Carcinoid tumormetastatic to the orbit is a rare occurren ce. Wereport such a case in a patient with a carcinoidmetastasis that was found in the medial rectus mu scle. The dia gnosis was established via a transnasal endoscopic approach. We also discuss the treatment of meta static orbital carcinoid in the hop e that we will increase awareness of the utility oftransnasal endoscopy in fa cilitating both the dia gnosis and treatment ofposteromedial orbital pathology.
Ortner’s syndrome, also known as cardiovocal syndrome, is a rare presentation of aortic dissection. Symptoms occur as a result of recurrent laryngeal nerve compression. Our report describes a case of a patient who complained of hoarseness for a few months and was eventually diagnosed with chronic aortic dissection.
Ashwagandha root extract (ARE) is a reputed herbal supplement in Ayurvedic medicine for a variety of health conditions. To date, scant attention has been paid to thyrotoxicosis associated with Ashwagandha and it is rarely reported in the literature. We report a 73-year-old female who presented with supraventricular tachycardia, symptoms of hyperthyroidism and significantly low TSH levels, after two years of using ARE as a self-administered treatment for hypothyroidism. Full symptomatic resolution and biochemical improvement ensued upon cessation of the supplement. Though the pathophysiology remains obscure, we hope to promote awareness concerning this rare yet possible side effect of Ashwagandha.
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