Dilshan Gunawardena

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Autoimmune haemolytic anaemia (AIHA) is a rare (prevalence 0.2 -1.0 per 100,000 population) but a potentially fatal condition. Diagnosis of AIHA is based mainly on Direct Agglutination Test (DAT/Coomb's test). AIHA is classified into warm (optimal autoantibody reactivity at 37°C) and cold (optimal autoantibody reactivity at 4°C) types. Based on the presence(More)
Dental practitioners are sometimes reluctant to treat patients who are on psychopharmacological agents, due perhaps to the belief that these patients will be difficult to deal with. However patients whose medical history indicates emotional and psychiatric disorders and who are being treated with SSRI or SSNRI agents may actually present a more positive and(More)
A 31-year old army soldier presented with a four day history of fever and malaise. He was a teetotaller and a non-vegetarian. Physical examination was unremarkable There was no lymphadenopathy or organomegaly. Fever subsided spontaneously. Investigations showed pancytopaenia (WBC 2.2 × 103/μl , L:65%, N:19%, platelets 77×103/μl, haemoglobin 10.5 g/dl). MCV(More)
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