ERYTHROCYTE SEDIMENTATION RATE
RHEUMATOLOGY
ERYTHROCYTE SEDIMENTATION RATE ESR
GENERAL INFORMATION
Erythrocyte Sedimentation Rate is a Sensitive but Non-Specific Indicator of the
Presence of Disease
Measures the Rate at which Red Blood Cells fall through a Column of Anticoagulated
Blood over 1 Hour
Inflammation increases the Rate at which this occurs
NORMAL RANGE
< 20 mm/H
ESR RANGE
ESR rises with Age
Westergren Method used to Determine the Upper Limit of Normal
o Male - Age / 2
o Female - (Age + 10) / 2
CAUSES OF SEVERELY RAISED ESR ABOVE 100 [GRIM-COT]
Giant Cell Arteritis
Renal Cell Carcinoma
Infective Endocarditis
Multiple Myeloma
Connective Tissue Disease
Osteomyelitis
TB
CONDITIONS WHICH LOWER THE ESR
Polycytemia
Sickle Cell Anemia
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