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Brett J. Berman, M.D.
William T. Katsiyiannis, M.D.
Washington University School of Medicine
St. Louis, MO 63110-1093
Editor's note: We invite our readers to offer their opinions by e-mail (mystery@nejm.org) or fax (617-739-9864). We will not be able to acknowledge the receipt of responses. We will publish the diagnosis in the Correspondence section of the December 6, 2001, issue. All replies must be received by November 1, 2001.
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