Currently all inpatients, patients requiring special tests, outpatients for outpatient surgery, people with high risk sexual contacts and blood donors need to be tested for infectious diseases! In the daily outpatient clinic! Patients often come to the doctor with their test results and worry! Doctor, I have syphilis! But after the history, symptoms and further tests, some are real syphilis and some are fake syphilis! I feel it is very important to tell you how to correctly interpret the syphilis test! Syphilis serology is the main test for syphilis and the main basis for confirming the diagnosis. There are two types of serological tests. The first is the syphilis-specific test, which represents TPPA, and the other is the non-specific test, which represents RPR, and we all have the TPPA in our hands, and if the TPPA is negative, syphilis can be ruled out for now, which is very simple! If the TPPA is positive, you need to test the RPR at the same time if it is negative! There are two cases, the first, infected with syphilis must be continuously rechecked RPR three years are negative that has been cured, and can live the same life as normal people! Only that the infection has been infected. The second infection at the beginning of the RPR did not show up can be tested again after a month, if TPPA positive, RPR is positive, we must regular treatment regular review, if TPPA is negative, RPR is negative is false positive. Because the elderly, a history of colds and fevers, people with a history of tuberculosis and other diseases can be false positives! After a period of time, the test will turn negative. The actual fact is that only TPPA is positive and RPR is positive can confirm the diagnosis of syphilis patients need regular treatment immediately and regular review! The first choice for syphilis treatment is Bianxing penicillin treatment, once a week to play, once two shots. The early stage is to play three times, the late stage to play five times. The main regular review after treatment is the change in RPR titer, if the titer drops or negative, continue to review! The first year every three months to check, the second year every six months to check the end of the third year to check once no problem will be cured it does not need to be re-checked! No need to check TPPA because once infected with syphilis this antibody is generally lifelong positive, but this is no problem, do not worry never have to overtreat! In the review, if the RPR titer goes up four times, you need to double the treatment again. The situation of syphilis is more complex and requires specific analysis of the problem!