[Question #11331] Follow up question
15 months ago
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Hi there follow up question;
Have a small “sore” on inner thigh. Very small with slight central indentation- been there for about 4-5 days looks more like a “blister”.
Could this be a syphilis chancre or hsv1 lesion (I am diagnosed with genital hsv1)
I took doxycycline 100mg for 14 days
Follow up info to help with response
tested negative for syphilis 40 days after exposure ( a little before 45 day mark)
1:) could doxycycline affect my negative results?
2:) should I retest?
3:) I’ve seen other notes of ulceration, what exactly does that mean, so I can keep an eye?
Mine seems more like a blister very small indentation round circle. You really need to look hard to notice under a flashlight.
15 months ago
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Oh and I may have missed 1 or two doses of doxy due to getting vomiting it up
15 months ago
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Test was an RPR test. Asked doctor for a treponial test and he seems to think nothing to worry about but also hasn’t seen new “lesion”
15 months ago
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I also seem to have maybe a swollen groin lymph? It’s seems to be movable, hard ish bump on the right side right about waste line. I am larger so maybe fat deposit? Sometimes I can find and sometimes it takes a min to find, but I also have a diagnosed hydrocylee
15 months ago
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Figured I’d add details, to help..
Exposure was March 22nd, finished foxy on April 11th- tested negative april 30th for syphilis via rpr
15 months ago
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The lesion also doesn’t seem to look like what google shows for syphilis chancre. I’d say it’s half the size of an eraser on inner thigh in a spot that rubs due to being overweight- no fever or anything
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Edward W. Hook M.D.
15 months ago
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Welcome back to the Forum although I'm sorry you felt the need. Your anxiety is showing - 6 posts in 15 minutes is excessive. If you had reviewed our earlier interaction you will see that I said "If you had acquired syphilis, the doxycycline you took would not have "extended" the time needed to develop a positive syphilis test. Rather, if infection was present or developing, it would have cured syphilis." This is still true. Nothing you describe comes anywhere close to describing a syphilis lesion and the location is not a place where syphilis regularly occurs. In response to your specific questions
1:) could doxycycline affect my negative results?
No, you should accept ad believe them
---2:) should I retest?
Testing is a personal choice. In your case, further tested in a waste of time and resources
3:) I’ve seen other notes of ulceration, what exactly does that mean, so I can keep an eye?
An ulcer is an open sore, that a bump of the sort you describe. What you describe, as well as its location is suggestive of follicultis, an non-STI skin infection than many persons get and ignore
Hope this helps. Take a deep breath, relax, please don't worry. EWH
15 months ago
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Thanks doc. Yes stressing out, and online gives me different answers.. Especially around retesting after
Antibiotics etc..
I’d say it’s fairly flat but indents in the center more, is that a concern? Or still follicutis. Like I said super small.
If it were to ulcerate, I'm assuming that happens really quick?
Would an rpr test at 40 days be conclusive with the doxy?
15 months ago
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And is RPR really the best test? Asking since I took test prior to a full 45 days
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Edward W. Hook M.D.
15 months ago
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Sigh! I am always troubled by how often our clients are misled by the Internet. Please don’t use the Internet for health related information. You have no way of telling what is right and what is wrong and much of what is there is incorrect either because it is out of date, misinterpreted, taken out of context, or just repeating Urban myths
None of the additional details you provide change my response in anyway. This is not Syphilis.!!!!!
Your RPR results are already definitive. You can repeat them as many times as you wish and the results will not change. EWH.
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