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Joined: Jan 2010
Posts: 2,105
Major_AS_Kicker
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Major_AS_Kicker
Joined: Jan 2010
Posts: 2,105 |
ESR isn't considered part of diagnostic criteria for AS because not all people with AS get raised ESR (or CRP) during flares. In some ways, if you do, then you are quite lucky - because that means you have a way of measuring whether treatment is working (if it reduces it). Many of us just don't show a raised ESR though and that is also quite normal.
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Joined: Sep 2001
Posts: 6,179 Likes: 23
AS Czar
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AS Czar
Joined: Sep 2001
Posts: 6,179 Likes: 23 |
Hi, Kristine: Is this an indication of the level of disease activity? Yes, ESR can be a direct measure of disease activity in the nearly 60% of people with AS who "indicate;" over 40% of patients, however, do not track disease activity with ESR or CRP. HEALTH, John
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Joined: Dec 2011
Posts: 104
Journeyman_AS_Kicker
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Journeyman_AS_Kicker
Joined: Dec 2011
Posts: 104 |
DragonSlayer,
Thanks John. I was alarmed by how everyone else's ESR was only within the 50-75 range while mine was over 100.
It's a good thing then that I "indicate". Makes it easier to tell what works and what doesn't.
Last edited by kristinego; 01/23/12 01:05 AM.
Kristine
Diagnosed December 2011
Methotrexate 5 tablets a week
Super Nutrition Multivitamin for Women
Magnesium, Ester C, Super B-Complex
NSD, no nightshades, no nuts, no dairy, very little sugar
Naproxen 500mg when needed
Acupuncture, Chinese herbs
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Joined: Feb 2010
Posts: 1,127
Steel_AS_Kicker
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Steel_AS_Kicker
Joined: Feb 2010
Posts: 1,127 |
I must say it is very frustrating for those of us who do not "indicate"
Part of the criteria here in Australia to qualify for biologics is an elevated ESR and CPR. The only way my rhuemy could get arround this was to put me on steriods and claim that was the reason for my less than impressive ESR and CPR rates.
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Joined: Jan 2008
Posts: 21,346 Likes: 2
Very_Addicted_to_AS_Kickin
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Very_Addicted_to_AS_Kickin
Joined: Jan 2008
Posts: 21,346 Likes: 2 |
aussiegirl, love when doctors do things like this for us  when will everyone get on the same page and realize that not all inflammatory arthritises present themselves with elevated ESR and CRP. as mentioned, if you do, it helps. but if negative, that shouldn't rule the spondys out.
sue
Spondyloarthropathy, HLAB27 negative
Humira (still methylprednisone for flares, just not as often. Aleve if needed, rarely.)
LDN/zanaflex/flector patches over SI/ice
vits C, D. probiotics. hyaluronic acid. CoQ, Mg, Ca, K.
chiro
walk, bike
no dairy (casein sensitivity), limited eggs, limited yeast (bread)
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