CRP and Increased total leukocyte count: she had tenderness all over her muscle and arthritis both elbows,wrists, and The laboratory values were as follows: WBC 36 X103; Hb 12 g/dL; hematocrit 35.6%; platelets 787X103;blood film leukocytosis with severe neutrophilia,CRP 235mg/dL,ESR 80mm\hr.