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{"0": "Mental deterioration", "1": "Cognitive impairment", "2": "Pain", "3": "Dementia", "4": "Sensorimotor neuropathy", "5": "Cherry red spot of the macula", "6": "Vascular skin abnormality", "7": "Skin nodule", "8": "Abnormal circulating fatty acid concentration", "9": "Increased susceptibility to fractures", "10": "Subcutaneous nodule", "11": "Abnormal retinal artery morphology", "12": "Hepatic failure", "13": "Arthritis", "14": "Dysphagia", "15": "Muscle weakness", "16": "Constitutional symptom", "17": "Diarrhea", "18": "Abnormal vertebral morphology", "19": "Abnormal tissue metabolite concentration", "20": "Platyspondyly", "21": "Abnormality of head blood vessel", "22": "Decreased plasma carnitine", "23": "Ascites", "24": "Abnormal circulating fatty acid anion concentration", "25": "Abdominal pain", "26": "Abnormal circulating lipid concentration", "27": "Arteriosclerosis", "28": "Abnormality of salivation", "29": "Limb ataxia", "30": "Abnormal systemic blood pressure", "31": "Bilateral sensorineural hearing impairment", "32": "Abnormality of adrenal morphology", "33": "Abnormal muscle fiber morphology", "34": "Abnormality of the peripheral nervous system", "35": "Airway obstruction", "36": "Cerebral palsy", "37": "Toe walking", "38": "Abnormal pericardium morphology", "39": "Fasciculations", "40": "Juvenile onset", "41": "Generalized abnormality of skin", "42": "Thoracic scoliosis", "43": "Chronic diarrhea", "44": "Telecanthus", "45": "Cachexia", "46": "Depression", "47": "Abnormality of fontanelles", "48": "Abnormal biliary tract morphology", "49": "Abnormality of the upper respiratory tract"}