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Dr. Andrew Rynne

Family Physician

Exp 18 years

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Pale white spots on face. What could be the problem ?

Hi, I am 29yr old and had delivered a baby before 11 months ago and still feed my baby and don t have regular period cycle. Recently I went out to an other city and used different face wash only once (then my regular face wash). After an hour, I noticed some white (or rather pale) patches on right side of my face[2-3 patches]. After few days there were 2-3 more patches. So I consulted a dermatologist and he suggested me that its an allergy and prescribed following medicines and asked me to stop using anything else for the face: - Cetaphil cleansing lotion [ Cetyl alcohol , Stearyl alcohol] (to clean the face) - Cutisoft [Hydrocoritsone Acetate Cream] (to apply twice a day) - Teczine 5mg. On first day I applied cutisoft on my entire face (as doc told me to use this cream as an alternate to any other i am using right now). Immediately after 5 mins, I was able to see more patches on my face even on left side!. I again went to the doc and he replaced Cutisoft with Desowen[Desonide Cream] and corrected me to apply only on impacted area only and not the entire face. Moreover, he told me that if it persists, then we will go for skin biopsy test [ this words blew through my ears... and made me tense, but he suggested most probably, the test need not to be done and its not related to cancer]. Can someone please suggest me- Q. what could be the problem here? Q. What is skin biopsy test? Q. Is my treatment on right track, or some tweaking can improve it?
Sun, 15 May 2011
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Dermatologist 's  Response
i dont think u have major problem
it look like skin sensitivity due to dryness
apply good misturizer and continue same treatment
it take time to heal
u must not think about cancer
biopsy -small piece of skin is taken for examination to find out cause
my advise dont go for biopsy
better to take opinion of other dermatologist
avoid direct sunexposure
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Dermatologist Dr. Bharat Chawda's  Response
Hi!Heeral ,
Welcome To HealthcareMagic forum,

Heeral ,I think what you have is just because of excess dry skin and excess sun exposure ,what we call as PITYRIAISIS ALBA.Its a benign condition ,not related to any cancer.It manifests as small light colored patches on face .In your case it might be because of use of a new face wash or soap.Avoid using soap or face wash which has drying effect on face like the one which contains salicylic acid.
It takes time to recover form this.What your doctor has prescribed is correct .You should just add a good moisturizer along with.Don't use desowen or cutisoft for long (just for couple of weeks).Don't forget to use a good spf sunscreen ( i would prefer a medicated one).Also use a moisturizing soap or a face wash along with.
A skin biopsy is a procedure where we take a small piece of skin and send it for histopathology test(its just like sending blood for investigation).I don't see a need in your case.

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