Is Erythrocyte Sedimentation Rate a rheumatism Hypererythrocyte sedimentation rate is not necessaril

Erythrocyte sedimentation rate is not necessarily rheumatism, but in patients with rheumatoid arthritis, it is clinically significant. Erythrocyte sedimentation rate is an inflammatory marker, so it can be seen in both infectious and non-infectious diseases. For example, such as this cold, diarrhea, and acute pneumonia, high erythrocyte sedimentation rate can occur.

Then high erythrocyte sedimentation rate is not necessarily rheumatoid arthritis. So how do you judge this patient? Is it rheumatoid arthritis?

We have to determine whether you are rheumatoid arthritis according to the symptoms of inflammation indicators, and some specific antibodies, but it is certain that if you are a patient with rheumatoid arthritis, high blood sedimentation rate It is often a reaction, and the disease activity is relatively high, so you need to standardize the formal **. Rheumatism is a lot of problems now, especially in winter, when the weather is colder, there will always be pain in the joints, and some serious cases will affect life. Erythrocyte sedimentation rate (ESR) is a situation in which anticoagulant blood is placed vertically into the erythrocyte sedimentation rate, and red blood cells will sink due to their high density.

The sedimentation rate of red blood cells is generally expressed in terms of the distance at which red blood cells sink at the end of the first hour, which is called erythrocyte sedimentation rate, or erythrocyte sedimentation rate (ESR). Erythrocyte sedimentation rate is not necessarily rheumatism. Erythrocyte sedimentation rate (ESR) is an important indicator of rheumatism, which can be determined in combination with clinical symptoms, and many factors can cause an accelerated erythrocyte sedimentation rate, not necessarily due to rheumatism.

High ESR is not necessarily wind.

Hello, if you have rheumatoid disease, if you have high blood sedimentation rate, it is often caused by the attack of rheumatoid disease. Clinical symptoms are required, often with immunomodulatory drugs and nonsteroidal anti-inflammatory drugs. Chinese medicine can be used again. Also avoid cold and fatigue.

Analysis: Hello, from your description, a 36-year-old young woman, with a history of rheumatoid arthritis for 3 years, has been using the biological agent Yisaipu, and currently has joint pain, and the blood sedimentation rate test is high, and the re-examination is 6, consult related questions, in this case, the indicators of rheumatoid arthritis activity are judged by looking at the CCP ESR and CRP.

Guidance: 1 Hello, your situation is an autoimmune lesion, which needs to be actively adhered to ** to avoid further destruction of joint bone caused by rheumatoid lesions, this disease is a progressive and disruptive lesion, which is a gradually developed lesion and needs to be actively carried out**.

2. Pay attention to the active visit to the Department of Rheumatology and Immunology, at present, erythrocyte sedimentation rate is an indicator reflecting the activity of rheumatic lesions, and it is necessary to comprehensively judge the state of the disease in combination with the presence or absence of joint symptoms.

3. At present, this situation needs to look at the situation of CRPCCP, make a comprehensive judgment on whether it is in the active period, and consult in time if you have any questions, and wish you good health.

Question: Illness: Fever of unknown cause 2 months ago, re-examination of ESR 72

The patient, a 50-year-old female, was in good physical condition before and had no symptoms such as joint pain, but ** often had allergies.

The condition: 1. I had a fever two months ago, and I was hospitalized in Jining People's Hospital without finding out the cause, and the test results showed high blood sedimentation rate, high rheumatic factor, and the fever became worse the more I took the medicine.

2. A month ago, I went to the **** infection department for internal examination, and it was preliminarily determined that I might be allergic to the drug, and it was recommended to stop the drug for observation, and the fever will be reduced naturally, and my body has been very good until now.

3. Yesterday, I went to the hospital for a re-examination, and the blood sedimentation rate was 72, and the rheumatoid factor was positive.

4. The patient has not had fever for a month now, and has no symptoms of joint pain, but has frequent allergies (for several years).

1. One month ago, in the **** infection internal examination, immunoglobulin E 550 kuL, erythrocyte sedimentation rate 70, IgM normal, CH50, C3, C4, IgG, IgA are normal, hypersensitive C-reactive protein is normal 0-3), normal whole cell analysis, antineutrophil antibody and antibody spectrum test (negative), antinuclear antibody spectrum (19 items) negative, parasites and larvae identification Not seen, autoantibody spectrum for early diagnosis of rheumatoid (3 items), negative, 2, Two months ago, I was examined in Jining People's Hospital, and the CT of the lungs was normal, only the blood sedimentation rate was 69, and the rheumatic factor was particularly high (nearly 800).

The following is an introduction by Dr. Wang Zhimo Jianqi of Guiyang Rheumatism Hospital on high blood sedimentation rate, whether it is certain that it is a rheumatism cave stupid disease.

Physiologically, high ESR is generally the menstrual period of girls, more than 3 months before pregnancy to three weeks after delivery, ESR is high, pathological ESR has inflammation, rheumatism, tuberculosis, acute bacterial infection can cause ESR to accelerate. It is not certain that stupidity is rheumatism.

Henan Gout Hospital explains "Is high erythrocyte sedimentation rate rheumatoid?" ”

Erythrocyte sedimentation rate can also occur under physiological conditions, such as pregnancy and menstruation, and women's menstrual periods can also have an increase in ESR, which is not a specific indicator. For example, if you have cold symptoms or low immunity, you can also have a relatively high blood sedimentation rate. Normal is 0 15 mm h for females and 0 20 mm h for males.

Erythrocyte sedimentation rate (ESR) is very common in rheumatic diseases and has a lot to do with the activity of rheumatic diseases. If the rheumatic disease is active, there will be a rapid increase in erythrocyte sedimentation rate. The highest can reach more than 100 mm h, close to 200 mm h, which can only indicate that the disease is in a high degree of activity, and the activity of the disease should also refer to other indicators such as C-reactive protein.

Also, if the ESR is normal, it should not be taken lightly. If the symptoms persist, such as rheumatoid arthritis continues to be painful and swollen, morning stiffness is still obvious, and if the erythrocyte sedimentation rate is within the limit of 0 15 mm h, it is important to pay attention to the disease. At least the symptoms should be controlled within a very good range, and then refer to the index of ESR for the next step, which is more appropriate. ”

The distance at which the red blood cells sink at the end of the first hour indicates the rate at which the red blood cells settle is erythrocyte sedimentation rate. The red blood cells in the bloodstream are repelled by the negative charge of the sialic acid on the surface of the cell membrane, so the distance between the cells is about 25 nm, so they disperse and suspend each other and sink slowly. Changes in the blood sedimentation rate can occur if the plasma or red blood cells themselves are altered.

In the case of various inflammatory reactions, malignant tumors, etc., it can lead to an increase in erythrocyte sedimentation rate. Women's menstrual periods or high fibrin levels can also lead to high blood sedimentation rate. Therefore, if the blood sedimentation rate is high, it does not mean that it is rheumatoid, and there may be other reasons.

Rheumatoid factor and high erythrocyte sedimentation rate (ESR) are the basis for confirming rheumatic disease, and it is recommended that you go to your local hospital for diagnosis.

The diagnosis of rheumatoid is mainly based on clinical manifestations (conscious symptoms), which generally begins with pain and swelling in one or two distal facet joints, and gradually progresses to multiple joints, and some are symmetrical, migratory, and intermittent attacks. More than half of patients have morning stiffness (stiffness and swelling of the hands when they wake up in the morning) that disappear with activity.

Common clinical symptoms of rheumatism1

Pain 2 Tenderness 3

Stiffness. 4. Swelling.

5. Mobility disorders.

According to your actual situation, the best results can be achieved by using targeted ** programs (such as joint damage and targeted liquid knife ** as soon as possible), and a combination of rest and exercise. In this process, it is necessary to cooperate with the doctor to be active, so as to get it as soon as possible.

Zhong'an Rheumatoid Bone and Joint Disease Specialist Hospital will answer your questions.

For patients with rheumatism, rapid erythrocyte sedimentation rate often indicates inflammation in the joints and adjacent tissues and the occurrence of hyperglobulinemia, thus reflecting the severity and activity of the disease to a certain extent. In addition, regular checks on the blood sedimentation rate can observe the effect of **, if the blood sedimentation rate gradually decreases, the ** effect is certain. On the contrary, the blood sedimentation rate is obviously decreased or continues to increase, reflecting the ineffectiveness of **.

Zhong'an Rheumatoid Bone and Joint Disease Hospital wishes you good health.

Rapid or slow erythrocyte sedimentation rate can diagnose rheumatism or rheumatoid.