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Skin and nail fungus test

fungal scraping · nail fungus test · KOH test · skin scraping for fungus · fungal culture

A small scraping is taken from the skin or a nail. A microscope and a culture show if there is a fungus.

For flaking, itching, or patches on the skin, or for thick or yellow nails, before treatment starts.

⏱ Duration: the scraping takes 5 to 10 minutes; microscope results usually in 1 to 3 days, the culture in 2 to 4 weeks

Be sure to tell your doctor

How to prepare

  • Treatment. The test is usually done before treatment or after a break. Your doctor will tell you how long the break is. Do not stop on your own.
  • Nails. For a few days before, do not cut or file the affected nails. Remove nail polish.
  • Skin. On the test day, do not put creams on the skin or wash the area with soap.

What to bring

  • Your test request form
  • Your ID

How it goes

  1. The doctor looks at your skin or nails
  2. The area is wiped
  3. Flakes of skin or bits of nail are gently scraped off with a small blade
  4. The sample is collected on a glass slide or in a tube
  5. It is sent to the lab

What you'll feel

  • Usually painless. Only the top dead layer is taken
  • Sometimes a little unpleasant at the edge of the nail

Afterwards

  • You can go back to your usual day right away
  • Microscope results usually come in 1 to 3 days
  • The culture takes 2 to 4 weeks. It shows which fungus it is

Common questions

Why not use ointment before the test?

It can hide the fungus, and the test may come back with nothing found.

Do I need the test if the fungus is obvious?

Yes. Changes that look like fungus can come from other conditions. Fungus treatment is long, so it is confirmed first.