{"0": "Abnormality of the mitochondrion", "1": "Lethargy", "2": "Mitochondrial myopathy", "3": "Abnormal erythrocyte enzyme level", "4": "Abnormal urine ph", "5": "Optic neuropathy", "6": "Abnormal brainstem mri signal intensity", "7": "Abnormal circulating carboxylic acid concentration", "8": "Erythroid hypoplasia", "9": "Abnormal mitochondria in muscle tissue", "10": "Muscle abnormality related to mitochondrial dysfunction", "11": "Reduced consciousness confusion", "12": "Adenocarcinoma of the colon", "13": "Persistence of hemoglobin f", "14": "Reticulocytopenia", "15": "Abnormality of the thenar eminence", "16": "Malignant genitourinary tract tumor", "17": "Ragged red muscle fibers", "18": "Dicarboxylic aciduria", "19": "Partial duplication of the phalanx of hand", "20": "Macrocytic anemia", "21": "Osteosarcoma", "22": "Focal t2 hyperintense brainstem lesion", "23": "Paroxysmal involuntary eye movements", "24": "Abnormal number of erythroid precursors", "25": "Migraine", "26": "Increased serum lactate", "27": "Proximal tubulopathy", "28": "Pure red cell aplasia", "29": "Abnormality of the 5th toe", "30": "Postaxial foot polydactyly", "31": "Polyneuropathy", "32": "Organic aciduria", "33": "Abnormal metabolic brain imaging by mrs", "34": "Normochromic anemia", "35": "Adenocarcinoma of the intestines", "36": "Duplication of thumb phalanx", "37": "Developmental glaucoma", "38": "Increased mean corpuscular volume", "39": "Increased csf lactate", "40": "Increased serum pyruvate", "41": "Absent thumb", "42": "Optic disc pallor", "43": "Nonimmune hydrops fetalis", "44": "Thrombocytosis", "45": "Gastrointestinal carcinoma", "46": "External ophthalmoplegia", "47": "Postaxial hand polydactyly", "48": "Abnormal mean corpuscular volume", "49": "Abnormal csf metabolite level"}