IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-6-19458 Original Research Paper A study of use of dermatoscopy in the classification of Melasma in patients attending a Tertiary Care Centre Rakhi Soman Dr. June 2019 8 6 01 02 ABSTRACT

  Background: Melasma is one of the most common causes of acquired facial melanosis in Indian patients. Dermatoscopy is a non invasive office tool which magnifies the surface and sub–surface structures of skin. It helps in early diagnosis and monitoring the treatment of melasma. The present study was carried out to evaluate melasma both clinically and dermoscopically. Methods: A total of 90 patients with clinical diagnosis of melasma were enrolled in the study. Clinical and dermatoscopic evaluation  were done and all findings recorded. Results: Out of 90 patients enrolled, 83 were females and 7 were males. Centrofacial type was the most common clinical type of melasma (57.7%). On dermatoscopic examination, 56.2% had epidermal melasma, 36.7% had mixed melasma and 11.1% had dermal melasma. The most common dermatoscopic pattern was sparing of follicles seen in 80% of cases. Conclusion: Melasma has significant psychological impact in the patient. Dermatoscopy Ahelps in diagnosis, prognosis and monitoring of therapeutic efficacy. It also reduces the need of invasive techniques like biopsy on face.