Treatment FAQ

what does a 10% koh treatment do for light microscopy

by Prof. Jarod Windler MD Published 2 years ago Updated 2 years ago

Potassium hydroxide (KOH) preparation is used for the rapid detection of fungal elements in clinical specimens, as it clears the specimen making fungal elements more visible during direct microscopic examination. Image 1: Left: Fungal hyphae in a (KOH) preparation of skin scales as seen with the 10x objective.

Full Answer

What is a Koh specimen used for in microbiology?

KOH TESTING. A drop of KOH (potassium hydroxide 10%) added to a saline wet prep slide aids in diagnosis in two ways. A) A strong fishy (amine) odor to the solution may indicate bacterial vaginosis. B) KOH dissolves the cell walls of epithelial cells but does not dissolve the pseudohyphae or spores of Candida. It can be helpful in identifying yeast infections.

When should Koh be used in the workup of dermatophytes?

Jul 02, 2018 · The KOH test can check for ringworm and jock itch. The KOH test will check for a range of different fungal infections in the skin, hair, nails, or …

What is the use of 20% KOH?

The potassium hydroxide (KOH) preparation is used to clear clinical material in order that fungal elements can be seen more easily. In this method, a small portion of clinical sample is added to 10% KOH on a glass slide with a glass coverslip and left to sit at room temperature for 3 minutes to allow for digestion of host cells.

Is a 10% KOH corrosive?

Use of 10% KOH in wet preparations improves the visualization of yeast and mycelia by disrupting cellular material that might obscure the yeast or pseudohyphae. Examination of a wet mount with KOH preparation should be performed for all women with symptoms or signs of VVC, and women with a positive result should be treated.

What is the purpose of 10% potassium hydroxide?

Remel 10% Potassium Hydroxide is a reagent recommended for use in qualitative procedures to detect fungal elements in clinical specimens by microscopic examination. The Laboratory Handbook of Medical Mycology recommends the use of 10% KOH for direct detection of fungal elements in clinical specimens.

What is the purpose of using KOH in fungal microscopy?

The KOH (Potassium hydroxide) procedure is a method used to examine specimens for yeast. KOH serves as an enzymatic agent that breaks down debris in a specimen, such as epithelial cells and WBCs, to view yeast or pseudohyphae. 1. Mix the specimen well.

What is the purpose of using a KOH preparation?

Doctors use the KOH preparation test to find out if you have a fungal infection.

Why is 10% KOH used in observing yeast from skin samples?

KOH destroys all non-fungal cells, and so when the liquid is examined under the microscope, your healthcare provider is able to see if there is any fungus present in the liquid. Normal results indicate that there is no fungus present in your skin sample.Apr 15, 2022

How does the KOH test work?

The skin lesion KOH exam is a simple test that helps doctors identify fungal infections on a person's skin, hair, and nails. When doctors perform a KOH exam, they take a skin scraping, which they then place in a potassium hydroxide (KOH) solution and analyze under a microscope.

Purpose of Test

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A KOH test may be recommended for someone who has symptoms of a fungal infection of the skin, hair, or nails, such as: 1. A localized rash 2. Ring-shaped, red patches with scaly edges 3. Severe itching of the skin2 4. Rashes that fail to respond to or worsen with corticosteroid medications 5. Rashes that persist for …
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Risks and Contraindications

  • The KOH prep test carries little risk aside from a small chance of bleeding or infection as a result of scraping the skin to obtain a sample.1 After the test, your healthcare provider will provide instructions for how to care for the area from which the sample was taken. There are no specific contraindications for this test.
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During The Test

  • If you see your healthcare provider for a rash that they suspect upon visual examination might be due to a fungal infection, they will likely do a KOH prep test on the spot in the office. You will not have to make a separate appointment or do any type of preparation beforehand. The test itself will take no more than a few minutes and will proceed as follows: The affected skin or nail is ge…
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Interpreting Results

  • KOH destroys all non-fungal cells, and so when the liquid is examined under the microscope, your healthcare provider is able to see if there is any fungus present in the liquid. Normal results indicate that there is no fungus present in your skin sample. This means your skin rash is not being caused by a fungal infection, but rather something else. Abnormal results mean that fungu…
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