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Aging Female Pregnancy Anemia Macrocytosis Congenital hyper- fibrinogenemia Technical factors Dilutional Elevated specimen crw Nondisease factors that influence No Effect Increase ESR Decrease ESR on ESR Leukocytosis (25,000) Polycythemia (Hgb 18) Red blood cell changes Sickle cell Anisocytosis Microcytosis Acanthocytosis Protein abnormalities Dysproteinemia with hyperviscosity Hypofibrinogenemia Hypogammaglob- ulin Technical factors Dilutional Inadequate mixing Vibration during test Clotting of specimen Obesity Body tempera- ture Recent meal Aspirin NSAID ESR, erythrocyte sedimentation rate; Hgb, hemoglobin; NSAID, nonsteroidal anti-inflammatory drug.
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