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Yeast and Pseudohyphae, Skin Scraping — Potassium Hydroxide Preparation, Qualitative

Published: August 9, 2026Updated: August 17, 2026

A microscopic examination of skin scrapings that looks for yeast and pseudohyphae, which may indicate a fungal skin infection.

Quick summary

["This test helps determine whether a skin lesion may be caused by a fungal infection."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
55311-5
Short code
Yeast pseudohyphae Skin Ql KOH Prep
Synonyms
Yeast pseudohyphae Skin Ql KOH Prep
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
koh-preparation
CPT
84484
SNOMED
302774002
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This is a qualitative laboratory examination of material scraped from the skin. Potassium hydroxide (KOH) preparation is used to examine the sample under a microscope for yeast, pseudohyphae, and other fungal elements.

Why might I need this test?

A clinician may order this test when a rash, scaling, redness, or other skin lesion could be related to a fungal infection. It may be considered along with symptoms and physical examination findings.

How is the test performed?

The clinician collects a small sample from the affected skin, often from the edge or surface of a lesion. The material is mixed with KOH, which helps clear skin cells so that any yeast or fungal structures can be viewed under a microscope.

How do I prepare for the test?

No special preparation is usually required. Tell the clinician about medicines or topical products used on the area, because some can affect the sample or the likelihood of detecting fungal elements.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Finding yeast or pseudohyphae may support a diagnosis of a superficial fungal infection, particularly when the organism is consistent with the appearance of the affected skin. A positive result does not always identify the exact cause by itself, and results should be interpreted with symptoms and examination findings. If no fungal elements are seen, infection may still be possible and additional testing may be needed.

Short name

KOH skin scraping for yeast

Frequently asked questions

Does a positive result mean I have a fungal infection?
It can support fungal infection, especially when the symptoms and skin findings also fit. The result may need to be interpreted with other clinical information because yeast can sometimes be present without causing disease.
Is this the same as a skin culture?
No. A KOH preparation is a rapid microscopic examination that may reveal fungal elements, while a culture can grow and identify specific organisms.
What if no yeast or pseudohyphae are found?
A negative result does not completely rule out a fungal infection. The clinician may consider repeat testing, culture, or other examinations based on the appearance and persistence of the rash.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy