Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
170 Doctors are Online

What do white patches on the face in a child indicate?

Jan 2014
User rating for this question
Very Good
Answered by

Practicing since : 2002
Answered : 7470 Questions
Hello Doctor,
My 5 month old daughter has developed white patches/discoloration on her cheeks. Initially we thought it could be because of winter, but now it looks quite prominent. We are afraid if this is vitiligo. Attached, the pictures for your reference.
Can you please explain the reason/cause for this and how to treat it ?

Is this something to worry about ?
Fri, 27 Apr 2018 in Skin Hair and Nails
Answered by Dr. Kakkar S. 3 hours later
Brief Answer:
Pityriasis XXXXXXX or post inflammatory hypopigmentation

Detailed Answer:
Hello. Thank you.

I am Dr. kakkar(Dermatologist). I have noted your concern and viewed the images.

I can see faintly white patches on cheeks which seem that they are most likely due to pityriasis XXXXXXX or post inflammatory hypopigmentation rather than of vitiligo.

I suggest you to continue with the moisturizer on face. In addition you may use a mild topical steroid cream over the patches e.g desonide 0.05% cream, twice daily. It is a prescription medication.

Above answer was peer-reviewed by
Follow-up: What do white patches on the face in a child indicate? 4 hours later
Thank you very much for the reassurance doctor !

1. What is the potential reasons/causes for this ? Knowing this, we can avoid the triggers.

2. Is it contagious ? Since my elder son (9 years old) had similar patches a few months ago when we were during our summer vacation in XXXXXXX (but it isn't very prominent).

3. Right now it is only on the cheeks, but will it spread ?

4. Is it due to any vitamin deficiency? We are giving her vitamin D drops daily. Hope this is fine.

Answered by Dr. Kakkar S. 2 hours later
Brief Answer:
Pityriasis XXXXXXX

Detailed Answer:

Pityriasis XXXXXXX is due to underlying dry skin (it is more common in atopic individuals) and presents as faintly white patches (hypopigmented patches unlike vitiligo patches which are depigmented) most commonly on face. Pityriasis XXXXXXX is not contagious and it does not usually spreads to other body sites though it may merge with other patches in vicinity and result in a bigger patch.. It is certainly not due to any vitamin deficiency.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Dermatologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor