Background: Vitiligo, an autoimmune disorder of pigmentation characterized by loss of functional melanocytes and melanin in epidermis. Dermascopy, a non invasive clinical technique aids in diagnosing early lesions of vitiligo and in assessing the stability of vitiligo. Methods: An observational study of Dermascopy was conducted on 50 patients of vitiligo in Department of DVL, Basaveshwara Teaching and General Hospital, Kalaburagi. Results: Out of 50 patients of vitiligo, majority belong to age group of 15-50 yrs with female preponderance. 120 lesions were analysed in 50 patients. 88 were clinically progressive and 32 were quiescent. Various patterns of vitiligo observed in our patients were vitiligo vulgaris 18, acral type 13, focal variant 9, mixed 8, segmental 2. On dermoscopy Marginal pigmentation was seen in 48%, perifollicular pigmentation in 32%, both patterns in 12% and none of the patterns were seen in 8%. Family history was seen in 9 patients. In our study vitiligo association with hypothyroidism is 06 patients and diabetes in 2 patients. Dermoscopy features of disease activity in our study were Trichrome pattern, Petalloid pattern, Comet tail, Nebullous pattern, Polka dot. Leukotrichia was seen in 32 patients. Conclusion: Dermoscopy aids in monitoring disease activity, treatment response and prognosis of disease. It helps in assessing the disease activity earlier than the clinical onset of disease instability.
