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Conclusive syphilis testing for late infection

Feb 19, 2012

Dear Dr.Holodniy

Hope your doing well.I am kind of confused regarding testing for syphilis since i might have been infected 12 years back. I have swollen nodes in the neck region, and i have a canker like circular scar on the skin of my penis( could this be a mark left after the canker heals? ). Recently i even noticed a few blisters on the foreskin and I have 2 fibrous growth under the skin one on my inner thigh and another on my chest (< 1 cm diameter). I read sometimes tests for syphilis are not very accurate in late stage of the infection. I did a Treponema pallidum haemagglutination and a VDRL test which were negative. Now my confusion is, have i already progressed into a late stage like neurosyphilis and is a CSF test required? Is there a way i can conclude i am not infected with syphilis?

Sypmtoms and signs : Slightly Swollen nodes (neck),Round Canker like scar (healed) on skin of penis and blisters on foreskin. Fibrous growth under skin on thigh and chest (less than 1 cm in diameter)

I will be happy if you can help me by sharing your view on my problem. I want to act quickly to avoid any further health complication.

Thanking you

Response from Dr. Holodniy

Given those test results, it is not likely to be syphilis.

change of meds
Worried about my CD4 counts

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