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High ESR
Leo Leonidas MD, FAAP
Why Have a List of Differential Diagnosis?
It is important for clinicians to frequently refer
to a list of differential diagnosis so they could
ask good questions from the patient or parent. A
good clinical history depends on a complete list of
differential diagnosis of the chief complaint or
main problem.
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CAUSES OF HIGH ESR (Erythrocyte Sedimentation Rate)
SIGNIFICANT INFECTIONS (osteomyelitis, meningitis)
CANCER
Lymphoma
Leukemia
Multiple Myeloma
Metastatic Tumors
NON MALIGNANT BLOOD DISEASE
Anemia
Macrocytosis
Hypercholesterolemia
GASTROINTESTINAL
Inflammatory bowel disease
Acute pancreatitis
Cholecystitis
Peritonitis
Hepatitis
COLLAGEN VASCULAR DISEASE
Kawasaki disease
Wagener's granulomtosis
Bechet's syndrome
Churg Strauss syndrome
Hypersensitivity vasculitis
Urticarial vasculitis
Systemic lupus erythematosus
Rheumatoid arthritis
KIDNEY DISEASE
Pyelonephritis
Hemolytic Uremic Syndrome
Acute glomerulonephritis
Chronic glomerulonephritis with renal failure
Nephrosis
OTHERS
Hypothyroidism
Thyroiditis
Chronic granulomatosus disease
Sarcoidosis
Surgery
Burns
Infantile cortical hyperostosis
Pregnancy
Possibly obesity
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DECREASED ESR
Sickle cell disease
Anisocytosis
Spherocytosis
Acanthocytosis
Polycythemia
Extreme leukocytosis
Microcytosis
Hypofibrinogenemia
Hypogammaglobulinemia
Dysproteinemia
Hyperviscosity state
Glucocorticosteroids
Cachexia
Congestive heart failure
Belly Pain Air Leaks From Lungs Acute Crying Back Pain Bed Wetting Big Lymph Node Big Spleen Blood in Urine Chronic Diarrhea Chest Pain Cough Coughing Up Blood Constipation Droopy Eye Enlarged Glands Eye Swelling Excessive Thrist Facial Paralysis Fainting Spell Feeding Problem GI Bleeding Headache Head Tilt Hives High ESR Hoarseness Joint Pain Limp Leg Pain Muscle Weakness Noisy Breathing Nose Bleeding Nose Obstruction Pyuria Recurrent Infection Red Green Urine Ringing in the Ears Scrotal Swelling Seizures Stiff Neck Swelling of the Parotic Gland Toe Walking Toeing In Toeing Out Unequal Pupils Vomiting Wheezing
Reference:
Pediatric Asthma, Allergy, & Immunology
Uses of ESR in Allergy/Immunology
Vol. 15, Number 3, 2002, page 168
Leo Leonidas, MD, FAAP
Posted 15 July 02
Bangor, Maine
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