Divya BM

Abstract

Adenocarcinoma of eyelid is a rare disease with an incidence of 1 to 5.5% and is considered to be the most common eyelid malignancy following basal cell and squamous cell carcinoma. The symptoms usually present as swelling, thickening, change in appearance of the eyelid skin and ulceration. Various treatment modalities include surgery, radiation or chemotherapy relying upon the stage of tumor at the time of presentation. However, metastasis of adenocarcinoma of the eyelid to other organs is quite rare. We are presenting a case of a 35 year old male who initially presented with complaints of watering in the left eye and in due course, was diagnosed with adenocarcinoma of eyelid which was being treated and eventually progressed to lung and skeletal tissues.  This gentleman also had severe Hypercalcemia which was secondary to paraneoplastic syndrome.   Keywords: Adenocarcinoma of eyelid, Bone metastasis, Hypercalcemia of malignancy, Lung metastasis

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Abstract

COVID-19 caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), profoundly infectious disease which manifests as respiratory symptoms is potentially fatal due to multiorgan involvement and greatly of public health concern. However neurological symptoms could be the first or only symptom of the disease. Here, we report an unusual case of an international traveler who was diagnosed with COVID-19 after presenting with bilateral lower motor neuron (LMN) palsy, despite showing no respiratory manifestations at initial presentation. Keywords: COVID-19, Neurological manifestations, Bilateral lower motor neuron palsy

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