The presence of scalp fluorescence varies with the infecting dermatophyte. T. tonsurans and other endothrix infections do not fluoresce. M. canis and some other ectothrix infections do fluoresce. Therefore, Wood's light examination does not confirm or rule out the diagnosis of tinea capitis. Direct microscopy of skin scrapings (KOH) and fungal culture of hairs can both confirm dermatophytic infection.
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