Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

181 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Is depigmentation on the inner side of the lips a cause for concern?

Answered by
Dr.
Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 8005 Questions

default
Posted on Fri, 18 May 2018 in Skin Hair and Nails
Question: Hello,

I had a scab near my mouth following dryness and it fell off and it appears whitish now. My inner upper lip also looks hypo-pigmented. I have had allergies and a sore mouth previously. Doctors seemed uncertain. At the emergency, another doctor told me it could be a viral infection that would go on its own. I had been prescribed anti-allergens and my family doctor gave me an anti-fungal mouthwash also. But the soreness took some time to disappear, and it gradually decreased on its own. Recently my family doctor had a look and told me the hypo-pigmentation does not seem serious and it is most probably due to the skin trauma. I would like to get the opinion of an experienced dermatologist here for the same.
doctor
Answered by Dr. Kakkar S. 3 hours later
Brief Answer:
Kindly upload images, please

Detailed Answer:
Hello. Thank you for asking,
I am Dr. Kakkar (Dermatologist and Venereologist). I have noted your concern.

Perhaps you have developed either post inflammatory hyperpigmentation/depigmentation Or lip vitiligo.

I'd request you to kindly upload an image/photograph of the affected area in the "Reports Section" of this web-page so that I am able to confirm and guide you better.

Awaiting...

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Kakkar S. 22 hours later
I have attached two images. I hope these help. Please let me know more close-up images are needed. I have had skin peeling as well from time to time. I'm in a new environment with a very cold climate, temperatures are in -10 to -20 nowadays. Could that be a reason? Thank you very much for answering.

Thank you
doctor
Answered by Dr. Kakkar S. 13 hours later
Brief Answer:
Vitiligo

Detailed Answer:
Thank you. I have viewed the images.

I can see that you have depigmentation of the mucous lining/inner side of lips as well as some of the skin at the right side of angle of mouth. This is clearly vitiligo. I suggest you to apply a topical tacrolimus 0.1 %ointment, twice daily. It is a prescription drug.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Procedures
Medical Topics

Recent questions on  Skin trauma

doctor1 MD

I am having a lot of bruising particularly on my arms, that fade to an ugly greenish color?

doctor1 MD

I have bump on my face just to the left of the upper lip . I have had it for about 11 days, It started out smaller than the size of a pea and grew within a week to about the size of a lima bean. It is not particularly painful (iI'd describe it is...

doctor1 MD

Okay why not. I have narcolepsy and have been on several meds since diagnosed in 2000. One of the meds, xyrem, caused these painful white areas to form under the skin which eventually came ever so slowly through my skin. Like when you get a splinter and it eventually makes its way out. This went on for years and after seeing several specialists, no one could tell me what was causing the problem. It was only when I stopped taking xyrem, started again, then stopped again that I realized this was causing the skin problem. After the place heals which takes several months, I am left with areas of de-pigmentation. They are all over my body but the ones on my face have caused me to alter my lifestyle considerably. I have to wear layers of makeup to cover them and I am so self conscious that I spend most of my time alone at home or just with family. I'm wondering if there is any type of plastic surgery or other treatment to help make these white areas less noticeable. It's like vitiligo from skin trauma.