A 38-year-old female asked:
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my 3 yr old has a sed rate of 32, very high neutrophils, very low lymphocyte counts. has feet, hand, knee pain, fever. other than jra, what can it be?

2 doctor answers
Dr. Martin Raff
56 years experience Infectious Disease
Need more info: You are obviously seeing a pediatrician for this. Without a full history and the ability to examine your baby and review its medical records it would be incredibly inappropriate to attempt a diagnosis over the internet. Discuss with you pediatrician, and if not fully satisfied ask for a referral to pediatric rheumatologist for second opinion. Good luck and hope your child feels better soon.
Answered on Oct 4, 2016
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Fever, ESR, pain: If the joints are swollen, then this could be JRA, but if the joints are normal, than a high sed rate and musculoskeletal pain and fever could all be signs of other conditions. The possibilities are broad and can include infection and other conditions. With these symptoms, cancer should be ruled out as well.
Answered on Jan 5, 2019
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1 comment
Dr. Paul Rosen
Dr. Paul Rosen commented
Specializes in Pediatric Rheumatology
Provided original answer
Just to be clear, an infection would be the most likely cause
May 17, 2018

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