VDRL试验呈阳性的无症状患者。
The asymptomatic patient with a positive VDRL test.
作者信息
Feder H M, Manthous C
机构信息
University of Connecticut Health Center, Farmington.
出版信息
Am Fam Physician. 1988 Jan;37(1):185-90.
PMID:3276100
Abstract
Although VDRL and RPR tests are excellent screens for syphilis, false-positive reactions do occur. A positive VDRL or RPR test must be confirmed with an FTA-ABS test. Patients with positive serologic tests should have a thorough physical examination to determine the stage of syphilis. A patient with a low-titer VDRL or RPR may have active disease and may require lumbar puncture to rule out neurosyphilis.
摘要
虽然性病研究实验室（VDRL）试验和快速血浆反应素环状卡片试验（RPR）是梅毒的优良筛查方法，但确实会出现假阳性反应。VDRL或RPR试验呈阳性必须通过荧光密螺旋体抗体吸收试验（FTA - ABS）加以证实。血清学检查呈阳性的患者应进行全面体格检查以确定梅毒分期。VDRL或RPR滴度低的患者可能患有活动性疾病，可能需要进行腰椎穿刺以排除神经梅毒。
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