[Question #9227] Follow up to an RPR question
35 months ago
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In my past question I asked if my
two negative RPR tests one in 2013 the other 2014 were definitive proof I did
not have Syphilis. I asked about how my exposures were 6-12 years before
these tests and had read that sometimes quiescent syphilis could be missed in
late stages and Dr HH said this process takes decades for the RPR to turn
negative and my time frame was not enough time for this to happen and I didn't
need any further testing and didn't need the TPPA test. I just saw in an
article that Dr HH said that most labs now start syphilis test with the IgG
Elisa, should I get that test or is my RPR (2) negatives (6-12 years from
exposure - if it was one - no symptoms either)....or should I get this IgG
test? Also what really triggered me is I saw on webMD and a bunch of
other lab / hospital / clinic sites that drinking alcohol 24 hours before an
RPR test can give a false negative, I am assuming this is them doing this out
of caution for a very rare event that this could happen - but I want to check
if I should get retested as I am not sure if I drank alcohol before the past
tests. I know my OCD is a huge pain to deal with and this is somewhat repetitive,
but my wife and I are about to try and have a baby and I want to know if my
past tests are definitive or if I should get another test to make sure my wife
and future child are safe. I know I am
somewhat breaking the rules – but the alcohol warning scared me and when I say
Dr HH say the new way labs test (post from healthtap 2018), I got scared that
maybe my two RPRs might be false negatives because of prozone, or lower sensitivity
in latent stages and my OCD got going……so I hope you will make an exception and
answer my question because I don’t want to have to worry my wife for no reason,
but I also want to protect her if for some reason the alcohol before the tests
or something else caused a false negative twice - no matter how unlikely this is........if you don't want to answer the question because its repeti
35 months ago
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Edward W. Hook M.D.
35 months ago
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