I'm in horrible pain right now with a kidney and pid and canal stenosis. I cannot sit, stand, bend over or lay any way but flat on my back. My osteo is bad right now, my face is beet red and they can't give me steroids because of the infections. My sed rate and CRP are normal per the ER! My white count isn't even high (though it never is, my red count usually goes higher) but my cultures are positive and I'm sick sick sick.
I don't think they are related very well sometimes. I do have a bad liver so that may have some effect, but even with a common infection the inflammatory markers usually go up. Perhaps its like other things, once they've been elevated for a long time, your body loses its ability to produce the chemicals (or to keep up with demand) to make the tests positive. I don't know. I agree with Bill that they are pretty useless. Early on in my disease they seemed to map more accurately to my inflammation, but as time goes on, they just don't seem to matter as much. Same happens with lfts--once you get cirrhosis, your liver function tests often go normal or really low because the liver isn't capable of producing the enzymes anymore, and doctors think you are better, unless you have a good hepatologist. I don't have high blood pressure so people think my liver is okay and I don't have bleeds because my ACE is zero which is technically normal, but probably a sign of a problem that will get better when I'm treated better. In my case, its a real blessing.
--Sometimes I think the surest sign that intelligent life exists elsewhere in the universe is that none of it has tried to contact us. Bill Watterson (1958-) cartoonist "Calvin and Hobbes"
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy, GI nightmare
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Detrol, Klonopin, Ultram, Vicodin, Restasis, Albuterol, steroid injections and pred prn