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The erythrocyte sedimentation rate (ESR or sed rate) is the rate at which red blood cells in anticoagulated whole blood descend in a standardized tube over a period of one hour. It is a common hematology test, and is a non-specific measure of inflammation .
The flat surface of the discoid RBCs gives them a large surface area to make contact with and stick to each other; thus forming a rouleau. They occur when the plasma protein concentration is high, and, because of them, the ESR (erythrocyte sedimentation rate) is also increased. This is a nonspecific indicator of the presence of disease.
Erythrocyte aggregation is the main determinant of blood viscosity at low shear rate. Rouleaux formation also determines Erythrocyte sedimentation rate which is a non-specific indicator of the presence of disease. [6] Influence of erythrocyte aggregation on in vivo blood flow is still a controversial issue. [7]
These sedimentation rates can be increased by using centrifugal force. [16] A suspension of cells is subjected to a series of increasing centrifugal force cycles to produce a series of pellets comprising cells with a declining sedimentation rate.
It correlates with the erythrocyte sedimentation rate (ESR), however not always directly. This is due to the ESR being largely dependent on the elevation of fibrinogen, an acute phase reactant with a half-life of approximately one week. This protein will therefore remain higher for longer despite the removal of the inflammatory stimuli.
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Laboratory tests for thrombocytopenia might include full blood count, liver enzymes, kidney function, vitamin B 12 levels, folic acid levels, erythrocyte sedimentation rate, and peripheral blood smear.