Skin of color encompasses a range of ethnic backgrounds, including individuals of African, Asian, Hispanic, Middle Eastern, and Native American descent. The clinical presentation of skin diseases in children with skin of color often differs from lighter-skinned counterparts due to variations in pigmentation and inflammatory responses, with a higher tendency to follicular and sclerotic reactions. The main dermatoscopic features of dermatological conditions in skin of color (atopic dermatitis, tinea capitis, post-inflammatory hyperpigmentation, lichen planus, lichen nitidus, pityriasis rosea, pityriasis lichenoides et varioliformis acuta, pityriasis lichenoides chronica, granulomatous dermatoses, scabies, and Darier’s disease) displaying some points of differentiation compared to fair skin are presented.