Blood sedimentation rate

Author:Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

Dieser Artikel auf Deutsch

Synonym(s)

BSG; Erythrocyte sedimentation rate; ISR

Requires free registration (medical professionals only)

Please login to access all articles, images, and functions.

Our content is available exclusively to medical professionals. If you have already registered, please login. If you haven't, you can register for free (medical professionals only).


Requires free registration (medical professionals only)

Please complete your registration to access all articles and images.

To gain access, you must complete your registration. You either haven't confirmed your e-mail address or we still need proof that you are a member of the medical profession.

Finish your registration now

DefinitionThis section has been translated automatically.

Non-specific screening test for suspected inflammatory diseases and their progression.

General informationThis section has been translated automatically.

The standard values for the blood sedimentation rate are between 6 and 20 mm per hour for women and between 3 and 10 mm per hour for men. For patients > 50 years of age the value is 50% higher.

SPA moderately elevated (up to 50 mm in the 1st hour):
tumor disease, bacterial infection (including TB, tuberculosis), determination errors (due to heat, too much citrate/too little blood in the tube), anemia, hyperglyceridemia, postoperative, hormonal contraception, pregnancy, premenstrual.

SPA greatly increased (50 to 100 mm in the 1st hour):
infections (mostly bacterial), advanced (metastatic) tumor diseases, leukemias, hemolytic anemias, tissue necrosis, collagenoses, vasculitides, rheumatoid arthritis, chronic liver diseases, chronic renal failure, nephrotic syndrome.

SPA massively increased ( >100 mm in the 1st hour):infections
such as sepsis, peritonitis, rheumatic fever; myeloma (except MM of Bence-Jones type), Waldenstrom's disease), giant cell arthritis, polymyalgia rheumatica, other vasculitides)

SPA lowering:
determination errors caused by cold and insufficient citrate in the tube. In addition: polyglobulia, polycythaemia vera, desiccosis, pathological forms of erythrocytes.

ImplementationThis section has been translated automatically.

Method according to Westergreen: EDTA blood or 3.8% Na-citrate solution is mixed with venous blood in a ratio of 1:5 and filled into a vertical pipette of 200mm.

Authors

Last updated on: 29.10.2020