Background: Paediatric dermatology addresses skin conditions and care for individuals from infancy through puberty, a stage marked by significant physiological and psychological changes. Children's skin differs from adult skin in permeability, immunity, and secretions. Newborn skin issues, though rarely fatal, are a common source of parental concern and contribute to a significant portion of dermatology visits. This study aims to analyse the patterns and factors contributing to paediatric dermatoses and identify prevalent conditions. Methods: An observational study was conducted at a tertiary care hospital in Jaipur over 18 months, involving 350 paediatric patients (0-18 years). The study included detailed medical histories, physical examinations, and categorization of dermatoses into infective and non-infective groups, further divided into 24 subcategories. Data was analysed using SPSS software for statistical analysis. Results: Out of 350 patients, 60.57% were male and 39.43% female, with the majority (63.71%) in the 13-18 years age group. Non-infective dermatoses (58.3%) were more common than infective ones (41.7%). Eczematous disorders (14.3%) were the most prevalent non-infective conditions, while fungal infections (19.4%) were the most common infective dermatoses. Atopic diathesis was predominant among eczematous disorders (3.1%) and tinea capitis was the most frequent fungal infection (7.5%). Conclusion: The study highlights a shift towards non-infective dermatoses, possibly due to improved hygiene and healthcare. The findings underscore the need for enhanced paediatric dermatology education and public health initiatives to address evolving dermatological needs in children.