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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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White Spots On Face, Chest And Back That Are Specifically Visible In Winter. Is This Pityriasis Alba?

Hello Doc!!
I have light white spots on my face (on chin and near ear) and these are spreading.. I have these spots on my back since last 5-6 years.. They get disappeared in winters and again visible during summers.. This winters, back spots are invisible but face spots are still visible..
I think it is due to Tinea versicolor but this time I'm having same spots on my chest also.. But a little scaling is also present over them. It might be Pityriasis Alba..
suggest me what to do?
Thanx..
Mon, 2 Dec 2013
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Dermatologist 's  Response
Hi. Thanks for writing in to HCM.

Its very difficult to make a confirmatory diagnosis without having visually examined a patient. Pityriasis alba and Piyriasis versicolor are both characterised by Post Inflammatory Hypopigmentation.

I would advice that you get a KOH Scraping done from the scale. If its +ve, It would be confirmatory for pityriasis versicolor.

Follow up with a dermatologist with the test report or you can write in to me directly on this forum.


Take care
regards
Dr. kakkar
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White Spots On Face, Chest And Back That Are Specifically Visible In Winter. Is This Pityriasis Alba?

Hi. Thanks for writing in to HCM. Its very difficult to make a confirmatory diagnosis without having visually examined a patient. Pityriasis alba and Piyriasis versicolor are both characterised by Post Inflammatory Hypopigmentation. I would advice that you get a KOH Scraping done from the scale. If its +ve, It would be confirmatory for pityriasis versicolor. Follow up with a dermatologist with the test report or you can write in to me directly on this forum. Take care regards Dr. kakkar