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She describes an eruption that began as a single plaque on her posterior thigh with outwardly spreading growth

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Affected patients initially develop normally and then experience loss of speech and purposeful hand use and onset of stereotypic midline hand movements and gait abnormalities

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8 As such, function of oxidative enzymes, including MCAD is dependent on functionality of this transport system for access to C 8 C 12 FA's
