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KOH prep and fungal culture

Also called: KOH test, Skin scraping, Fungal culture, Nail fungus test

A KOH prep looks at skin, hair, or nail scrapings under a microscope to find fungus. A culture can identify the type.

SampleSkin, hair, or nail scrapings
Fasting?Usually not needed
ResultsMinutes (KOH) to weeks (culture)
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

Testing confirms nail fungus before long treatment with pills.

Why it's done

  • Scaly rashes, ringworm, or thick, discolored nails

Getting ready and what happens

  • Stop antifungal creams for about a week before, if asked.

How the test is done

  • A small scraping is taken with a blade or clippers; it's painless.

What the results mean

Positive

Confirms a fungal infection and guides treatment.

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Related conditions

Related medicines

Sources

Last updated 2026-11-13.