Objectives: This present study was to evaluate the various dermatological manifestation during pregnancy. Methods: A detailed history including chief complaints related to skin, onset in relation to duration of pregnancy, complete general physical & systemic examinations, associated skin / medical disorders were performed to all patients. Investigations-CBC, OGTT, TSH, VDRL, HIV, HBsAg, Anti-HCV, Urine routine examination, LFT, S. Bile Acids, KOH mount, Skin biopsy and DIF were done wherever required. Results: A total of 200 pregnant women were included in this study. The mean age of participants was 23.43±4.12 years.  Majority of women 104(52%) were seen in third trimester. 62(31%) women were in second trimester. and 34(17%) were in the first trimester of pregnancy. Most of the women 136(68%) were multigravida and 64(32%) were primigravida. Areola/nipple180(90%) was the most common pigmentary changes. Pedal oedema 26(13%) was the most common type of vascular changes seen in third trimester pregnant women. Most common type of connective tissue changes was Striae gravidarum 113(56.5%). Conclusions: Cutaneous manifestations are very common during pregnancy. Areola/nipple (pigmentary changes), malar (type of chloasma), pedal oedema (vascular changes) and striae gravidarum (connective tissue changes) are common cutaneous changes are seen during pregnancy.

Objectives: This study was to evaluate the clinical profile and dermatoscopic classifications of melasma. Methods: A detail assessment, clinical examinations were performed to all patients. Clinical photographs were taken with full precautions to minimize the expression of the identity of the patient. Dermatoscopic evaluation of each subject was done. A USB Digital Magna-scope with 8LED light source, 20x to 200x magnification and 2Mega Pixel image sensor was used for dermatoscopic evaluation. Results: Most common dermatoscopic pattern was sparing of follicles 78(78%) followed by brown pigment 54(54%), accentuation of psuedonetwork 42(42%), brown –grey pigment 8(8%), grey pigment 11(11%) and perifollicular accentuation 4(4%). Telengiectasia was seen in 25(25%) patients. Conclusions: Melasma is more preponderance in middle age female. Most common factors for melasma are sun exposure and usage of fairness cream. Centrofacial is the most common type of melasma followed by malar. Sparing of follicles is one of the most common patterns of melasma on dermatoscopy. Hence, Melasma is a common acquired facial hyperpigmentary disorder which can cause a significant psychosocial impact in the patient. Dermatoscopy is a simple, non-invasive, office tool which helps in an accurate classification, early identification and therapeutic monitoring of melasma.