If a systemic inflammatory illness such as rheumatoid arthritis or systemic lupus erythematosus is suspected and CRP is normal, then PV may be appropriate to establish a baseline for monitoring.Appropriate management of these indications should not be delayed while results are pending. If temporal arteritis (TA)/giant cell arteritis (GCA) or hyperviscosity syndrome is suspected, then PV, although not necessary, may be requested.Ordercomms (ICE) will be set up to allow specification of PV request rationale: PV should not be requested for routine situations. If a second line inflammatory marker is required, as per the indications below, please request a Plasma Viscosity (PV).Įrythrocyte Sedimentation Rate (ESR) will no longer be available to request this. There are few scenarios where good clinical correlation with (or without) a CRP cannot guide patient management. Recommendations for inflammatory marker testing in Devon from May 2022: C-Reactive Protein (CRP) should be your first line inflammatory marker test of choice
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