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Cases with raised CRP but normal ESR may demonstrate a combination of infection and some other tissue damage such as myocardial infarction, and venous thromboembolism. Such inflammation may not be enough to raise the level of ESR. Those with high ESR usually do not have demonstrable inflammation.
CRP is a more sensitive and accurate reflection of the acute phase response than the ESR [40] (erythrocyte sedimentation rate). ESR may be normal while CRP is elevated. CRP returns to normal more quickly than ESR in response to therapy. [citation needed]
In contrast, C-reactive protein (with a half-life of 6–8 hours) rises rapidly and can quickly return to within the normal range if treatment is employed. For example, in active systemic lupus erythematosus, one may find a raised ESR but normal C-reactive protein. [citation needed] They may also indicate liver failure. [11]
When vasculitis is not active, normal erythrocyte sedimentation rate or C-reactive protein level can occur and should not rule out the diagnosis. When paired with congruent clinical features, an elevated erythrocyte sedimentation rate in giant cell arteritis patients can both support the diagnosis and aid in disease monitoring. [23]
Elevated levels are also associated with diabetes, hypertension, and cardiovascular disease; it was found that elevated levels are associated with elevated serum C-reactive protein (CRP), which could reflect an inflammatory and atherogenic milieu, possibly an alternative cause for elevated serum alkaline phosphatase. [10] Chronic kidney disease ...
Erythrocyte sedimentation rate (ESR) Male: 0: Age÷2 [154] mm/h: ESR increases with age and tends to be higher in females. [155] Female (Age+10)÷2 [154] C-reactive protein (CRP) 5, [5] [156] 6 [157] mg/L: 200, [158] 240 [158] nmol/L Alpha 1-antitrypsin (AAT) 20, [159] 22 [160] 38, [160] 53 [159] μmol/L: 89, [161] 97 [5] 170, [5] 230 [161] mg ...
Blood tests may show elevated creatinine and urea levels (in kidney involvement), raised IgA levels (in about 50% [12]), and raised C-reactive protein (CRP) or erythrocyte sedimentation rate (ESR) results; none are specific for Henoch–Schönlein purpura.
De Quervain thyroiditis is diagnosed through clinical and test results, with laboratory features including elevated C-reactive protein and erythrocyte sedimentation rate. Thyroid function testing often shows decreased thyroid stimulating hormone and increased serum levels of triiodothyronine and thyroxine during the acute phase.