14074
From these data , acute generalized dystonia with brainstem and thalamic lesions may occur in WD patients after an initial d - penicillamine therapy .
 adverse effect: acute generalized dystonia, d - penicillamine; adverse effect: brainstem and thalamic lesions, d - penicillamine
Given options, please tell me the relationships of all the listed entity pairs.Output format is "relation1: word1, word2; relation2: word3, word4". 
Option: adverse effect 
Text: {0} 
 Entity Pairs:  acute generalized dystonia, d - penicillamine; brainstem and thalamic lesions, d - penicillamine 
Answer:
 adverse effect: acute generalized dystonia, d - penicillamine; adverse effect: brainstem and thalamic lesions, d - penicillamine