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Wood lamp examination

Wood's lamp test -...Wood's lamp test - of the scalp
Wood's lamp illumi...Wood's lamp illumination

Black light test; Ultraviolet light test

Definition

A Wood lamp examination is a test that uses ultraviolet (UV) light to look at the skin closely.

How the Test Is Performed

You sit in a dark room for this test. The test is usually done in a skin doctor's (dermatologist's) office. The doctor will turn on the Wood lamp and hold it 4 to 5 inches (10 to 12.5 centimeters) from the skin to look for color changes.

How to Prepare for the Test

You do not need to take any special steps before this test. Follow your doctor's instructions about not putting creams or medicines on the area of the skin before the test.

How the Test will Feel

You will have no discomfort during this test.

Why the Test Is Performed

This test is done to look for skin problems including:

Bacterial infections
Fungal infections
Porphyria (an inherited disorder that causes rashes, blistering, and scarring of the skin)
Skin coloring changes, such as vitiligo and some skin cancers

Not all types of bacteria and fungi show up under the light.

Normal Results

Normally the skin will not shine under the ultraviolet light.

What Abnormal Results Mean

A Wood lamp exam may help your doctor confirm a fungal or bacterial infection or diagnose vitiligo. Your doctor may also be able to learn what is causing any light- or dark-colored spots on your skin.

The following things can change the results of the test:

Washing your skin before the test (may cause a false-negative result)
A room that is not dark enough
Other materials that glow under the light, such as some deodorants, make-up, soaps, and sometimes lint

Risks

DO NOT look directly into the ultraviolet light, as the light may harm the eye.

References

Dinulos JGH. Light-related diseases and disorders of pigmentation. In: Dinulos JGH, ed. Habif's Clinical Dermatology: A Color Guide to Diagnosis and Therapy. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 19.

Spates ST. Diagnostic techniques. In: High WA, Prok LD, eds. Dermatology Secrets. 6th ed. Philadelphia, PA: Elsevier; 2021:chap 3.

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Review Date: 11/30/2022

Reviewed By: Ramin Fathi, MD, FAAD, Director, Phoenix Surgical Dermatology Group, Phoenix, AZ. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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