According to medical statistics, approximately 5-10% of he althy people have an increased rate of erythrocyte sedimentation rate, which does not fall for a long time. Such a syndrome of accelerated ESR does not always mean a pathological process, and in the case of older people it is a consequence of age-related changes.
Indicators are normal depending on the age and sex of patients
Indicators of the ESR norm directly depend on the age and gender of the patient. On average, standard indicators of erythrocyte sedimentation rate are:
- Newborn babies: 1-2 mm/hr. Abnormalities in these values are rare and usually indicate a low protein concentration, hypercholesterolemia, or acidosis.
- Until six months of age, ESR in children ranges from 12-17 mm/hour.
- In older children, ESR values fall, and 1-8 mm/hour is considered the norm.
- For adultsmen, the norm of ESR is more than 10 mm / h.
- Women can vary between 2 and 15 mm/hour. This variation is due to changes in the hormonal balance of the female body. Depending on the period, age and state of life of a woman, ESR indicators can differ significantly. For example, in the second trimester of pregnancy, the erythrocyte sedimentation rate increases and by childbirth it may already be 55 mm / h, which is also considered normal.
After delivery, blood counts return to normal values. The increase in ESR during childbearing is explained by increased blood volumes, as well as globulins, cholesterol and a reduced amount of calcium.
Causes of this syndrome
Syndrome of accelerated ESR ICD code is R70. Under certain pathological conditions, an increase in ESR can reach 100 mm / h and even higher. Such indicators are typical for such diseases as SARS, sinusitis, tuberculosis, pneumonia, cystitis, bronchitis, hepatitis of viral origin, pyelonephritis, as well as tumor formations of a malignant nature. If symptoms of any disease are detected, it is necessary to undergo an examination to identify and treat it.
Diseases of an infectious nature
Syndrome of accelerated ESR (according to ICD-10 R70) is also observed in diseases of an infectious nature, including tonsillitis, otitis media and sinusitis, pathologies of the genitourinary and respiratory systems, as well as sepsis and meningitis.
Early diagnosis allowsidentify pathology and study its pathogenesis. This helps to prescribe effective treatment and prevent complications and consequences. There are also cases when the erythrocyte sedimentation rate increases for no apparent reason.
Symptoms in this pathology
Syndrome of accelerated ESR may not be accompanied by any external manifestations. In this case, a person learns about the existing deviations only when they donate blood for analysis, that is, most often they learn about the anomaly by accident.
How is abnormality detected?
A study of the erythrocyte sedimentation rate is included in any preventive examination. If during further examination the patient does not reveal other abnormalities and diseases, then the syndrome of accelerated ESR as an independent symptom is not a cause for alarm and is not considered a pathology. Nevertheless, the patient is advised to conduct regular examinations, as the disease may be in a latent form of the course.
Differential diagnosis for this pathology
Before making a conclusion about the deviation in the indicators as a phenomenon safe for the patient, the specialist needs to make a differential diagnosis of the accelerated ESR syndrome and the following diseases:
- Pathologies of viral, bacterial and infectious genesis.
- Inflammatory processes of a systemic or local nature.
- Malignant neoplasms.
- Rheumatic diseases and other autoimmune diseasesstatus.
- Diseases manifested by necrotic processes in tissues, such as tuberculosis, cerebral stroke, myocardial infarction, etc.
- Blood diseases, including anemia.
- Injuries, intoxication, prolonged stress.
- Violation of metabolic processes in the body, for example, in diabetes.
Additional studies for this deviation
Syndrome of accelerated ESR may indicate an existing pathology or an emerging disease in the body. If a deviation is detected according to the results of the analysis, a second blood test is performed to confirm the indicators. If the results match, the patient is assigned a more detailed examination, which will include a detailed history, x-rays, blood tests, ECG, ultrasound, palpation of organs and other diagnostic methods. If the ESR has accelerated against the background of the disease, then eliminating the cause of the deviation will bring the blood counts back to normal.
We examined how such a pathology as accelerated ESR syndrome manifests itself.
