An Interesting Case of Sebaceous Gland Carcinoma of Upper Eyelid with Tubercular Lymphadenitis

Sebaceous gland carcinoma (SGC) is a rare, potentially aggressive tumor and the third most common malignancy of the eyelid.We present a case of SGC (confirmed by histopathology) of right upper eyelid in a 48-year-old female, which was managed by excision of mass with 5 mm clear margin with lid reconstruction using Cutler Beard technique and three cycles of cryotherapy. A positive uptake on PET scan of left cervical lymph node followed by FNAC of the same showed tubercular lymphadenitis rather than metastasis. Coming across this case raises a possibility of association of SGC with TB but having said that further research is needed for the same

Obstructive Sleep Apnea and Chronic Obstructive Pulmonary Disease Overlap Syndrome - Double Trouble

COPD- OSA overlap syndrome has been defined in the recent past as a syndrome of these two co-existing illnesses. Whether the overlap is synergistic is unknown, however it has been proven to have increased risk of complications like pulmonary artery hypertension. Mechanisms for each worsening the other have been postulated, putting a potential scare for the prognosis. An attempt to understand and recognize this syndrome will be the basis of defining treatment options for the same. The difficulties in defining and treating this syndrome have also been highlighted in this review

Masking of obstructive sleep apnoea by drug induced central sleep apnoea

Benzodiazepines are widely prescribed hypnotic agents which have multiple proven neurological and respiratory side effects. However, literature is sparse with regards to the incidence and occurrence of new onset central sleep apnoea in individuals being treated with benzodiazepines for insomnia. We present a case report of a patient presenting with new onset central sleep apnoea secondary to long term usage of benzodiazepines, with resultant masking of his pre-existing obstructive sleep apnoea