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Hi, I've Just Finished Treatment With Doxcycycline Hydrate 100 Mg

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Posted on Mon, 14 Dec 2020
Question: Hi, I've just finished treatment with Doxcycycline Hydrate 100 mg 2Xs a day for 15 days. In hindsight I had a STI Supposedly Secondary Syphilis rash (needle poke hiding in grass) We were at the park while doing inverted push ups on park bench, stuck deep into my RH palm later developed a nasty pencil eraser sized ulcer and then ulcer went away as I was getting bridge replaced, (was on clindamycin for a week).
I went to three doctors, the first gave me eczema cream for hands and it seemed to work, then ulcer reappeared with a hive like rash, hands first, mid bod, and by the time diagnosed was about 3 to 3.5 weeks into progression. I don't think I ever had chancore on penis) A Dermatologist referral and labs confirmed, effing Secondary Syphilis.
Would a chancre reappear so quickly after just 2 days of stopping doxcycycline? Or is it a derm blister from the doxcy, I have a few on other parts of body. Watery, hard brown red spots.
Doc asking for antibody test, RNA was Pos, at 1.64. Body rash has completely gone away (for now) or am I just starting all over again ?. A paranoid 61 yr old male. Not XXXXXXX or sexually active... HIV NEG. COVID nEG.
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Regarding rash

Detailed Answer:
Hello and welcome to ask a doctor service. I have gone through your query and noted your concern.

Syphilis is a STD and it can have a generalized body rash in Secondary Syphilis. A primary chancre develops at the site of inoculation, therefore it is usually genital. An extra genital chancre is extremely rare and moreover it would never happen from a thing like a thorn or a piece of wood that could have poked your hand.
Syphilis is usually screened with VDRL or RPR test and confirmed with a specific test for syphilis.
I would like to know which lab tests were done for syphilis? kindly attach report.
Also attach images of the skin rash, if any and ulcer as well

Hope to assist you further with your query. Take care.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Kakkar (19 hours later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. Dr. Kakkar (0 minute later)
Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Dr. Kakkar (28 hours later)
Brief Answer:
regarding syphilis

Detailed Answer:
Thank you.

I have reviewed the reports but none of these are related to syphilis. In order to consider a possibility of syphilis one need to have a reactive VDRL or RPR test. Usually the titres of RPR or VDRL test are more than 1:8 or 1:16 in case of secondary syphilis. A low titre could be false positive. Thereafter, it need to be confirmed by a specific test for syphilis.

Take care
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9610 Questions

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Hi, I've Just Finished Treatment With Doxcycycline Hydrate 100 Mg

Brief Answer: Regarding rash Detailed Answer: Hello and welcome to ask a doctor service. I have gone through your query and noted your concern. Syphilis is a STD and it can have a generalized body rash in Secondary Syphilis. A primary chancre develops at the site of inoculation, therefore it is usually genital. An extra genital chancre is extremely rare and moreover it would never happen from a thing like a thorn or a piece of wood that could have poked your hand. Syphilis is usually screened with VDRL or RPR test and confirmed with a specific test for syphilis. I would like to know which lab tests were done for syphilis? kindly attach report. Also attach images of the skin rash, if any and ulcer as well Hope to assist you further with your query. Take care.