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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.



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