Research Article

Clinical and Laboratory Characteristics of Symptomatic and Asymptomatic Neurosyphilis in HIV-Negative Patients: A Retrospective Study of 264 Cases

Table 1

Patient Demographics and Baseline Characteristics (N = 264).

CharacteristicSNS (110)ANS (154)P value

Sex (male: female)88:2272:82P<0.001
Age (years), median year (IQR)50 (44, 58)39 (30, 52)P<0.001
≤ 305, 4.5%42, 27.3%NA
31~4013, 11.8%37, 24.0%NA
41~5038, 34.5%31, 20.1%NA
51~6034, 30.9%33, 21.4%NA
≥ 6120, 18.2%11, 7.1%NA
Treatment history (yes: no)43:6799:55P<0.001
Pretreatment serum RPR titer, median (IQR)1:32 (1:16, 1:64)1:32 (1:8, 1:64)P=0.011
1:1 (n, %)1, 0.9%0, 0%NA
1:2 (n, %)0, 0%4, 2.6%NA
1:4 (n, %)2, 1.8%10, 6.5%NA
1:8 (n, %)14, 12.7%24, 15.6%NA
1:16 (n, %)13, 11.8%29, 18.8%NA
1:32 (n, %)32, 29.1%36, 23.4%NA
1:64 (n, %)14, 12.7%28, 18.2%NA
1:128 (n, %)12, 10.9%10, 6.5%NA
≥1:256 (n, %)11, 10.0%6, 3.9%NA
Not available (n, %)11, 10.0%7, 4.5%NA
Current serum RPR titer, median (IQR)1:32 (1:8, 1:64)1:8 (1:8, 1:32)P<0.001
1:11, 0.9%0, 0%NA
1:22, 1.8%9, 5.8%NA
1:41, 0.9%16, 10.4%NA
1:827, 24.5%53, 34.4%NA
1:1611, 10.0%30, 19.5%NA
1:3227, 24.5%28, 18.2%NA
1:6418, 16.4%14, 9.1%NA
1:12811, 10.0%1, 0.6%NA
≥1:25612, 10.9%3, 1.9%NA
Serum TPPA positive (n, %)110, 100%154, 100%NA
Serum FTA-ABS-IgG positive (n, %)110, 100%164, 100%NA
Serum FTA-ABS-IgM positive (n, %)35, 38.1%33, 24.1%P=0.052
CSF RPR titer (positive: negative)90:2045:109P<0.001
1:124, 21.8%19, 12.3%NA
1:224, 21.8%21, 13.6%NA
1:422, 20.0%3, 1.9%NA
1:813, 11.8%1, 0.6%NA
1:166, 5.5%0, 0%NA
1:321, 0.9%1, 0.6%NA
CSF WBC count, median (IQR), /ul10 (6, 33)7 (5, 11)P<0.001
>5/ul (n, %)91, 82.7%125, 81.2%P=0.746
CSF protein concentration, median (IQR), mg/dl56.2 (43.1, 76.8)35.3 (26.2, 46.6)P<0.001
>45mg/dl (n, %)75, 68.1%44, 28.6%P<0.001
CSF TPPA positive (n, %)110, 100%154, 100%NA
CSF FTA-ABS-IgG positive (n, %)110, 100%154, 100%NA
CSF FTA-ABS-IgM positive (n, %)1, 0.9%1, 0.6%NA

Abbreviation: ANS=asymptomatic neurosyphilis; SNS=symptomatic neurosyphilis; RPR = rapid plasma regain; TPPA=Treponema pallidum particle agglutination; CSF=cerebrospinal fluid; WBC=white blood cells; FTA-ABS=fluorescent treponemal antibody absorption; NA=not available