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Having white spots on face with redness around it. How to cure it? - Online Doctor Chats

Date : 03-Jun-2013
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2584 Questions
User:hello doctor.
Doctor:How can I help you?
User:Sir, I am 33 years old . from last one month there is 2 white spots in my face. what is the reason & what should i do?
Doctor:If the spot is not increasing in size, not itching or if there is redness around it, the spot is most likely a vitiligo spot.
Doctor:This is an area of depigmentation that occurs due to unknown causes.
Doctor:It doesn't worry medically if there are no progression in the size / other areas getting affected.
Doctor:If you wish for treatment, it is mostly for cosmetic purpose.
User:there is no iching . no readness .there is only white spot which is looking very odd . what precaution should i do. should this is lack of calcium.
Doctor:Nutritional causes do cause such spots.
Doctor:However we associate nutritional causes in young children.
Doctor:Pityriasis XXXXXXX is the term used to describe such lesions.
Doctor:In your cases, if you are not worried cosmetically, the only suggestion that I give is
Doctor:watch the progress of this spot.
Doctor:Most likely the should improve and fade away in a few months.
Doctor:But if more such spots are arising
Doctor:or if the spot is growing in size, it can be treated with a steroid containing cream.
Doctor:Have you followed?
User:no sir i do got u exactly.
User:pl. suggest me the name of the cream.
Doctor:I'll put it across in simple terms to you.
User:thaks sir
Doctor:The spot most likely is a depigmented area of the skin caused by loss of melanocyte.
Doctor:We call this as vitiligo when more such area of the body is affected.
Doctor:Unless and until you are worried cosmetically, we do not generally consider treating such spot.
User:can u suggest some ointment for me.
Doctor:They usually fade away and is replaced by normal looking skin in 6-8 months.
User:is something is required like medicines or some changes in my diet or wait for few months
Doctor:If you are cosmetically worried a steroid containing cream such as clobetasol
Doctor:may be used sparingly.
Doctor:This is a very mild steroid containing product.
User:how many times in a day
Doctor:if you do not find good improvement with it in 2 weeks, you may need to consult a dermatologist for a stronger preparation.
Doctor:Clobetasone 0.05% can be used once or twice a day.
User:there is one more problem should i ask u
Doctor:While on they cream watch for the progress of symptoms.
Doctor:Discontinue the product if one of the following occurs
Doctor:1. The spot worsens
Doctor:2. If you develop itching, rashes or redness
Doctor:3. If skin becomes thin and brittle.
Doctor:Hope this is clear to you.
Doctor:If yes, please proceed with your next query.
User:i have 2 kids one is 7 yrs old and other is 02 yrs . after my second kid there is some black spot or u can say that pigmentation is there. what should i do.
Doctor:Melasma which refers to areas of pigmentation are commonly associated with pregnancy and post pregnancy.
Doctor:They also self resolve over a period of time.
User:approx how much time it will take because 2 yrs already had passed.
Doctor:Persisting problems can be treated conservatively with creams like melalite forte or mederma.
Doctor:Non resolving areas can be treated by other techniques like dermabrasion / laser surgery
User:should i use melalite forte or mederma instead of clobetasol for my both problems.
Doctor:The recovering time are variable among different individuals.
Doctor:8 months is the average time of recovery.
Doctor:Melalite forte cream will benefit areas of dark spots (pigmented areas).
User:ok sir
Doctor:It has not much effect on white spots.
Doctor:I would suggest you to try the steroid containing cream over the white spots for 2-3 weeks maximum.
Doctor:Melalite forte for 1-2 months.
User:that is clobetasol
Doctor:If there are no significant improvement, consult a dermatologist for physical examination.
Doctor:He/she can prescribe you other alternatives while monitoring the skin for other effects.
Doctor:Have you followed?
User:i can use this cream one by one. ie first i use clobetasol for white spots when this problem resolve then i use pigmentation cream as suggested by u.
Doctor:If I were you, I would treat the pigmented spots first with melalite forte.
Doctor:I would wait and see if the white spot on the face improve/reduce.
User:ok sir. i will do as u guided me
Doctor:Steroid on face is not the preferred choice.
Doctor:We can try the steroid cream if symptoms worsen or do not improve after 3 months.
Doctor:Have you followed?
Doctor:Are you there?
Doctor:Are you there?
Doctor:Are you there?
Doctor:Are you there?
Doctor:I have to close the window as you are not responding.
Doctor:Please chat with us 24/7 if you have more medical queries.
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