engleski

Erythrocyte sedimentation rate in patients on hemodialysis: a changeable or unchangeable value

Elevated erythrocyte sedimentation rate (ESR)is a common finfing in patients with chronic renal failure (CRF), both in those treated conservatively and in those od dialysis therapy. Teherefore, the value of ESR determination is questionable. Elevated ESR is generally considered to be the sequel of the chronic renal failure itself rather of the mode of the treatment used. ESR and a number of laboratory parameters were determined in a group of 42 hemodialyzed patients on there occasions in two-month intervales. Patients with malignant disseases, history of acute infection of whatever localization in the month preceding the study, elevated body temperature, postoperative state and increased transaminases were excluded. ESR is significantly elevated in most but not in all patients on hemodialysis. In absence of some additional reasons, ESR undergoes no substantial changes with time. ESR values are predominantly influenced by plasma factors. ESR determination in the stable phase is of low diagnostic value.

erythrocyte sedimentation rate; chronic renal failure; hemodialysis

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