Because the classical viral culture usually requires several days, cytologic methods such as the Tzanck test are used to support the clinical diagnosis in an early stage, although the Tzanck test cannot distinguish between VZV and HSV infections.
The percentage of positivity of Tzanck test for HSV has been reported between 53.1%12 and 86%,13 and positivity of the Tzanck test for VZV infections has been reported between 64%14 and 79%15 in different studies.
showed multi-nucleated giant cell in all patients.
Besides the diagnosis of SOIJA, in bullous ENL other bullous disorders like pemphigus vulgaris, bullous drug eruption or bullous pemphigoid should be ruled out when there is involvement of oral mucosa and acantholytic cells are found on a Tzanck test
(35) The Tzanck test
(direct microscopic examination of skin scrapings) has fallen out of favor, and PCR is now the gold standard.
The diagnosis of the KVE on pre-existing irritant contact dermatitis was supported by Tzanck test
in addition to histologic evaluation, and confirmed by the detection of anti HSV-1 IgM.
Cellular detection methods, including Tzanck test
and Pap smear, are not recommended for HSV detection because of their low sensitivity, she said.
Congenital Langerhans cell histiocytosis: the utility of the Tzanck test
as a diagnostic screening tool.
3), fasting blood sugar on two occasions 308 mg/dl and 300 mg/dl, Tzanck test
from the ulceration did not reveal any acantholytic cells, Culture on Sabouraud's media grew C.
Investigations such as hemogram, skin biopsy, KOH examination, Tzanck test
, Gram's smear, Wood's lamp examination and urine examination were carried out as and when required.
Light microscopy can be used to do a Tzanck test
, which looks for multinucleated giant cells in blister fluid.
All blood investigations, blood culture, Tzanck tests