XXXX : usefulness of erythrocyte sedimentation rate in its diagnosis.

@entity1 @entity4034 @entity2688 @entity6
BACKGROUND: Recently, ESR was reported to have a useful diagnostic value in detecting @entity6 . The test has been performed in a limited number of @entity1 . This laboratory parameter is simple and could be routinely performed in developing countries where @entity6 and its complication are increasingly being encountered. OBJECTIVE: To evaluate the reliability of erythrocyte sedimentation rate (ESR) in differentiating @entity6 from @entity2688 , and to compare its diagnostic value with other hematological indices. METHODS: In a one-year prospective study, forty -three adult @entity6 @entity1 with foot ulcers were assessed at King Abdulaziz University Hospital Diabetes Center Riyadh from 1st January to 31st December 2005. ESR was compared with other hematological profiles in differentiating @entity4034 from @entity2688 . RESULTS: ESR, white blood cell count (WBC), platelet count, and red cell distribution width (RDW) were higher in @entity1 with @entity4034 than in @entity1 with @entity2688 (p<0.0001 for ESR; others p<0.05). In contrast, haematocrit and haemoglobin levels were lower in @entity1 with @entity4034 than in @entity1 with @entity2688 (p<0.0001). Overall, the efficiency of the haematological parameters in correctly diagnosing @entity6 from @entity2688 was highest for ESR > 70 mm/hr (92%), followed by haematocrit < 36% (89%), haemoglobin < 12 g/dl (85%), platelet count > 400x10(9) (69%), RDW > 14.5 (65%), and WBC >11x10(9) (63%). CONCLUSION: It is concluded that of the haematological parameters, ESR has the best diagnostic discrimination between @entity6 from @entity2688 . Further studies on larger population in this environment are however indicated.
