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James and nikki larsen say their son, Ryan, doesn't let Moebius Syndrome keep him down, as he navigates the world with a cleft hand and the inability to smile or blink. The Detroit Lakes family is now on a mission to educate the community on Mobius and other differences. Paula Quam/Tribune

All smiles -- on the inside

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Little 19-month-old Ryan Larsen thinks he's a funny man.

"He is funny," said his mom, Nikki, "he's like a class clown goofball ... he makes us laugh."


He makes himself laugh, too, as he tots around exploring the rural Detroit Lakes home that he clearly owns.

But as his eyes shine with the mischief and energy that a good, fat afternoon nap provides, there is one thing missing -- his smile.

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