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Figure 1 Further evaluation of her pancytopenia revealed elevated lactate dehydrogenase (LDH) levels up to 3,211 U/L, haptoglobin levels less than 20 mg/dL, reticulocyte count 1.54%, iron level 150 mcg/dL, ferritin 470.5 ng/mL, total iron binding capacity (TIBC) 271 ug/dL, vitamin B12 69 pg/mL, and folate 9.50 ng/mL ( Table 1 )

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The first, a 14-year-old girl presented with riboflavin-responsive recurrent exercise intolerance and biochemical findings of MADD [30]

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