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Skin lesion KOH exam



Viral lesion culture
Viral lesion culture


Skin lesion KOH exam

Definition:

The skin lesion KOH exam is a test to diagnose a fungal infection of the skin.


Alternative Names:
Potassium hydroxide examination of skin lesion; Fungal wet prep
How the test is performed:


The lesion is scraped, using a blunt edge such as the edge of a microscope slide. The scrapings from the skin lesion are placed in a solution of potassium hydroxide (KOH) and examined under the microscope. The fungus can be seen, if present. This test is different from a saline (salt water) examination, since the KOH destroys all non-fungal cells, making it much easier to see the fungal material.


How to prepare for the test:

There is no special preparation for the test.


How the test will feel:

You may feel a pressure sensation when the lesion is scraped from the skin.


Why the test is performed:

The test is performed when fungal infections of the skin are suspected.




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