The test was sufficiently familiar to American movie audiences that the 1934 exploitation filmThe Road to Ruin simply showed a card with a positive Wassermann test (misspelled in the film) without any further explanation to indicate a character had contracted syphilis.
complement fixation. It was the first blood test for syphilis and the first in the nontreponemal test (NTT) category. Newer NTTs, such as the RPR and VDRL tests, have mostly replaced it. During the mid-20th century, in many jurisdictions, including most US states, applicants for a marriage license were required by law
to undergo a Wassermann test.
Method
A sample of
antiphospholipid antibodies
(APAs). The intensity of the reaction (classed 1, 2, 3, or 4) indicates the severity of the condition.
Uncertainty
The reaction is not specific to syphilis and will produce a positive reaction to other diseases, including
systemic lupus erythematosus, malaria, and tuberculosis. It is possible for an infected individual to produce no reaction and for a successfully treated individual to continue to produce a reaction (known as being "Wassermann fast" or "fixed").[citation needed
]
The Wassermann test is ineffective at identifying primary syphilis as sufficient reagin has not yet been produced from tissue destruction at this stage. Therefore, more effective methods have been a common research topic.[2]
Development and refinement
The antibody test was developed by Wassermann, Julius Citron, and
on complementing-fixation reaction, published in 1901, and the positive reaction is sometimes called the Bordet-Gengou-Wassermann reaction or Bordet-Wassermann reaction.
The Wassermann test has been refined with 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
^A Wassermann, A. Neisser and C. Bruck. Eine serodiagnostische Reaktion bei Syphilis. Deutsche medicinische Wochenschrift, Berlin, 1906, 32: 745–46. Announcing the test for syphilis.