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As you can see, both tests share similarities, but there are some important differences. RPR is usually performed on a blood sample and is primarily used for screening. VDRL can be done on both blood and CSF. It is also used to diagnose neurosyphilis. Both tests have advantages and limitations, and they're most effective when used together with other diagnostic methods and clinical information. The RPR test can be used to monitor treatment response. When the syphilis treatment is effective, the RPR test results will usually decrease over time. The VDRL test is more commonly used for neurosyphilis diagnosis. Neurosyphilis occurs when the syphilis bacteria infect the brain and spinal cord. If a person has neurosyphilis, the VDRL test on the CSF will usually be positive.
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