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[|Human|] my daughter is 11 years old.. she is having a lump behind two years.. its slightly fleshy over the bone.  too blood tests.. haemoglobin - 12.4gm/dl;  total wbc count is 7090 cells/cmm; diff wbc count neutrophils- 53.10% lymphocyte-38.10%; eosinophils - 3.50%; monocyte-4.50%; basophils-0.70% immature granulocyte 0.10% ESR 1 hr - 67mm ; Smear study is normal; otherwise she is normal; she has mild adenoid englargement and mild tonsilitis.. she is eating normal; normal weight gain; what could be reason for elevated ESR? should I take the test again?
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease are the common cause of high ESR. She should go for fine needle aspiration cytology of lump.  It can be due to tuberculosis.  Then she should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.