Dear Tomta, Welcome to Healthcaremagic!
ESR is a non-specific marker of inflammation & raised in anaemia
, eld age, autoimmune diseases, rheumatoid arthritis
etc., but you have not described your wife discomforts nor 'inflammations' signs'. For dry skin
, I suggest (1) application of copious amounts of coconut oil or olive oil after bath; (2) for bleeding heels or palms-- seems she has hyperkeratotic eczema
or palmoplantar psoriasis-- consult a dermatologist
for treatment which I think should help her. Likewise, 'minor bronchial asthma' is also controllable with medications. I advice you to consult a good General Physician in consultations with skin specialist. Good luck.