{"0": "Episodic vomiting", "1": "Peripheral demyelination", "2": "Abnormality of skeletal muscle fiber size", "3": "Postural tremor", "4": "Abnormal muscle fiber morphology", "5": "Amyotrophic lateral sclerosis", "6": "Fatigable weakness of swallowing muscles", "7": "Abnormal circulating fatty acid concentration", "8": "Abnormality of the mitochondrion", "9": "Fatigable weakness of bulbar muscles", "10": "Bulbar signs", "11": "Fatigable weakness of respiratory muscles", "12": "Abnormal csf protein level", "13": "Xerostomia", "14": "Abnormal larynx physiology", "15": "Toe walking", "16": "Bilateral sensorineural hearing impairment", "17": "Neck muscle weakness", "18": "Thoracic scoliosis", "19": "Agenesis of corpus callosum", "20": "Sensorimotor neuropathy", "21": "Underdeveloped supraorbital ridges", "22": "Motor neuron atrophy", "23": "Sensory axonal neuropathy", "24": "Focal segmental glomerulosclerosis", "25": "Rimmed vacuoles", "26": "Muscle fiber atrophy", "27": "Abnormal cardiac ventricular function", "28": "Young adult onset", "29": "Muscle abnormality related to mitochondrial dysfunction", "30": "Skin pit", "31": "Achilles tendon contracture", "32": "Skin nodule", "33": "Abnormality of the phalanges of the toes", "34": "Fatigue", "35": "Abnormality of subcutaneous fat tissue", "36": "Peripheral axonal degeneration", "37": "Abnormality of salivation", "38": "Neurodegeneration", "39": "Abnormal synaptic transmission at the neuromuscular junction", "40": "Submucous cleft of soft and hard palate", "41": "Wormian bones", "42": "Variable expressivity", "43": "Cardiac conduction abnormality", "44": "Mitochondrial myopathy", "45": "Abnormality of the parathyroid gland", "46": "Aplasia hypoplasia involving the skeletal musculature", "47": "Prenatal maternal abnormality", "48": "Primary adrenal insufficiency", "49": "Sensory neuropathy"}