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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can White Spots On Arms And Back Be Treated?

Hi Doctor, I want to became fair so please advice me how do i get it, when i was child i was very fair but slowly slowly under the india weather makes me now wheat colour. And also i have a light white disease spot in my arms and back only, this disease is not a vitiligo. Please suggest me which cream and face wash i will apply to my face to became a fair. Thanks Gaurav
Mon, 3 Feb 2014
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Dermatologist 's  Response
Hi. Thanks for posting your concern at HCM

Tanning seems to be the main concern in your case. I would advice that you use a broad spectrum sunscreen, which offers protection against both UVA and UVB throughout the day.

Apart from this various sun protective measures like avoiding outdoor activities between 10 AM to 3 Pm when sun is the strongest.

If i was your treating doctor i would have asked you to apply a cream containing one or more of the following ingredients at night: Kojic acid, glycolic acid, hydroquinone, arbutin, magnesium ascorbyl phosphate, liquorice extract etc to fade away the tan gradually.

Coming to the white spots on your back and arms, i would keep a possibility of Pityriasis versicolor leading on to hypopigmented patches. I treat my patients of Pityriasis versicolor with a single dose of oral fluconazole 400mg which is usually sufficient.

Hypopigmentation takes some time to resolve and sun-exposure for 15 minutes daily after adequate anti-fungal treatment, will help to regain pigment.

take care
regards
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How Can White Spots On Arms And Back Be Treated?

Hi. Thanks for posting your concern at HCM Tanning seems to be the main concern in your case. I would advice that you use a broad spectrum sunscreen, which offers protection against both UVA and UVB throughout the day. Apart from this various sun protective measures like avoiding outdoor activities between 10 AM to 3 Pm when sun is the strongest. If i was your treating doctor i would have asked you to apply a cream containing one or more of the following ingredients at night: Kojic acid, glycolic acid, hydroquinone, arbutin, magnesium ascorbyl phosphate, liquorice extract etc to fade away the tan gradually. Coming to the white spots on your back and arms, i would keep a possibility of Pityriasis versicolor leading on to hypopigmented patches. I treat my patients of Pityriasis versicolor with a single dose of oral fluconazole 400mg which is usually sufficient. Hypopigmentation takes some time to resolve and sun-exposure for 15 minutes daily after adequate anti-fungal treatment, will help to regain pigment. take care regards