急。。。请问ESR偏高是什么问题？

hazelkoh

我女儿34个月大，最新验血报告显示ESR=16 mm/hour,

Haemoglobin                13.3 g/dL
ESR                               16 mm/hour
N eutrophil                     13.7 %
Lymphocyte                   53.5 %
Monocyte                       30.1 %
C-reactive protein         6.20 mgIL

打了一个星期的抗生素后，其他 都ok了，在只是ESR 还保持在16 mm/hour，
有谁可以让我了解下是什么问题 吗？我好担心哦！

evonna

Esr告知过我，如偏高的话，就代表你女儿体内有发炎，只是没太高就不用太担心

@res

ESR偏高一班上是细菌感染或发炎，是一个很不specific的marker。可是monocyte和lymphocyte也起了，是不是infectious mononucleosis？

hazelkoh

evonna, @res, 谢谢你们的回复。。。。
后来的验血报告，院方只验ESR 和 C-反应蛋白，其中C-反应蛋白已经OK  了，只有ESR 还是16。

Service:
MRl CERVICAL SPINE :
AXIAL, CORONAL, SAGITTAL Tl , T2 AND CONTRAST WEIGHTED IMAGES.
THERE IS MILD SCOLIOSIS OF THE CERVICAL SPINE .
THERE IS LOSS OF VERTEBRAL BODY HEIGHT OF C4.
THERE ARE BRIGHT MARROW CHANGES OF THE AFFECTED VERTEBRA.
THERE IS ENCROACHMENT OF THE POSTERIOR CORTEX OF C4 INTO THE SPINAL CANAL INDENTING
AND COMPRESSING MILDLY ON THE THECAL SAC.
THE PREVERTEBRAL SWELLING AND INFLAMMATION AT THE LEVEL OF C3/C4 REMAINS ALMOST THE
SAME AND MORE CONSOLIDATED COMPARED TO PREVIOUS EXAMINATION.
THERE IS ENHANCEMENT OF THE C4 VERTEBRA AND PREVERTEBRAL MASSES AFTER CONTRAST
ADMINISTRATION.
THERE IS MINIMAL EXTENSION OF THE INFLAMMATORY CHANGES INTO THE ANTERIOR EPIDURAL
REGION.
NO FLUID COLLECTIONS. NO DISC HERNIATIONS.
THE SPINAL CANAL IS NOT COMPROMlSED.
THE NEURAL FORAMEN ARE INTACT.
THE SPINAL CORD HAS NORMAL SIGNAL INTENSITY.
THE ATLANTOAXIAL DISTANCE IS NORMAL .
THE ENLARGED NODES IN BOTH POSTERIOR TRIANGLES OF THE NECK REMAIN ALMOST SAME IN SIZE.
THEY VARY IN SIZE.

IMP: FEATURES WOULD BE SUGGESTIVE OF CONSOLIDATIVE OSTEOMYELITIS OF C4 WITH
PREVERTEBRAL AND EPIDURAL INFLAtv1MATORY CHANGES AND MULTIPLE CERVICAL
LYMPHADENOPATHY.
MILD CERVICAL SCOLIOSIS.
NO CORD ABNORMALITIES.


CTSCAN REPORT：
CTABDOMEN:
PLAIN SCAN FOLLOWED BY POST CONTRAST ARTERIAL AND PORTOVENOUS PHASES CONTIGOUS IOMM AXIAL IMAGES FROM THE DIAPHRAGM TO THE SYMPHYSIS PUBIS.
THERE ARE NO FOCAL LESIONS IN THE LIVER, SPLEEN AND PANCREAS.
THERE ARE NO CALCULI IN THE INTRAHEPATIC BILIARY DUCTS, CBD OR PANCREATIC DUCT.
INTRAHEPATIC DUCTS AND CBD ARE NOT DILATED. STOMACH IS NOT DISTENDED.
THERE ARE NO RADIOPAQUE STONES IN THE GALLBLADDER. THE GALLBLADDER WALL IS NOT
THICKENED. THE RIGHT ADRENAL GLAND IS CALCIFIED.
NO MASS SEEN IN BOTH ADRENAL GLANDS.
BOTH KIDNEYS ARE NORMAL AND ARE EXCRETING WELL.
NO RENAL CALCULI OR HYDRONEPHROSIS.
BOTH URETERS ARE NOT DILATED. THE BLADDER IS NORMAL.
THE BOWELS ARE NOT DILATED. NO PELVIC MASSES.
NO PARAAORTIC, PELVIC OR INGUINAL NODES. NO ASCITES.
THERE ARE NO NODULES IN THE LUNG BASES. THERE IS NO PLEURAL ABNORMALITY.
THE HEIGHT OF THE THORACOLillvIBAR VERTEBRAL ARE INTACT.
NO LYTIC CHANGES.
IMP:
CALCIFIED RIGHT ADRENAL GLAND. NO FOCAL LIVER OR RENAL LESIONS.
NO FREE FLUID.

hazelkoh

回复 3# @res

我也不懂是不是infectious mononucleosis，但她身上没出现任何疹。。。
   
现在最关心的是，以他的情况，有必要动任何手术吗？

@res

Report是说脊椎骨有个部分发炎了。如果是这样，可以解释esr偏高

hazelkoh

回复 6# @res

那 THERE IS LOSS OF VERTEBRAL BODY HEIGHT OF C4.
THERE ARE BRIGHT MARROW CHANGES OF THE AFFECTED VERTEBRA.
她的C4真的明显扁掉了，那对他的未来成长会有影响吗？我好担心哦！

还有会有导致癌症的机率吗？

@res

回复 7# hazelkoh


   也不清楚，因为不知道病情是怎样，到底发生了什么事。。。

hazelkoh

她一天早上起身就说颈项很酸，就像落枕的状况。。。