SEAD BEGANOVIC, M.D.
To the editor: The recommendation by Drs. Sox and Liang (1) for the diagnostic use of the erythrocyte sedimentation rate (ESR) calls for some comment. The authors have claimed the following: "A careful history and physical examination will generally disclose the cause of an elevated ESR. An increased ESR in the setting of a normal examination is usually transitory and is infrequently the harbinger of serious occult disease." There is no current evidence for such a statement. An increased ESR often represents symptomless abnormalities and can save patients from having their ill-defined symptoms underestimated or misjudged (2).
BEGANOVIC S. The Erythrocyte Sedimentation Rate. Ann Intern Med. ;107:425–426. doi: 10.7326/0003-4819-107-2-425
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Published: Ann Intern Med. 1987;107(3):425-426.
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