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Previous Volume 349:407-408 July 24, 2003 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Paraneoplastic pemphigus has been reported in patients with Castleman's disease, and bronchiolitis obliterans in association with paraneoplastic pemphigus can eventuate in respiratory failure and death.^1,2,3,4 Anatomically, there is a diffuse segmental constrictive bronchiolitis of small bronchioles.⁵ The cause of the bronchiolitis is obscure. Acantholysis of bronchial epithelium and linear deposition of IgG and complement along the lamina propria were observed on transbronchial biopsy in two patients,² suggesting that autoantibodies may have a role.

A 52-year-old man presented with abdominal discomfort in December 1999. Computed tomography (CT) of the abdomen revealed a retroperitoneal mass, 12x8x. . . [Full Text of this Article]

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