has material basis in germline mutation in BCS1L hereditary disease GRACILE syndrome https://www.malacards.org/card/gracile_syndrome Fellman disease Growth restriction-aminoaciduria-cholestasis-iron overload-lactic acidosis-early death syndrome FLNMS Growth retardation, amino aciduria, cholestasis, iron overload, lactic acidosis, and early death ICD9:759.89 UMLS:C1864002 Orphanet:53693 Fellman syndrome SCTID:703388005 OMIM:603358 DOID:0111455 gracile syndrome GRACILE syndrome is an inherited lethal mitochondrial disorder characterized by fetal growth restriction (GR), aminoaciduria (A), cholestasis (C), iron overload (I), lactacidosis (L), and early death (E). Finnish lactic acidosis with hepatic hemosiderosis Growth retardation, aminoaciduria, cholestasis, iron overload, lactic acidosis and early death MESH:C537934 Finnish lethal neonatal metabolic syndrome lactic acidosis, Finnish, with hepatic hemosiderosis MONDO:0011308 MEDGEN:400428 GARD:0000001 mitochondrial disease