnormal thrombosis", "43": "Syncope", "44": "Fetal distress", "45": "Morphological abnormality of the pyramidal tract", "46": "Titubation", "47": "Multiple joint contractures", "48": "Aplasia hypoplasia involving the vertebral column", "49": "Sudden death"}