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ID: 18: A RARE CASE OF MITRAL VALVE REPLACEMENT IN PEDIATRIC MUCOPOLYSACCHARIDOSIS-LIKE SYNDROME Bianchi Janetti Maria 1 , Boffi Lucia 1 , Trocino Giuseppe 1 , Seddio Francesco 2 , Gasperini Serena 1 , Soffici Federica 1 , Cesana Francesca 1 , Lofrano Luca 1 1 IRCCS San Gerardo dei Tintori Hospital - Monza Italy, 2 Papa Giovanni XXIII Hospital - Bergamo Italy We report the case of a 10 yr old male known for OSAS in nocturnal cPAP, subclinical hypothyroidism, renal tubulopathy and chronic steroid therapy for macrophage activation syndrome

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Your body synthesizes small amounts from lysine and methionine, but supplementation can optimize levels beyond what your body produces on its own

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