I've been having some skin issues, and I'm starting to get worried. I went for a medical test in Saudi Arabia, and it came back showing TPHAVDRL reactive. After that, I consulted a dermatologist in Hyderabad, and they did a biopsy to confirm the results, which were still reactive. They recommended penicillin injections, which I took, and then did a retest 8 weeks later. But, the test is still showing reactive. I'm not sure if this diagnosis is accurate or if it's something that can actually be cured. Besides this, I've had some non-itchy, painless rashes on my skin since around 2009. They appeared when I traveled to the USA. I've shown them to a doctor there, but I'm still concerned. Could there be something I'm missing or should be doing differently?

Answered by 1 Apollo Doctors

Dr Dr Khaleel Ur Rahim

General Practitioner

MBBS
1+ Yrs

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This looks like Syphilis, penicillin is the drug of choice for this condition and it's curable no need to worry follow as your Dermatologist advised you some cases need long-term treatment.

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Answered 04/07/2025

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I'm currently taking Lulifin 1, Allegra 180, and Sebifin Syntran 200 mg, but my condition seems to be getting worse. Could you please advise on what I should do next?

It seems like you may be dealing with a fungal infection that is spreading despite your current medications. I would recommend adding an antifungal cream like Clotrimazole (Canesten) to your treatment regimen. Apply it to the affected area twice a day for about 2 weeks. Additionally, you may consider taking an oral antifungal medication like Fluconazole (Diflucan) 150 mg once a week for 4 weeks to help clear up the infection from within. Remember to maintain good hygiene practices and keep the affected area clean and dry.

Answered by 1 Apollo Doctors