| خلاصه مقاله | Introduction: ESR is one of the most widely used laboratory tests in clinical medicine. The rate of sedimentation is determined by the aggregation of red blood cells, in which erythrocyte and plasma factors are involved. Plasma factors include high molecular weight proteins such as fibrinogen and globulins and immune complexes. The aim of this study was to determine the outcome and final diagnosis of inpatient children with ESR more than 100 mm/hr in Tabriz Pediatric Medical Center.
Method and materials: In this study, patients who had ESR equal to 100 or more than 100 at the beginning of the visit were studied. The final diagnosis, outcome (discharge, recovery, unknown), hospitalization time and other laboratory tests such as leukocytes counts, anemia and acute phase reactants including CRP, Ferritin, LDH, and platelet counts were evaluated.
Results: In the survey of the frequency of final diagnosis among the patients, the highest frequency was related to pneumonia with the frequency of 20 patients (16.67%), followed by urinary tract infection in 19 patients (15.83%), unknown in 15 patients (12.5%), and 11 patients (9.17%) had the highest frequency of diagnosis of acute vasculitis Kawasaki. Also, one patient (0.83%) with encephalitis died during the study. The mean age of the patients was 4.05 ± 3.40 years. The minimum age of patients was3 months and the maximum age was 17 years. In 120 patients, 57 patients (47.5%) were males and 63 (52.5%) were females. Mean of ESR was 115.53 ± 12.11 mm / hr in the studied patients. The lowest ESR recorded among patients was 100 mm / hr and the highest ESR was equal to 145 mm / hr.
Conclusion: According to the results, there are many differential diagnosis, that the most important diagnosis is infectious disease. This suggested that ESR rate above 100 in children despite adults, do not include any serious illness and children often recover |