
What Does It Mean When I Have Consistently High ESR If I Have Rheumatoid Arthritis?

Thanks for posting your query.
The high ESR levels a non-specific test for assessing a focal area of inflammation in the body.
Increased value above 100 mm/hr means a progressive focus of RA, Lupus, arteritis, auto-immune diseases like multiple myeloma etc.
In your case the ESR values are almost constant between 50 and 60. This is indicative of the presence of the disease RA but is not suggestive of an active progression of the disease. The recurrent viral infections that you are having might also raise ESR slightly.
It is the clinical signs and symptoms which need to be evaluated for treatment purposes.
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.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.


Thanks for writing again.
The active disease manifests as clinical signs and symptoms like pain and swelling. Long standing untreated RA causes disability.
If there are no symptoms, then progression of disease is very slow and no permanent disability is seen.
Hope my answer is helpful. Further queries are welcome.
Please accept my answer in case you do not have further queries.
Wishing you a trouble free speedy recovery.


My final query is to better understand whether some people can have RA with very little visible swelling at all? My sons both fractured their wrists when at school (at different times) and both went undiagnosed for far longer than should have been because they had no visible swelling - but when finally x-rayed both had sustained full breaks and we received apologies from red faced doctors.
My worry in relation to this is if I've never had much visible swelling and my high ESR counts for little then how would I know if the disease is active or not (perhaps slowly gnawing away at me) apart from pain? I also have a high pain threshold and exercise usually means I work through joint pain when it occurs so still feel slightly concerned about the high ESR counts although you have reassured me to a large extent.
Although these are non specific markers, you can monitor these two levels every six months to know the disease activity.
Take care.
Regards.

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