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Herein, we explain a lady patient from Saudi Arabia with LNS. Outcomes The patient (a 4-year-old girl) offered typical attributes associated with the disease, including international developmental delay, self-mutilation, hyperuricemia, hypotonia, speech wait, spasticity, and seizures. Her basic biochemical laboratory results had been typical aside from large quantities of uric-acid. The stomach MRI\MRS, mostly unremarkable, showed bilateral echogen