Rapid Diagnostic Procedures for Dermatomycosis.
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概要
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The rapid diagnostic methods in dermatology mean procedures which can establish a definite or suspected diagnosis in a few minutes under a microscope. These include direct preparations with KOH method or its variations (DMSO-KOH, Parker ink-KOH), with india ink method, or smears stained by Hemacolor®. This paper also deals with the ways to obtain adequate materials, to choose a proper method, to detect the causative organisms such as bacteria or fungi, and the microscopical characteristics of these organisms. The results are as follows:1) The KOH method is recommended in dermatophytosis, though Parker ink-KOH method is more useful to stain the fungi in the infected hairs.2) The KOH or Parker ink-KOH method is recommended in cutaneous candidiasis. In mucosal lesions Parker ink-KOH method is better.3) In tinea versicolor, double Scotch tape method is best to take the scales, and the Parker ink-KOH method to stain the fungi.4) KOH method is recommended in chromomycosis, tinea nigra and pheohyphomycosis.5) India ink method is best in cryptococcosis.6) In mycetomas caused by Actinomyces and Nocardia species KOH method is good to detect the granules.7) In nocardiosis (the skin lesions of both generalized and localized forms) smears stained by Hemacolor® is good to detect the hypha-like elements.8) To detect the diphtheroids in erythrasma use DST method to take scales and Hemacolor® to stain.9) KOH method is recommended in trichomycosis axillaris.
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