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Ryan Larsen may not ever smile or blink, but the energetic 19-month-old is hitting all of his milestones despite the challenges he faces. Although a lack of functioning nerves controlling his eyes and mouth mean he initially appears expressionless, a closer look shows the spunk and humor in his eyes. 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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