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We examine the clinical features of PRES and highlight important points for the diagnosis and management of this rare syndrome. This report demonstrates the importance of pediatricians to consider PRES in the differential diagnosis in children presenting with acute altered mental status. Blood pressure measurements, which are often overlooked in pediatric care, may assist in correctly diagnosing patients.Multiple sulfatase deficiency (MSD) (MIM # 27220 is an extraordinarily rare inborn error of metabolism (IEM). The phenotypic spectru
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