GPT and ear infection: Delay in achieving milestones, abdominal distention, aggressive behavior, speech delay, short stature, respiratory and ear infection, coarse facial features, joint contractures, hepatosplenomegaly, intellectual disability 3rd and 4th ventricle dilation, Mild periventricular ischemia, Wide cisterna magna, Mild cerebral atrophy, Urea = 12 mg/dL (15–45), Creatinine = 0.5 g/dL (0.6–1.1), ALT = 39 u/L (5–31), Hb = 10.1 g/dL (12–16), HCT = 35.7% (37–47), MCV = 67.2 fL (80–97), MCH = 19 pg (26–32), MCHC = 28.3 g/dL (32–36), Microcytes = Positive, Hypochromia = Positive, Poikilocytes = Positive