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Hello, I'm Looking To Know About My Syphilis Diagnosis. This
Posted on
Mon, 8 Apr 2019
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 8 Apr 2019
Answered on
Last reviewed on
Question : Hello,
I'm looking to know about my syphilis diagnosis. This was a nonreactive RPR result with a positive TPPA result. I was treated for syphilis last year with penicillin - does this mean I am re-infected? Only had sex 5 months prior and have no clear syphilis chancre (I do have a raised wart on my index finger but does not appear to look like a chancre) and has only come up 11 weeks since my last sexual interaction.
I'm looking to know about my syphilis diagnosis. This was a nonreactive RPR result with a positive TPPA result. I was treated for syphilis last year with penicillin - does this mean I am re-infected? Only had sex 5 months prior and have no clear syphilis chancre (I do have a raised wart on my index finger but does not appear to look like a chancre) and has only come up 11 weeks since my last sexual interaction.
I uploaded a picture of the wart on my finger - in case you all believe that does appear to be a chancre.
Brief Answer:
may not be reinfection.
Detailed Answer:
Hello,
I have gone through your query and attached image. Here is my advice.
As per your history and non reactive RPR and positive TPPA test report indicates old treated syphilis. It doesn't indicate reinfection.
The sore on finger may not be syphilis chancre as,
1. Finger is not usual site for primary syphilis chancre.
2. Usually chancre heals within 3 to 6 weeks.
3. It may not develop so late i.e. 11 weeks.
Still to confirm diagnosis I would suggest you to consult with physician for detailed medical examination.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale.
may not be reinfection.
Detailed Answer:
Hello,
I have gone through your query and attached image. Here is my advice.
As per your history and non reactive RPR and positive TPPA test report indicates old treated syphilis. It doesn't indicate reinfection.
The sore on finger may not be syphilis chancre as,
1. Finger is not usual site for primary syphilis chancre.
2. Usually chancre heals within 3 to 6 weeks.
3. It may not develop so late i.e. 11 weeks.
Still to confirm diagnosis I would suggest you to consult with physician for detailed medical examination.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you so much. What test would be recommended to actually confirm if this is not re-infection vs. primary syphilis? Would it be another RPR test? Just curious so I can verify with a physician.
This answer above is very helpful, thank you!
This answer above is very helpful, thank you!
Brief Answer:
At present, no need to do any test.
Detailed Answer:
Hello,
Thank you for your reply.
At present, no need to do any test to confirm about reinfection.
Finger sore may not be a syphilis chancre and I have given explanation in previous answer.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale.
At present, no need to do any test.
Detailed Answer:
Hello,
Thank you for your reply.
At present, no need to do any test to confirm about reinfection.
Finger sore may not be a syphilis chancre and I have given explanation in previous answer.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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