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Suggest Treatment For Axial Spondylitis In Child

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Posted on Fri, 28 Nov 2014
Question: My daughter is caucasian, 15. Her ESR reading is 60.
She is suspected of having Axial Spondyliotis - MRI scan normal, but lower back pain in sacrilliage joint and muscle spasm.
60 seems a very high reading - it was 18 in July. What else can cause a high reading - the assumption is that it is due to inflammation.
doctor
Answered by Dr. Dr. Praveen Tayal (14 minutes later)
Brief Answer:
Likely to be due to a flare up of inflammation.

Detailed Answer:
Hello,
Thanks for posting your query.
ESR is erythrocyte sedimentation rate. It is a very non-specific test so it must be taken in context of anything else which is going on.

ESR can be elevated in the setting of inflammation or infection. If a patient has an autoimmune disorde for example we sometimes follow the ESR to see if there is a trend in a higher direction which could signal more active inflammation in the body.
ESR is usually examined along with other blood tests such as autoimmune markers or markers of infection.
Since there is no other specific problem in case of your daughter this rise in ESR seems to be due to an increase in inflammation.
Other causes of increased ESR include infection anywhere in the body, progressive focus of RA, Lupus, arteritis, auto-immune diseases like multiple myeloma etc.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (7 minutes later)
Her CRP and PV levels in her blood test were normal.

Are you suggesting that the ESR indicates that possibly the Axial Spondyliotis is currently active?

doctor
Answered by Dr. Dr. Praveen Tayal (18 minutes later)
Brief Answer:
Yes axial spondylosis is active.

Detailed Answer:
Hello.
Thanks for writing again.
Since the other tests are normal, the active axial spondylosis is most likely.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Suggest Treatment For Axial Spondylitis In Child

Brief Answer: Likely to be due to a flare up of inflammation. Detailed Answer: Hello, Thanks for posting your query. ESR is erythrocyte sedimentation rate. It is a very non-specific test so it must be taken in context of anything else which is going on. ESR can be elevated in the setting of inflammation or infection. If a patient has an autoimmune disorde for example we sometimes follow the ESR to see if there is a trend in a higher direction which could signal more active inflammation in the body. ESR is usually examined along with other blood tests such as autoimmune markers or markers of infection. Since there is no other specific problem in case of your daughter this rise in ESR seems to be due to an increase in inflammation. Other causes of increased ESR include infection anywhere in the body, progressive focus of RA, Lupus, arteritis, auto-immune diseases like multiple myeloma etc. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal