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Subjects/Dermatology/Candidiasis
Candidiasis
medium
hand Dermatology

A dermatologist suspects candidiasis in a patient with a persistent diaper rash. Which of the following findings on a potassium hydroxide (KOH) wet mount of skin scrapings would confirm the diagnosis?

A. A. Septate hyphae with arthrospores
B. B. Budding yeast cells and pseudohyphae
C. C. Large, thick-walled spherules
D. D. Branching, filamentous bacteria

Explanation

Candidiasis is caused by *Candida* species, which are yeasts. On a potassium hydroxide (KOH) wet mount, *Candida* typically appears as budding yeast cells (blastoconidia) and pseudohyphae (elongated yeast cells that resemble true hyphae but are constricted at the septa). Septate hyphae with arthrospores are characteristic of dermatophytes (e.g., in tinea infections). Large, thick-walled spherules are seen in coccidioidomycosis. Branching, filamentous bacteria might suggest conditions like erythrasma or actinomycosis, but not candidiasis.

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