The Dermoscopic Patterns in Common Pigmented Skin Lesions

Abstract

Objective:  To determine the dermoscopic patterns in common pigmented skin lesions. Setting and duration Study: This study was conducted at Dermatology Department, Civil Hospital, Hyderabad, during October 18, 2020 to April 17, 2021. Materials and Methods: After taking approval from hospital ethical committee and written informed consent from 150 patients, all patients with pigmented skin lesions were enrolled. Demographic information were also recorded. Detailed history and thorough dermatological, physical and systemic examination was conducted. Routine investigations and histopathology was taken wherever necessary to aid the clinical diagnosis. Dermoscopic and clinical photographs were taken after informed consent. All dermoscopic findings were studied using handheld pocket dermoscope. In the case of patient having multiple lesions, only a single active lesion was selected for dermoscopy. Results: Age range in this study was from 15 to 60 years with median (IQR) age was17 (15 -60) years and mean duration of disease was 5.67+ 2.14 months. Among the common pigmented skin lesions, 86 (57.4%) had sharp demarcation, 29 (19.3%) had Dots and gobules, 7 (4.5%) had Pseudonetwork, 12 (8%) had Homogenous structure less pigmentation, 78 (52%) had Milia-like cysts and 21 (14%) had Cerebriform pattern. Conclusion: This study shows the high frequency of dermoscopic patterns in common pigmented skin lesions. This concludes that derrmoscopy is a useful and essential technique to clinically manage pigmented skin lesions, and it plays a fundamental role in early identification of pigmented lesions.