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Gerhard Kurlemann, M.D.
Otfried Debus, M.D.
University of Münster
D-48129 Münster, Germany
Editor's note: We invite our readers to offer their opinions by e-mail (mystery{at}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 November 23, 2000, issue. All replies must be received by October 19, 2000.
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N Engl J Med 2000;
343:1573-1575, Nov 23, 2000.
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