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i have a mild pericardial effusion , esr not decreasing?
49 yrs , controlled NIDDM ,
pericardial effusion since 2 months , decreased from 23 mm ant and post to the heart by echo till 10 mm- now i am generally much better , no dyspnea no fatigue.
but ESR do not decrease (38-75) at start to (45-82) now - , -ve tuberculin test , although c reactive + rheumatoid factor and ANA are highly positive , the specific tests as anti double strand and anti PPs for rehumatoid are -ve . am on indomethazin 75 SR BID and colchecine 0.5 BID and tonics. at the 7th week I tried dexamethazone T 0.5 mg X 3 and on the 3rd day i had fever , sore throat and and 10 mm elevation on ESR. stopped . ? viral infection then not idiopathic- how can i proceed ?????
Given your high ANA and rheumatoid factors, I would suspect an autoimmune component. Have you considered seeing a rheumatologist (suspect lupus). An elevated ESR can also be associated with congestive heart failure (as well as the pericardial effusion). I would see a rheumatologist to find out the likely etiology for your problems. ESR is generally a measure of inflammatory processes in the body.