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Suggest treatment for white patches on the leg

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Posted on Tue, 26 Jul 2016
Question: My daughter is having white patch on her leg.I have been so worried that it is vitiligo.the doctor told me that it is some kind of hypopigmentation that is hypomelanosis of ito.At what age skin biopsy can be taken?
doctor
Answered by Dr. Dr. Rahul Kumar (56 minutes later)
Brief Answer:
Photograph required

Detailed Answer:
Hello
Thanks for the query.
Hypomelanosis of ito generally affects shoulder region.
Biopsy is not required as biopsy might not be helpful in differentiating vitiligo and Nevus of ito.
If possible upload a pic of the involved area.
This will help me in giving a closer diagnosis.
Just relax even if it is vitiligo, various modalities like tacrolimus, topical steroids etc are available to treat it.
Waiting for your response.
Thank you.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Follow up: Dr. Dr. Rahul Kumar (37 minutes later)
I dont know how to upload the photo.right now my daughter using tacrolimus - tacrovera 0.3.is this the vitiligo treatment.im also having vitiligo.
doctor
Answered by Dr. Dr. Rahul Kumar (16 hours later)
Brief Answer:
Use tacrolimus

Detailed Answer:
Hello
If you have vitiligo then diagnosis is almost certain that she too has developed vitiligo.
It is genetically related.
Tacrolimus can be used for vitiligo along with a mild steroid.
Use tacrolimus in night and a mild steroid cream like fluticasone in morning.
Give her almonds and grapes daily.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Follow up: Dr. Dr. Rahul Kumar (3 days later)
Is there any chane that the patches look like nevus depigmentosus.
doctor
Answered by Dr. Dr. Rahul Kumar (26 hours later)
Brief Answer:
Photograph required

Detailed Answer:
Hello
Thanks for follow up.
Nevus depigmentosus is since birth and doesn't increase in number with age.
I would like to see a photograph of the involved area.
This can help me in differentiating both.
Waiting for your response.
Thank you.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Answered by
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Dr. Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6441 Questions

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Suggest treatment for white patches on the leg

Brief Answer: Photograph required Detailed Answer: Hello Thanks for the query. Hypomelanosis of ito generally affects shoulder region. Biopsy is not required as biopsy might not be helpful in differentiating vitiligo and Nevus of ito. If possible upload a pic of the involved area. This will help me in giving a closer diagnosis. Just relax even if it is vitiligo, various modalities like tacrolimus, topical steroids etc are available to treat it. Waiting for your response. Thank you.