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Hello Doctor I have got white patches on my jaw/neck

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Posted on Mon, 11 Mar 2019
Question: Hello Doctor
I have got white patches on my jaw/neck about 6 months ago.
I consulted a dermatologist and she diagnosed that I have got "vitiligo".

She prescribed tropic application of following for 1-2 months
1. Mometasone Furoate Cream IP
2. Tacrolimus Ointment 0.1% W/W
3. Deca Peptide solution (Melbild)

After applying them for about 6 weeks the patches vanished.
Since last 2 weeks the patches started appearing again on different areas of my jaw/neck.
I would like to know what are the causes of vitiligo as No body else in my family have/had this disease.
I am a teetotaler, I dont have any health issues like thyroid/diabetes. I could forward my health check up reports if you would like to have a look.

Could you please prescribe better medications ?
doctor
Answered by Dr. Rajat Basak (21 minutes later)
Brief Answer:
Hii.The causes of vitiligo are 1.an autoimmune disorder, in which the immun

Detailed Answer:
Hii.The causes of vitiligo are
1.an autoimmune disorder, in which the immune system becomes overactive and destroys the melanocytes
2.a genetic oxidative stress imbalance
a stressful event
3. harm to the skin due to a critical sunburn or cut
4. exposure to some chemicals
5. a neural cause
6.heredity, as it may run in families.
It may reappear at any time during life. There is no permanent cure and it may be appear again.
The drugs your physician has given are perfectly all right.
There are many new therapies:
UVA light phototherapy,UVB light phototherapy, depigmentation,skin graft,tattooing,psoralen.
Kindly send your reports and review if any queries.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Rajat Basak (3 hours later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. Rajat Basak (0 minute later)
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doctor
Answered by Dr. Rajat Basak (6 hours later)
Brief Answer:
Hii. Reports are almost normal. Blood sugar is borderline. Restrict sugar i

Detailed Answer:
Hii. Reports are almost normal. Blood sugar is borderline. Restrict sugar in food. Start moderate exercise. Vitamin B12 and Vitamin D values are less. Start Vitamin D Rocalcitriol capsule and Tab vitamin B 12 Matilda forte.LDL cholesterol is slight high. Avoid spicy food.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Rajat Basak

ENT Specialist

Practicing since :2011

Answered : 581 Questions

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Hello Doctor I have got white patches on my jaw/neck

Brief Answer: Hii.The causes of vitiligo are 1.an autoimmune disorder, in which the immun Detailed Answer: Hii.The causes of vitiligo are 1.an autoimmune disorder, in which the immune system becomes overactive and destroys the melanocytes 2.a genetic oxidative stress imbalance a stressful event 3. harm to the skin due to a critical sunburn or cut 4. exposure to some chemicals 5. a neural cause 6.heredity, as it may run in families. It may reappear at any time during life. There is no permanent cure and it may be appear again. The drugs your physician has given are perfectly all right. There are many new therapies: UVA light phototherapy,UVB light phototherapy, depigmentation,skin graft,tattooing,psoralen. Kindly send your reports and review if any queries.