This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Rheumatic Fever, Subject name: Pathology
Which one of the following is not included as major criteria in Jones criteria? 
Select and explain. 
A. Pancarditis, B. Ahritis, C. Subcutaneous nodules, D. Elevated ESR
D: Elevated ESR
Answer: D: Elevated ESR 
Explanation: Rheumatic fever is characterized by a constellation of findings out of which major criteria of Jones include: (1) migratory polyahritis of the large joints, (2) pancarditis, (3) subcutaneous nodules, (4) erythema marginatum of the skin, and (5) Sydenham chorea, a neurologic disorder with involuntary rapid, purposeless movements.