Evaluation of reflectance confocal microscopy in dermatophytosis

Summary Traditional diagnostic testing for dermatophyte infection currently requires skin scraping for light microscopy and/or fungal culture or skin biopsy. Immunofluorescent microscopy can also be used with calcofluor stain. All of these tests can be time‐consuming to perform, require a waiting pe...

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Veröffentlicht in:Mycoses 2013-03, Vol.56 (2), p.130-133
Hauptverfasser: Hui, Dai, Xue-cheng, Sun, Ai-e, Xu
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Ai-e, Xu
description Summary Traditional diagnostic testing for dermatophyte infection currently requires skin scraping for light microscopy and/or fungal culture or skin biopsy. Immunofluorescent microscopy can also be used with calcofluor stain. All of these tests can be time‐consuming to perform, require a waiting period for results and are invasive. This study aimed to define the in vivo reflectance confocal microscopy (RCM) features of superficial cutaneous fungal infections and to analyse concordance with microscopic examination. Totally, 45 patients, who were diagnosed with superficial cutaneous fungal infections according to the positive result of microscopic examination, were enrolled in this study. We selected three typical lesions examined by RCM, and then recorded the results. In the patients with the tinea manus and pedis, mycelium in stratum corneum was found by the RCM in 14 of 22 patients (14/22; 63.64%). In the patients with the tinea cruris, mycelium in stratum corneum was found by the RCM in 19 of 23 patients (19/23; 82.61%). RCM seems to be useful for microscopic evaluation of mycelium features and may have a scientific value in study of superficial cutaneous fungal infections.
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Immunofluorescent microscopy can also be used with calcofluor stain. All of these tests can be time‐consuming to perform, require a waiting period for results and are invasive. This study aimed to define the in vivo reflectance confocal microscopy (RCM) features of superficial cutaneous fungal infections and to analyse concordance with microscopic examination. Totally, 45 patients, who were diagnosed with superficial cutaneous fungal infections according to the positive result of microscopic examination, were enrolled in this study. We selected three typical lesions examined by RCM, and then recorded the results. In the patients with the tinea manus and pedis, mycelium in stratum corneum was found by the RCM in 14 of 22 patients (14/22; 63.64%). In the patients with the tinea cruris, mycelium in stratum corneum was found by the RCM in 19 of 23 patients (19/23; 82.61%). 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Immunofluorescent microscopy can also be used with calcofluor stain. All of these tests can be time‐consuming to perform, require a waiting period for results and are invasive. This study aimed to define the in vivo reflectance confocal microscopy (RCM) features of superficial cutaneous fungal infections and to analyse concordance with microscopic examination. Totally, 45 patients, who were diagnosed with superficial cutaneous fungal infections according to the positive result of microscopic examination, were enrolled in this study. We selected three typical lesions examined by RCM, and then recorded the results. In the patients with the tinea manus and pedis, mycelium in stratum corneum was found by the RCM in 14 of 22 patients (14/22; 63.64%). In the patients with the tinea cruris, mycelium in stratum corneum was found by the RCM in 19 of 23 patients (19/23; 82.61%). RCM seems to be useful for microscopic evaluation of mycelium features and may have a scientific value in study of superficial cutaneous fungal infections.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Arthrodermataceae - chemistry</subject><subject>Arthrodermataceae - growth &amp; development</subject><subject>Arthrodermataceae - isolation &amp; purification</subject><subject>Biopsy</subject><subject>Biopsy - methods</subject><subject>Child</subject><subject>Confocal microscopy</subject><subject>Dermatomycosis</subject><subject>Diagnostic Imaging - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Infection</subject><subject>Male</subject><subject>Microscopy, Confocal - methods</subject><subject>Middle Aged</subject><subject>Reflectance</subject><subject>Reflectance confocal microscopy</subject><subject>Skin</subject><subject>Stains</subject><subject>Stratum corneum</subject><subject>Tinea</subject><subject>Tinea - diagnosis</subject><subject>Tinea - microbiology</subject><subject>Tinea cruris</subject><subject>tinea manus and pedis</subject><subject>Young Adult</subject><issn>0933-7407</issn><issn>1439-0507</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEFPgzAUxxujcXP6FQxHL2D7SikcTNRlTpNNL-riqSmlRCZQpKDj2wtu7uy7tE3_v_fyfgg5BHukr8u1R3wauZhh7gEm4GHoy9scoPH-4xCNcUSpy33MR-jE2jXGhEcQHKMRQBRQyoMxup59ybyVTWZKx6ROrdNcq0aWSjvKlKlRMneKTNXGKlN1TlY6ia4L2ZjqvWuMzewpOkplbvXZ7pygl7vZ8_TeXTzNH6Y3C1f5EQaX6DhmEnPOaByBDnD_TENgMgljoAp0yFkUM0658iGEIEljSHxOExZTqlNOJ-hi27eqzWerbSOKzCqd57LUprWCUKAhDv2I_CNKIPQJCYZouI0OG9p-e1HVWSHrThAsBtViLQajYjAqBtXiV7XY9Oj5bkobFzrZg39u-8DVNvCd5br7d2OxfJsOt553t3xmG73Z87L-EEHviYnV41yslrevsAqYYPQHobebLQ</recordid><startdate>201303</startdate><enddate>201303</enddate><creator>Hui, Dai</creator><creator>Xue-cheng, Sun</creator><creator>Ai-e, Xu</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>M7N</scope></search><sort><creationdate>201303</creationdate><title>Evaluation of reflectance confocal microscopy in dermatophytosis</title><author>Hui, Dai ; Xue-cheng, Sun ; Ai-e, Xu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4902-1ebb5a07753b92e60bb5f825ad8b23c2e8759b5737c42826dfb2d473d5b33ef73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Arthrodermataceae - chemistry</topic><topic>Arthrodermataceae - growth &amp; development</topic><topic>Arthrodermataceae - isolation &amp; purification</topic><topic>Biopsy</topic><topic>Biopsy - methods</topic><topic>Child</topic><topic>Confocal microscopy</topic><topic>Dermatomycosis</topic><topic>Diagnostic Imaging - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Infection</topic><topic>Male</topic><topic>Microscopy, Confocal - methods</topic><topic>Middle Aged</topic><topic>Reflectance</topic><topic>Reflectance confocal microscopy</topic><topic>Skin</topic><topic>Stains</topic><topic>Stratum corneum</topic><topic>Tinea</topic><topic>Tinea - diagnosis</topic><topic>Tinea - microbiology</topic><topic>Tinea cruris</topic><topic>tinea manus and pedis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hui, Dai</creatorcontrib><creatorcontrib>Xue-cheng, Sun</creatorcontrib><creatorcontrib>Ai-e, Xu</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><jtitle>Mycoses</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hui, Dai</au><au>Xue-cheng, Sun</au><au>Ai-e, Xu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of reflectance confocal microscopy in dermatophytosis</atitle><jtitle>Mycoses</jtitle><addtitle>Mycoses</addtitle><date>2013-03</date><risdate>2013</risdate><volume>56</volume><issue>2</issue><spage>130</spage><epage>133</epage><pages>130-133</pages><issn>0933-7407</issn><eissn>1439-0507</eissn><abstract>Summary Traditional diagnostic testing for dermatophyte infection currently requires skin scraping for light microscopy and/or fungal culture or skin biopsy. Immunofluorescent microscopy can also be used with calcofluor stain. All of these tests can be time‐consuming to perform, require a waiting period for results and are invasive. This study aimed to define the in vivo reflectance confocal microscopy (RCM) features of superficial cutaneous fungal infections and to analyse concordance with microscopic examination. Totally, 45 patients, who were diagnosed with superficial cutaneous fungal infections according to the positive result of microscopic examination, were enrolled in this study. We selected three typical lesions examined by RCM, and then recorded the results. In the patients with the tinea manus and pedis, mycelium in stratum corneum was found by the RCM in 14 of 22 patients (14/22; 63.64%). In the patients with the tinea cruris, mycelium in stratum corneum was found by the RCM in 19 of 23 patients (19/23; 82.61%). RCM seems to be useful for microscopic evaluation of mycelium features and may have a scientific value in study of superficial cutaneous fungal infections.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22963376</pmid><doi>10.1111/j.1439-0507.2012.02222.x</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Aged
Arthrodermataceae - chemistry
Arthrodermataceae - growth & development
Arthrodermataceae - isolation & purification
Biopsy
Biopsy - methods
Child
Confocal microscopy
Dermatomycosis
Diagnostic Imaging - methods
Female
Humans
Infection
Male
Microscopy, Confocal - methods
Middle Aged
Reflectance
Reflectance confocal microscopy
Skin
Stains
Stratum corneum
Tinea
Tinea - diagnosis
Tinea - microbiology
Tinea cruris
tinea manus and pedis
Young Adult
title Evaluation of reflectance confocal microscopy in dermatophytosis
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