Dermoscopic evaluation of normal canine skin with a handheld dermoscope

AbstractBackgroundDermoscopy is a noninvasive diagnostic tool that provides a magnified view of skin structures. While dermoscopy is described for certain canine dermatological diseases, large‐scale studies evaluating normal skin are lacking.Hypothesis/ObjectiveThis study aimed to correlate dermoscopic findings with histopathological results in healthy canine skin to enhance understanding of dermoscopic microanatomy and pigmentation patterns.AnimalsHealthy, adult, shelter dogs (n = 121).Materials and MethodsAfter general anaesthesia for prescheduled sterilisation procedures, four regions on each dog were assessed using a handheld dermoscope followed by collecting a biopsy for histopathological investigation. Dermoscopic assessment included skin colour and pattern, presence of scale and blood vessel number. Dermoscopic findings were correlated with histopathological characteristics.ResultsDermoscopy identified grey as the most common skin colour, diffuse as the primary pattern, most commonly mild scale and primarily absent blood vessels. Dermoscopy correlation with histopathological results identified moderate scale as more likely to have hyperkeratosis, and no significant correlation between visualised blood vessels and number of endothelial cells. Furthermore, the dermoscopic colour brown was more likely to have melanin within each epidermal layer, while white was less likely to have melanin within each layer. Despite the lack of gross and dermoscopic inflammation, such as erythema, 53 of 484 sites had histopathological evidence of inflammation, with primarily mild mastocytic and eosinophilic superficial dermatitis.Conclusions and Clinical RelevanceDermoscopy can identify characteristics in canine skin that correlate with histopathological results, yet mild inflammation may remain undetected. This correlation better establishes baselines for future studies utilising dermoscopy when assessing dermatological diseases.