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Editor’s note: An autosomal-recessive condition resulting from mutations in the gene that encodes solute carrier family-30, member-10 (SLC30A10), which encodes a manganese transporter, causes manganese to accumulate in the liver, basal ganglia, and cerebellum. This manifests clinically as a syndrome consisting of manganesemia, polycythemia, liver cirrhosis, and generalized dystonia.