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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For White Patches On Cheeks & Mouth

Hello Doctor, suci here. Actually I have a white patch on my cheeks which lasts from past one month, it pale white & round, I thought its fungal infection & used a cream on a local pharmaceuticals advice, but it did not go,I cant figure it out the cause, I would like to get some advice on it...
Thu, 29 Jan 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us.

I will keep a possibility of Pityriasis alba. Patches of Pityriasis Alba are common on dry skin.
First of all, I would like to assure you that Pityriasis Alba is not a serious condition. It is only of cosmetic concern.
These light colored patches can be somewhat scaly as well, the light color being actually due to post-inflammatory hypopigmentation.
I usually recommend using a good moisturizer to may patients, to be applied once or twice daily, all over the face.
Avoid soaps. Rather use a gentle cleanser for face wash e.g cetaphil cleansing lotion, twice daily.
You may also use an OTC topical steroid e.g 1% Hydrocortisone twice daily, for patches, over and above moisturizer, for 3-4 weeks.
Alternatively a topical immunomodulator e.g tacrolimus 0.03% ointment works even better than 1% hydrocortisone cream. Use it only over the patches.
Tacrolimus is a prescription drug and I suggest you to talk to your doctor for the needful.
The response usually takes 3-4 weeks to become evident.

Regards
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Suggest Remedy For White Patches On Cheeks & Mouth

Hello. Thank you for writing to us. I will keep a possibility of Pityriasis alba. Patches of Pityriasis Alba are common on dry skin. First of all, I would like to assure you that Pityriasis Alba is not a serious condition. It is only of cosmetic concern. These light colored patches can be somewhat scaly as well, the light color being actually due to post-inflammatory hypopigmentation. I usually recommend using a good moisturizer to may patients, to be applied once or twice daily, all over the face. Avoid soaps. Rather use a gentle cleanser for face wash e.g cetaphil cleansing lotion, twice daily. You may also use an OTC topical steroid e.g 1% Hydrocortisone twice daily, for patches, over and above moisturizer, for 3-4 weeks. Alternatively a topical immunomodulator e.g tacrolimus 0.03% ointment works even better than 1% hydrocortisone cream. Use it only over the patches. Tacrolimus is a prescription drug and I suggest you to talk to your doctor for the needful. The response usually takes 3-4 weeks to become evident. Regards