ESR

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ESR (erythrocyte sedimentation rate) is a nonspecific screening test for various diseases. This 1-hour test measures the distance (in millimeters) that red blood cells settle in unclotted blood toward the bottom of a specially marked test tube.

Erythrocyte sedimentation rate; Sed rate; Sedimentation rate

Blood is drawn from a vein, usually from the inside of the elbow or the back of the hand. The puncture site is cleaned with antiseptic, and a band or blood pressure cuff is placed around the upper arm to apply pressure and cause the veins below the band to fill with blood.

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A needle is inserted into the vein, and the blood is collected in an air-tight vial or a syringe. During the procedure, the band is removed to restore circulation. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.

In infants or young children:

The area is cleaned with antiseptic and punctured with a sharp needle or a lancet. The blood may be collected in a pipette (small glass tube), on a slide, onto a test strip, or into a small container. A bandage may be applied to the puncture site if there is any continued bleeding.

There are no food or fluid restrictions.

When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

The erythrocyte sedimentation rate (ESR) can be used to monitor inflammatory or malignant disease. Although it is a screening test (cannot be used to diagnose a specific disorder), it is useful in detecting and monitoring tuberculosis, tissue necrosis (death), rheumatologic disorders, or an otherwise unsuspected disease in which symptoms are vague or physical findings are minimal.

Review Date: 04/20/2005
Reviewed By: Stanford Peng, M.D., Ph.D., Division of Rheumatology, Washington University School of Medicine, St. Louis, MO. Review provided by VeriMed Healthcare Network.