TPPA阳性RPR阴性说明梅毒治愈了吗 尹建奇 河北省人民医院

TPPA阳性RPR阴性说明梅毒治愈了吗 尹建奇 河北省人民医院
临床上TPPA是阳性而他的RPR反应是阴性，通常我们认为是治愈的。因为TPPA属于确诊实验，他在人体里经过治疗以后是终身阳性的，也就是说我们患了梅毒以后，它在体内形成一种标志性抗体，在你治愈以后它也是阳性的，而RPR就不同了，在我们在病人的治疗过程当中和治愈以后，它是逐渐的滴度下降和阴转的，我们的病人痊愈以后，他的RPR通常来说是阴性的，当然也有很小一部分人的RPR是阳性，但是他的血清滴度是相对低的，通常我们认为它小于1比8，我们也认为他是治愈的，这个在临床上叫做血清学固定，通常来说都是由于他早期的治疗不规范，不及时或者由于他原因造成的。
Does TPPA positive RPR negative mean syphilis is cured
Clinically, TPPA was positive and RPR was negative, Usually we think it's healing. Because TPPA is a confirmatory test, After treatment in the human body, he was positive for life, That is to say, after we have syphilis, It forms a marker antibody in the body, It's also positive after you heal, RPR is different, During and after our treatment of patients, It is gradually dropping and turning negative, When our patients are cured, His RPR is usually negative, Of course, a very small number of people have positive RPR, But his serum titer is relatively low, Usually we think it's less than one to eight, We also think he's cured, This is clinically called serological fixation, Generally speaking, it's because his early treatment is not standardized, Not in time or due to other reasons.