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A positive test result may indicate underlying syphilis. If the screening test is positive, the next step is to confirm the diagnosis with a more specific test for syphilis such as FTA-ABS. The FTA-ABS will help distinguish between syphilis and other infections.
The RPR test's ability to detect syphilis depends on the stage of the disease. The test's sensitivity to detect syphilis nears 100% during the middle stages; it is less sensitive during the earlier and later stages.
The following conditions may cause a false positive test:
- HIV
- Lyme disease
- Certain types of pneumonia
- Malaria
- Systemic lupus erythematosus
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