National Hospital of Sri Lanka

Late-onset acute autograft versus host disease occurring five years after autologous hematopoietic stem cell transplantation: a case report

Graft-versus-host disease (GVHD) is a well-recognized multisystemic disorder that occurs following hematopoietic stem cell transplantation (HSCT). It arises due to a dysregulated immune response elicited by graft immune cells against host antigens, leading to widespread immune-me...

Consensus recommendations for standardising ILD multidisciplinary discussions in India

Abstract Background Interstitial lung diseases (ILDs) are complex, heterogeneous disorders that require accurate diagnosis and coordinated care. Multidisciplinary discussions (MDMs) are considered the gold standard for ILD management; however, in India, the implementation of stru...

Multiple myeloma with extramedullary small bowel plasmacytoma presenting as a pyrexia of unknown origin: a case report

Multiple myeloma is a haematological malignancy arising from clonal plasma cell proliferation, typically presenting with hypercalcaemia, renal impairment, anaemia, and lytic bone lesions. Fever is usually due to infection secondary to immunoparesis; prolonged fever from the disea...

Psychological distress among acute coronary syndrome patients – a descriptive cross-sectional study in patients managed at an interventional cardiology unit in Sri Lanka

<title>Abstract</title> <bold>Background</bold> Mental health issues are a globally prevalent problem. Psychological distress is an emotional and behavioural response to a stressor and can even lead to mental health disease. It is also associated with cardiovascular disease inclu...

Collet-Sicard syndrome associated with probable intracranial vasculitic arteriopathy: a case report

Collet–Sicard syndrome is unilateral palsy of the glossopharyngeal, vagus, accessory, and hypoglossal nerves. It is most commonly caused by neoplastic, traumatic, or vascular lesions at the skull base. To our knowledge, its association with intracranial vasculitis has not been re...

Perception and Attitude Towards Home-Based Dialysis Treatments Among Patients with Chronic Kidney Disease: A Sri Lankan Single-Centre Cross-Sectional Observational Study

Background Despite the increasing prevalence of chronic kidney disease (CKD) and end-stage kidney disease (ESKD) in Sri Lanka, the uptake of peritoneal dialysis (PD) remains low. Materials and Methods This was a single-center cross-sectional study among patients with stage 4-5 CK...