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is helpful in diagnosing two specific inflammatory diseases, temporal arteritis
and polymyalgia rheumatica
. A high ESR is one of the main test results used to confirm the diagnosis. It is also used to monitor disease activity and response to therapy in both of these diseases..A very high ESR usually has an obvious cause, such as an infection. The doctor will use other follow-up tests, such as cultures, depending on the patient’s symptoms. so try to follow advice of your physician ..