Diagnosis

A. Microscopy. Material is scraped from an active area of the lesion, placed in a drop of potassium hydroxide solution, and examined under a microscope.

B. Microscopy is positive if hyphae are identified in fungal infections and if pseudohyphae or yeast forms are seen in Candida or Pityrosporum infections. A positive examination is sufficient to warrant starting treatment.

C. Cultures are not routinely performed in suspected tinea infections. However, cultures should be obtained when long-term oral drug therapy is being considered, the patient has a recalcitrant infection, or the diagnosis is in doubt.

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