Actually, carg, if the item was an essential "Main Quest" item, it won't disappear. One of the raiders around Dragonspire stole the Book of the Serpent from one of my characters, and dropped it when I killed him. I said, "No prob" and left the book sitting there, figuring it would disappear (I no longer needed it.) After finishing Dragon Spire much later, I came across this book sitting in the wilderness. Thinking it was a great find, I picked it up...Well, what do you know, "Book of the Serpent"! Keys and other such items required to complete the Main Quest dungeons are permanent, although I think you can lose them if you drop them in Town. Side quest items, however, do vanish.
-Saz
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