Hi. A high ESR
usually is indicative of a chronic problem which needs a thorough investigations. 83 is too high. There is a low grade fever
. I would advise my patient to go for a CT/ preferably MRI of the neck and chest, Ultrasonography
of abdomen. Let us wait and see what your Pediatric Rheumatologist
has to say. Please come back to us with the reports and his/ her opinion.