A 25-year-old patient presents with a fine rash on his chest,palms and feet,fever and malaise.The RPR is reactive with a titer of 1:64,the VDRL is non-reactive,and the MHA-TP is positive.What is the diagnosis?

Question

Quizplus · Accepted Answer

The patient's presentation is consistent with secondary syphilis, which typically presents with a fine rash on the chest, palms and feet, along with systemic symptoms such as fever and malaise. The RPR is reactive, indicating active infection, and the MHA-TP is positive, confirming the diagnosis of syphilis. The non-reactive VDRL is not uncommon in secondary syphilis. Tertiary Syphilis and latent syphilis do not present with these symptoms.

A 25-Year-Old Patient Presents with a Fine Rash on His