[Question #3858] Follow up to #3297

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86 months ago
Regarding the same incident I described before. I know this is unlikely but if the women had a syphilis legion on her hand or secondary syphilis rash, could it be passed during a normal non sexual massage? I ended up doing a single syphilis RPR @ 10 weeks it was negative. I really haven't had any rash that I've noticed and don't remember a chancre. Other than the chancre soar I had on the inside of my lip 2 weeks ago (typical very painful, not painless). Would my 10 week RPR br conclusive? 
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Edward W. Hook M.D.
86 months ago
There are elements of your follow-up post which are a bit repetitive.  I'm sorry you continue to worry about this encounter.  I have already told you that this exposure was no risk and that is still the case.   Syphilis is a relatively rare STI and the chance that you masseuse has syphilis is miniscule.   I have never seen a syphilis chancre on the palm of a person's hand and the rash of secondary syphilis is not infectious unless it is ulcerative and moist.  A 10 week RPR is conclusive and proves that you did not get syphilis from the exposure you have described.  EWH
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