Hi my twelve year old daughter has had two high esr levels one at 34 and one at 36. We are going to see a pediatric rheumatologist next week. I am her mom and I have Sjogrens is it possible that she could as well or another autoimmune disease? Or is cancer a concern with such a high esr three weeks apart? Thanks
Dear Madam, Thank you for posting your query at Chat Doctor.increase in ESR is common during infection.  ESR reading of 34 and 36 indicates mild infection. More than 70 and 80 indicates chronic infection, however, during menstrual cycle ESR can go up to 34 -36. Looking at this range need not worry, have her consulted by rheumatologist who will clinically assess her. If it persists, get an x-ray chest done for chest infection and complete blood analysis to rule of autoimmune diseases. Please revert if you have any further query, I will be happy to assist you. With best wishes,