01835nas a2200205 4500000000100000008004100001260002100042653001500063653003800078653002500116100001300141700001400154700001600168245007100184856006900255300001100324490000700335520127300342022001401615 2026 d c10/2026bMDPI AG10aDermoscopy10aCutaneous granulomatous disorders10anon-invasive imaging1 aSunil SS1 aKorecka K1 aPolaƄska A00aDermoscopic Patterns in Granulomatous Diseases: A Narrative Review uhttps://www.mdpi.com/2077-0383/15/20/7821/pdf?version=1791626851 a1 - 130 v153 aDermoscopy has gained increasing recognition in recent years as a valuable non-invasive supplementary tool in diagnosing various skin disorders. However, a comprehensive overview of the distinguishing features of various cutaneous granulomatous diseases remains limited. This narrative aims to summarize the overlapping dermoscopic patterns reported across various diseases such as leprosy, cutaneous tuberculosis, Mycobacterium marinum, granuloma annulare, necrobiosis lipoidica, sarcoidosis, granulomatous variant of rosacea, annular elastolytic giant cell granuloma, and lupus miliaris disseminatus faciei. Across these conditions, several overlapping dermoscopic features were observed including, yellow-orange structureless areas, white structureless areas, linear, dotted and branching vascular patterns. These shared patterns can limit early recognition and diagnostic specificity. When interpreted alongside clinical features, dermoscopy may help narrow the differential diagnosis. However, dermoscopy alone is inadequate for definitive diagnosis; histopathology remains the gold standard. This narrative highlights the overlapping dermoscopic features of various cutaneous granulomatous diseases, emphasizing its role as a complementary tool. a2077-0383