Background: Inpatient dermatology pattern has been described only in few countries, similarly it has notrnbeen done for ALERT Center. Epidemiological studies to determine the pattern of skin diseases arernimportant for proper health care planning and management. Identifying the patterns will help to stress onrngroups of common skin diseases at all levels of health care so that proper diagnosis, treatment, andrnreferral can be practiced. rnObjective: To evaluate the pattern of skin diseases of inpatients at ALERT Center Addis Ababa Ethiopia rnMethodology: A retrospective analysis of admission and discharge record of Dermatology inpatientrndepartment at ALERT Center from January 2016 to December 2020 was done. The five years record ofrnpatients was analyzed focusing mainly on the number of admission, demographic profile of patients,rnclinical diagnosis, readmission rate, length of hospital stay, and outcome. rnResult: A total of 1823 cases admitted during this 5 years period were identified for analysis. Therncommon age group is 11 to 20 in females with 296 admissions and 21 to 30 in males with 156rnadmissions. 508 (27.92%) admissions were in pediatric age group i.e. below 18 years. The most commonrnadmission is for infection 1250(68.57%) followed by Erythroderma 170(9.33%), Inflammatory SkinrnDiseases 106(5.81%), Bullous Diseases 99 (5.43%), Connective Tissue Disease 27 (1.48%), DrugrnReaction 95 (5.21%), Ulcer 11 (0.6%) and Malignancy 6 (0.33%). The remaining 59(3.24%) cases arernothers. Among infection diagnostic groups Cutaneous Leishmaniasis is the most common with 787rn(62.96%) followed by Leprosy 218(17.44%) and Cellulitis 175 (14%). There were 12 cases of Woundrninfections consisting 0.96% of infection cases. Classifying infections in four major categories namelyrnfungal infection, viral infection, bacterial infection and parasitic infestation, parasitic infestations are therncommon once followed by bacterial infections. The numbers of parasitic infestations are almost twice asrnmuch as the bacterial infections. The mean length of stay in hospital was 29.52 Â± 42.76 days (Rangingrnfrom 1 day to 1312 days). 545 (29.9 %) patients stayed 21 to 30 days which is the common length ofrnstay. Out of 1823 admissions there were 1584 (87.04%) discharges after improvement, 29 (1.59%)rnpatients left against medical advice, 25 (1.37%) referred to other facilities and 6(0.33 %) transferred tornother wards. 35 (1.92%) died and 42(2.30%) patients discharged with the same status. 102(5.60) patientsrnare with missing outcome data. rnConclusion: Infection, Erythroderma, Inflammatory Skin Diseases, Bullous Diseases, Drug Reaction,rnConnective Tissue Disease, Ulcer and Malignancy were the common conditions for the admission in arndescending order. Policy makers could take these data as evidence to allocate beds and other facilities forrnDermatological patients for better management of these subsets of patients. 68.57% of admissions werernbecause of infections. Among the infection admissions the top three cases are Cutaneous Leishmaniasis,rnLeprosy and Cellulitis.