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    <AnnotationProperty rdf:about="http://www.geneontology.org/formats/oboInOwl#hasExactSynonym"/>
    <AnnotationProperty rdf:about="http://purl.obolibrary.org/obo/IAO_0000115"/>
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    <AnnotationProperty rdf:about="http://purl.obolibrary.org/obo/doid#NCIthesaurus">
        <rdfs:label>NCIthesaurus</rdfs:label>
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        <rdfs:label>has symptom</rdfs:label>
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    <!-- http://purl.obolibrary.org/obo/DOID_3687 -->

    <Class rdf:about="http://purl.obolibrary.org/obo/DOID_3687">
        <rdfs:label xml:lang="en">MELAS syndrome</rdfs:label>
        <rdfs:subClassOf rdf:resource="http://purl.obolibrary.org/obo/DOID_890"/>
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            <Restriction>
                <onProperty rdf:resource="http://purl.obolibrary.org/obo/RO_0002452"/>
                <someValuesFrom rdf:resource="http://purl.obolibrary.org/obo/SYMP_0000329"/>
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                <someValuesFrom rdf:resource="http://purl.obolibrary.org/obo/SYMP_0000124"/>
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        <oboInOwl:id>DOID:3687</oboInOwl:id>
        <oboInOwl:hasDbXref>MESH:D017241</oboInOwl:hasDbXref>
        <oboInOwl:hasExactSynonym xml:lang="en">MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKE-LIKE EPISODES</oboInOwl:hasExactSynonym>
        <oboInOwl:hasOBONamespace>disease_ontology</oboInOwl:hasOBONamespace>
        <oboInOwl:hasDbXref>ICD10CM:E88.41</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>NCI:C84885</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>MIM:540000</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>SNOMEDCT_US_2025_09_01:39925003</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>UMLS_CUI:C0162671</oboInOwl:hasDbXref>
        <ns4:IAO_0000115 xml:lang="en">A mitochondrial encephalomyopathy that is characterized by mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes, has_symptom myalgia, motor weakness, headaches, seizures, and stroke-like episodes with acute hemiparesis and severe headaches, and develops_from mutation in mitochondrial genes including MT-TL1, which encodes tRNA proteins.</ns4:IAO_0000115>
        <rdfs:comment xml:lang="en">OMIM mapping confirmed by DO. [SN].</rdfs:comment>
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    <!-- http://purl.obolibrary.org/obo/DOID_890 -->

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        <rdfs:label xml:lang="en">mitochondrial encephalomyopathy</rdfs:label>
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    <!-- http://purl.obolibrary.org/obo/SYMP_0000124 -->

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        <rdfs:label>seizure</rdfs:label>
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        <rdfs:label>severe headache</rdfs:label>
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    <!-- http://purl.obolibrary.org/obo/SYMP_0000293 -->

    <Class rdf:about="http://purl.obolibrary.org/obo/SYMP_0000293">
        <rdfs:label>hemiparesis</rdfs:label>
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    <!-- http://purl.obolibrary.org/obo/SYMP_0000329 -->

    <Class rdf:about="http://purl.obolibrary.org/obo/SYMP_0000329">
        <rdfs:label>motor weakness</rdfs:label>
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    <!-- http://purl.obolibrary.org/obo/SYMP_0000504 -->

    <Class rdf:about="http://purl.obolibrary.org/obo/SYMP_0000504">
        <rdfs:label>headache</rdfs:label>
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