K hydroxide (KOH) wet mount shows hyphae and spores; 10% KOH destroys epithelial cells, improving recognition of yeast and hyphae in candidal vulvovaginitis. Use of KOH increases sensitivity of the wet mount to 60 to 80% from 30 to 40% when saline is used.
By permission of the publisher. From Sobel JD. In Atlas of Infectious Diseases: Fungal Infections . Edited by GL Mandell and RD Diamond. Philadelphia, Current Medicine, 2000. Also from Sobel JD. In Atlas of Infectious Diseases . Edited by GL Mandell and MF Rein. Philadelphia, Current Medicine, 1996.