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What Do My VDRL And TPHA Test Results Indicate?

Posted on Mon, 22 Dec 2014

Question: When was young was having VDRL + and treatment, was not following results on that time.
2 years a go get RPR 1/2 TPHA + results, after a lot of stress, feeling some muscular pain , any other clinical and fisical sintoms, any way get 1 Benzetacil 2.4 Nov 2012
Feb 2013 VDRL 1/4 TPHA 1/5120 get 2 Benzetacil 2.4 XXXXXXX 2013 VDRL 1/4 TPHA 1/ 5120
August 2013 VDRL - TPHA + 10240 PL VDRL - FTA ABS - get 3 benzetacil 2.4
Nov 2013 VDRL 1/4 TPHA 1/640
Feb 2013 VDRL 1/4 TPHA 1/1280
May 2013 VDRL 1/8 TPHA 2560
Oct 2013 VDRL 1/4 TPHA + 1/ 10240 Could you please give your opinion

Answered by Dr. Dr. Rahul Kumar (1 hour later)

Brief Answer:
not syphilis

Detailed Answer:
Hello
Vdrl and TPHA both are tests for syphilis.
VDRL is non specific test and it's titre gradually decrease while TPHA is a specific test and it remains positive through out life.
Hence a positive TPHA doesn't mean that you have syphilis.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (34 minutes later)

Dear Dr,
That means that results are consider normal after treatment? TPHA titre are actually higth again, like year a go, that is OK?
VDRL low titre from beginning means that was older VDRL positive remain? VDRL could be consider low and not actual infection?
year a go get lumbar puntion with negative results in VDRL and FTA Abs, that means not neurological affection?
Many thanks for you help.

Sorry 3 last results VDRL TPHA , feb , May and Oct are 2014

Answered by Dr. Dr. Rahul Kumar (16 hours later)

Brief Answer:
no syphilis

Detailed Answer:
Hello
Thanks for the follow up.
You are correct,these values are post treatment.
Slight variation in titre can be there but it should not be too high.
Csf is negative which rules out brain involvement.
Just relax.
Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (5 hours later)

Thanks again Dr XXXXXXX
Ok, but TPHA 1/10240 means some not good?
Rgds

Answered by Dr. Dr. Rahul Kumar (1 hour later)

Brief Answer:
Don't worry

Detailed Answer:
no tpha titre is very low.
Don't worry.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar