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Tzanck Smear

General information

Where It's DoneWho Does ItHow Long It TakesDiscomfort/Pain
Doctor's office or clinic.Doctor.1-2 minutes.Minor discomfort when sample is collected.

When Results ReadySpecial EquipmentRisks/ComplicationsAverage Cost
10 minutes to 1 week, depending on where results analyzed.Scalpel or other instrument for scraping.None.$

Other names

Cytodiagnostic smear.

Purpose

To diagnose infections caused by several types of herpesviruses, particularly shingles, chicken pox, and herpes simplex.

How it works

The herpesvirus can cause certain skin cells to become abnormally large or develop other abnormalities. These cells, taken from a blister caused by the virus, can be seen under a microscope.

Preparation

None.

Test procedure

A blister that is typical of the infection is burst, and its bottom and top are scraped and smeared onto a microscope slide.

After the test

You are free to resume normal activities. The slide is stained with dyes and examined under a microscope, either in the doctor's office or in a hospital or commercial laboratory.

Factors affecting results

The stage of the blister. If the sample is taken when the blister is healing, the likelihood of detecting the virus decreases.

Interpretation

Although the virus itself is not detected with this test, the presence of certain abnormally large cells can confirm the diagnosis. When results are negative, however, herpes cannot be ruled out.

Advantages

Results are received faster than with the culture test.

Disadvantages

False-negative results occur in about one-third of cases.

The next step

The presence of certain cells definitively diagnoses herpes, which can then be treated. If the results are negative, a culture may be done, or the doctor may use that information to support a conclusion that a herpesvirus infection is not present.



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