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Dialysis dementia: recovery after transplantation.

Intestinal lymphoma may complicate coeliac disease, especially in longstanding cases not treated with gluten withdrawal.' If this were such a case it is unusual because the lymphomatous process affected only the lymph nodes and not the bowel wall. Moreover, the clinical picture suggested primary intestinal lymphoma presenting as a "coeliac syndrome."2 Acquired ichthyosis at the time of deterioration of the patient raised the suspicion of lymphoma.3 Toxic epidermal necrolysis may have been precipitated by cytotoxic treatment, but occurs with lymphoma,4 and other malignancy.5 Alternatively, the immunofluorescence demonstration of cryoprecipitate at the dermoepidermal junction suggests an immune mechanism could have been responsible.