IVIG Effects on Erythrocyte Sedimentation Rate in Children

Background. Erythrocyte sedimentation rate (ESR) is a valuable laboratory tool in evaluation of infectious, inflammatory, and malignant diseases. Red blood cells in outside from the body precipitate due to their higher density than the plasma. In this study we discuss the IVIG effect on ESR in diffe...

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Main Authors: Farhad Salehzadeh, Ahmadvand Noshin, Sepideh Jahangiri
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2014/981465
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author Farhad Salehzadeh
Ahmadvand Noshin
Sepideh Jahangiri
author_facet Farhad Salehzadeh
Ahmadvand Noshin
Sepideh Jahangiri
author_sort Farhad Salehzadeh
collection DOAJ
description Background. Erythrocyte sedimentation rate (ESR) is a valuable laboratory tool in evaluation of infectious, inflammatory, and malignant diseases. Red blood cells in outside from the body precipitate due to their higher density than the plasma. In this study we discuss the IVIG effect on ESR in different diseases and different ages. Methods and Materials. Fifty patients under 12 years old who had indication to receive IVIG enrolled in this study. Total dose of IVIG was 2 gr/kg (400 mg/kg in five days or 2 gr/kg in single dose). ESR before infusion of IVIG and within 24 hours after administration of the last dose of IVIG was checked. Results. 23 (46%) patients were males and 27 (54%) were females. The mean of ESR before IVIG was 31.8±29.04 and after IVIG it was 47.2±36.9; this difference was meaningful (P=0.05). Results of ESR changes in different age groups, 6 patients less than 28 days, 13 patients from 1 month to 1 year, 20 patients from 1 to 6 years old, and 11 patients from 6 to 12 years have been meaningful (P=0.001, P=0.025, and P=0.006, resp.). Conclusion. In patients who are receiving IVIG as a therapy, ESR increased falsely (noninflammatory rising); therefore use of ESR for monitoring of response to treatment may be unreliable. Although these results do not apply to neonatal group, we suggest that, in patients who received IVIG, interpretation of ESR should be used cautiously on followup.
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spelling doaj-art-bc78ebdec8f34eee9d9beee400937d2d2025-02-03T01:23:59ZengWileyInternational Journal of Pediatrics1687-97401687-97592014-01-01201410.1155/2014/981465981465IVIG Effects on Erythrocyte Sedimentation Rate in ChildrenFarhad Salehzadeh0Ahmadvand Noshin1Sepideh Jahangiri2Pediatric Department, Bouali Hospital, Ardabil University of Medical Sciences (ARUMS), Ardabil 56157, IranPediatric Department, Bouali Hospital, Ardabil University of Medical Sciences (ARUMS), Ardabil 56157, IranPediatric Department, Bouali Hospital, Ardabil University of Medical Sciences (ARUMS), Ardabil 56157, IranBackground. Erythrocyte sedimentation rate (ESR) is a valuable laboratory tool in evaluation of infectious, inflammatory, and malignant diseases. Red blood cells in outside from the body precipitate due to their higher density than the plasma. In this study we discuss the IVIG effect on ESR in different diseases and different ages. Methods and Materials. Fifty patients under 12 years old who had indication to receive IVIG enrolled in this study. Total dose of IVIG was 2 gr/kg (400 mg/kg in five days or 2 gr/kg in single dose). ESR before infusion of IVIG and within 24 hours after administration of the last dose of IVIG was checked. Results. 23 (46%) patients were males and 27 (54%) were females. The mean of ESR before IVIG was 31.8±29.04 and after IVIG it was 47.2±36.9; this difference was meaningful (P=0.05). Results of ESR changes in different age groups, 6 patients less than 28 days, 13 patients from 1 month to 1 year, 20 patients from 1 to 6 years old, and 11 patients from 6 to 12 years have been meaningful (P=0.001, P=0.025, and P=0.006, resp.). Conclusion. In patients who are receiving IVIG as a therapy, ESR increased falsely (noninflammatory rising); therefore use of ESR for monitoring of response to treatment may be unreliable. Although these results do not apply to neonatal group, we suggest that, in patients who received IVIG, interpretation of ESR should be used cautiously on followup.http://dx.doi.org/10.1155/2014/981465
spellingShingle Farhad Salehzadeh
Ahmadvand Noshin
Sepideh Jahangiri
IVIG Effects on Erythrocyte Sedimentation Rate in Children
International Journal of Pediatrics
title IVIG Effects on Erythrocyte Sedimentation Rate in Children
title_full IVIG Effects on Erythrocyte Sedimentation Rate in Children
title_fullStr IVIG Effects on Erythrocyte Sedimentation Rate in Children
title_full_unstemmed IVIG Effects on Erythrocyte Sedimentation Rate in Children
title_short IVIG Effects on Erythrocyte Sedimentation Rate in Children
title_sort ivig effects on erythrocyte sedimentation rate in children
url http://dx.doi.org/10.1155/2014/981465
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AT sepidehjahangiri ivigeffectsonerythrocytesedimentationrateinchildren