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pneumonoultramicroscopicsilicovolcanoconiosis 

Longest word ever next to extremelylongelongatedbigassmotherfuckingword (smileforthecamera)
Hey look at the pneumonoultramicroscopicsilicovolcanoconiosis!!

-Chuckeh

PNEUMONOULTRAMICROSCOPICSILICOVOLCANOCONIOSIS 

A lung disease caused by breathing in certain particles. (Or a dumbfuck)
Don't be act like you have PNEUMONOULTRAMICROSCOPICSILICOVOLCANOCONIOSIS.

pneumonoultramicroscopicsilicovolcanoconiosis 

the way you actually spell the word as opposed to the many variations found on the site. Is a form of pneumonia you get from inhaling silica dust or quartz dust found around volcanoes.
cant think of one but ineed to fill a 20 word space

Pneumonoultramicroscopicsilicovolcanoconiosis 

A condition meeting the word's definition is normally called silicosis.
Teacher: Who here knows the longest English word in English?

James (Nerd): I DO, CAN I WRITE IT ON THE BOARD?

Teacher: Yes of course James.

*Writes Pneumonoultramicroscopicsilicovolcanoconiosis

Class: (What a nerd)

James: OKE I'M DONE

Teacher: Looks about right...

pneumonoultramicroscopicsilicovolcanoconiosis 

a disease of the lung miners get by inhaling silica
uh....why dont you try

Pneumonoultramicroscopicsilicovolcanoconiosis 

lung cancer.
I have 40 hours to live because of my pneumonoultramicroscopicsilicovolcanoconiosis