Which of the following conditions is not typically associated with an elevated ESR?

An elevated erythrocyte sedimentation rate (ESR) is a non-specific marker of inflammation in the body. Conditions that lead to increased inflammation, such as rheumatoid arthritis, systemic lupus erythematosus, and temporal arteritis, are commonly associated with elevated ESR levels.

Rheumatoid arthritis is characterized by chronic inflammation of the joints, leading to a significantly elevated ESR. Similarly, systemic lupus erythematosus is an autoimmune condition where a variety of inflammatory processes occur, causing increased ESR as a response to systemic inflammation. Temporal arteritis, also known as giant cell arteritis, involves inflammation of the blood vessels and is notably associated with very high ESR values.

In contrast, asthma is primarily a chronic inflammatory disease of the airways but does not typically result in the same level of systemic inflammation that significantly elevates the ESR. Therefore, asthma is not associated with elevated ESR levels in the same way as the other listed conditions.