Hello & Welcome TO HCM,
I had gone through the case, but we need more history like her age, duration of symptoms, her blood pressure and history of diabetes
. Anyway by this history the elevation of ESR is due to Swelling of body & might be infection of red patches.Meanwhile we need more blood test
like her Haemogram, Thyroid profile, RA factor, CRP, Liver & Kidney blood test. Also Check her blood sugar level. You should take the opinion from Rheumatologist
. Hope my suggestion will be effective for you.
Dr Soni verma
Homoeopathic Physician,Life style counselor & Psychologist