Pigment Disorders

Aims:To introduce and encourage the use of dermoscopy for pigmentary disorders among Australian dermatologists.Methods: The use of dermoscopy for pigmentary disorders is a relatively recent addition to the scope of dermoscopy.It is a non-invasive, bedside investigation for conditions that can appear quite heterogeneous, even in the same patient, depending on the disease stage and body site.Given the risk of scarring from a biopsy on skin of colour, especially in high-impact disease on cosmetically sensitive areas, selecting a biopsy site may be inappropriate.Further, the cost and the turnaround time of 1-2 weeks for histopathology reporting can delay decision-making regarding treatment.Dermoscopy is now emerging as a valuable tool for increasing the accuracy of diagnosis, monitoring response to treatment and targeting treatment based on the disease stage.Its application in pigmentary disorders holds promise to optimise therapeutic outcomes and facilitate precise and convenient repeated examinations during follow-up appointments.The dermatoscope is ubiquitous in Australian dermatology practices, and every dermatologist is familiar with the use of the device to diagnose pigmented lesions.This knowledge and understanding of dermoscopy can be readily expanded to disorders of pigmentation with further education.The presentation will utilise images and illustrative cases from personal experience and draw upon available literature to demonstrate the benefits of dermoscopy in acquired pigmentary disorders. Conclusion:In multiracial Australia, accurate assessment of pigmentary disorders is a valuable adjunct to the diagnostic armamentarium of fellows of the College.