Extreme elevation of the erythrocyte sedimentation rate in children
<b>Background: </b> Extreme elevation the of erythrocyte sedimentation rate (ESR?100 mm/hour) is usually associated<sup> </sup> with significant diseases. This study was performed to assess its significance in pediatric patients seen in Aseer Central Hospital. <b>Metho...
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| Format: | Article |
| Language: | English |
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King Faisal Specialist Hospital and Research Centre
2007-01-01
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| Series: | Annals of Saudi Medicine |
| Online Access: | http://www.saudiannals.net/article.asp?issn=0256-4947;year=2007;volume=27;issue=3;spage=175;epage=178;aulast=Abbag |
| _version_ | 1819212825032130560 |
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| author | Abbag Fuad Al Qahtani Jobran |
| author_facet | Abbag Fuad Al Qahtani Jobran |
| author_sort | Abbag Fuad |
| collection | DOAJ |
| description | <b>Background: </b> Extreme elevation the of erythrocyte sedimentation rate (ESR?100 mm/hour) is usually associated<sup> </sup> with significant diseases. This study was performed to assess its significance in pediatric patients seen in Aseer Central Hospital. <b>Methods: </b>All ESRs performed for children between September 2001 and December 2002 were reviewed. The medical records of those with an ESR>100 mm/hr (group 1) were reviewed for age, sex, diagnosis, ESR value, hemoglobin (Hgb) value and leukocyte counts. The diagnoses were divided into seven categories: malignancy, connective tissue diseases (CTDs), tropical infections, mild infections, severe infections, renal diseases and miscellaneous. One hundred forty-five patients with an ESR< 100 mm/hr (group 2) were randomly selected for comparison. <b>Results: </b>Of 2540 ESRs, 99 were> 100 mm/hr (3.9%). There were 54 males and 45 females and the mean age was 72±48.2 months. Infection was the most common cause (49.5%), followed by CTDs (26.3%), malignancy (12.1%) and renal diseases (8.1%). Malignancy was associated with the lowest Hgb value (8.2 g/dL). A compari--son between group 1 and group 2 considering each diagnostic category separately showed that group 1 patients with mild infections had significantly higher mean leukocyte counts and that group 1 patients with CTDs had significantly lower Hgb values than group 2 patients with the same diagnoses, but there were no significant differences<sup> </sup> between the other diagnostic categories. <b> Conclusion: </b> The most common cause of extreme elevation of ESR is infection. This extreme elevation may be used as a sickness index, but not as a screening tool for any disease. |
| first_indexed | 2024-12-23T06:49:07Z |
| format | Article |
| id | doaj.art-424307d594ec42f0a98e87fa16c0b683 |
| institution | Directory Open Access Journal |
| issn | 0256-4947 0975-4466 |
| language | English |
| last_indexed | 2024-12-23T06:49:07Z |
| publishDate | 2007-01-01 |
| publisher | King Faisal Specialist Hospital and Research Centre |
| record_format | Article |
| series | Annals of Saudi Medicine |
| spelling | doaj.art-424307d594ec42f0a98e87fa16c0b6832022-12-21T17:56:29ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662007-01-01273175178Extreme elevation of the erythrocyte sedimentation rate in childrenAbbag FuadAl Qahtani Jobran<b>Background: </b> Extreme elevation the of erythrocyte sedimentation rate (ESR?100 mm/hour) is usually associated<sup> </sup> with significant diseases. This study was performed to assess its significance in pediatric patients seen in Aseer Central Hospital. <b>Methods: </b>All ESRs performed for children between September 2001 and December 2002 were reviewed. The medical records of those with an ESR>100 mm/hr (group 1) were reviewed for age, sex, diagnosis, ESR value, hemoglobin (Hgb) value and leukocyte counts. The diagnoses were divided into seven categories: malignancy, connective tissue diseases (CTDs), tropical infections, mild infections, severe infections, renal diseases and miscellaneous. One hundred forty-five patients with an ESR< 100 mm/hr (group 2) were randomly selected for comparison. <b>Results: </b>Of 2540 ESRs, 99 were> 100 mm/hr (3.9%). There were 54 males and 45 females and the mean age was 72±48.2 months. Infection was the most common cause (49.5%), followed by CTDs (26.3%), malignancy (12.1%) and renal diseases (8.1%). Malignancy was associated with the lowest Hgb value (8.2 g/dL). A compari--son between group 1 and group 2 considering each diagnostic category separately showed that group 1 patients with mild infections had significantly higher mean leukocyte counts and that group 1 patients with CTDs had significantly lower Hgb values than group 2 patients with the same diagnoses, but there were no significant differences<sup> </sup> between the other diagnostic categories. <b> Conclusion: </b> The most common cause of extreme elevation of ESR is infection. This extreme elevation may be used as a sickness index, but not as a screening tool for any disease.http://www.saudiannals.net/article.asp?issn=0256-4947;year=2007;volume=27;issue=3;spage=175;epage=178;aulast=Abbag |
| spellingShingle | Abbag Fuad Al Qahtani Jobran Extreme elevation of the erythrocyte sedimentation rate in children Annals of Saudi Medicine |
| title | Extreme elevation of the erythrocyte sedimentation rate in children |
| title_full | Extreme elevation of the erythrocyte sedimentation rate in children |
| title_fullStr | Extreme elevation of the erythrocyte sedimentation rate in children |
| title_full_unstemmed | Extreme elevation of the erythrocyte sedimentation rate in children |
| title_short | Extreme elevation of the erythrocyte sedimentation rate in children |
| title_sort | extreme elevation of the erythrocyte sedimentation rate in children |
| url | http://www.saudiannals.net/article.asp?issn=0256-4947;year=2007;volume=27;issue=3;spage=175;epage=178;aulast=Abbag |
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