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The rapid plasma reagin test (RPR test or RPR titer) is a type of rapid diagnostic test that looks for non-specific antibodies in the blood of the patient that may indicate an infection by syphilis or related non-venereal treponematoses. It is one of several nontreponemal tests for syphilis (along with the Wassermann test and the VDRL test).
Centers for Disease Control and Prevention (CDC)-approved standard tests include the VDRL test (a slide test), the rapid plasma reagin (RPR) test (a card test), the unheated serum reagin (USR) test, and the toluidine red unheated serum test (TRUST). [2] These have mostly replaced the first nontreponemal test, the Wassermann test. [citation needed]
RPR has some limitations and considerations, including: RPR deals with a single symptom at a time; RPR identifies the technical root cause of a problem, it can't be used to identify the non-technical root cause with people, process, etc. RPR is not a forensic technique and so historical data alone is rarely sufficient
Such tests can typically be read visually, which makes them fast, cost-effective, and able to be deployed in a wide variety of laboratory environments. The interpretation of any serological titer result is guided by reference values that are specific to the antigen or antibody in question, so a titer of 1:32 may be below the cut-off for one ...
The rapid plasma reagin (RPR) test uses the same antigen as the VDRL, but in that test, it has been bound to several other molecules, including a carbon particle to allow visualization of the flocculation reaction without the need of a microscope. Many other medical conditions can produce false positive results, including some viruses ...
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Replacement tests such as the VDRL test and the RPR test, initially based on flocculation techniques (Hinton), have been shown to produce far fewer false positive results. [ citation needed ] Indeed, the "biologic false positives" of modern tests usually indicate a serious alternate condition, often an autoimmune disease .