RT Book, Section A1 Saavedra, Arturo P. A1 Roh, Ellen K. A1 Mikailov, Anar SR Print(0) ID 1199571199 T1 Differential Diagnosis of Pigmented Lesions T2 Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 9e YR 2023 FD 2023 PB McGraw-Hill Education PP New York, NY SN 9781264278015 LK accessmedicine.mhmedical.com/content.aspx?aid=1199571199 RD 2024/10/07 AB Perhaps the most difficult and concerning aspects of the dermatologic physical examination rest on the provider’s ability to evaluate pigmented lesions. Such lesions represent a large portion of visits due to patients’ concerns regarding rapid growth, change in shape, symptoms such as pruritus, or recent bleeding. The following figures highlight the most reliable features in evaluating pigmented lesions, though overlap does exist between characteristic features. When clinical doubt exists, skin biopsy for histopathologic evaluation or referral to a dermatologist is recommended.