White Patches on Skin: Causes and Treatments Explained - Dermatology

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Hello Dr.
Jiang: Since I was in the first year of junior high school until now, I have developed some white spots on my body, both on the upper and lower halves.
At first, I didn't think much of it, but they have been increasing in number, varying in size, though they are not painful or itchy.
I have visited several dermatology clinics, but they only prescribed me medication and told me to apply it, which has not improved the condition.
One dermatologist mentioned that there is no medication for my condition and said it is "vitiligo," indicating that there is no treatment available.
I would like to know what vitiligo is and if it really cannot be treated.
I live in a rural area with limited resources, so I would appreciate any professional knowledge you can share or if you could inquire about related information.
The white spots have spread to my neck, making me hesitant to wear round-necked clothing.
I hope you can help me regain my confidence and alleviate my feelings of inferiority.
Thank you!

Duo Le Mi~~, 10~19 year old female. Ask Date: 2006/06/17

Dr. Jiang Yujiao reply Dermatology


Hello: Did the dermatologist you visited tell you what condition you have? What was the diagnosis? If it is "vitiligo," the treatment process can be lengthy, but there are still ways to manage it.
There are many dermatology specialists in Taichung County, and you can visit the dermatology department at a teaching hospital, such as Taichung Veterans General Hospital, China Medical University Hospital, or Chung Shan Medical University Hospital.
Sincerely, Dr.
Jiang Yu-Jiao, Dermatology.

Reply Date: 2006/06/17

More Info


Understanding white patches on the skin can be a complex issue, as it may involve various dermatological conditions. Based on the information provided, it seems you are experiencing a condition that may be related to vitiligo or tinea (ringworm), among other possibilities.
Vitiligo is a skin condition characterized by the loss of pigment, resulting in white patches on the skin. The medical term for this condition is "vitiligo." It occurs when melanocytes, the cells responsible for producing skin pigment (melanin), are destroyed or stop functioning. The exact cause of vitiligo is not fully understood, but it is believed to be an autoimmune disorder where the body's immune system mistakenly attacks its own cells. Vitiligo can affect people of all skin types and can appear at any age, although it often starts in young adulthood.

On the other hand, tinea, often referred to as "ringworm," is a fungal infection that can also cause white patches on the skin. The medical term for this condition is "tinea corporis" when it affects the body. Tinea is caused by dermatophytes, a type of fungus that thrives in warm, moist environments. It is important to note that tinea can be treated effectively with antifungal medications.

In your case, if you have been diagnosed with vitiligo, it is essential to understand that while there is no definitive cure, there are treatment options available that can help manage the condition. Treatments may include:
1. Topical Corticosteroids: These can help reduce inflammation and may promote repigmentation in some cases.


2. Phototherapy: This involves exposing the skin to ultraviolet light under medical supervision. Narrowband UVB therapy is commonly used for vitiligo.

3. Depigmentation Therapy: For extensive vitiligo, some individuals choose to depigment the remaining skin to achieve a more uniform appearance.

4. Cosmetic Solutions: Many people with vitiligo use makeup or self-tanners to cover the white patches.

5. Skin Grafting: In some cases, skin grafting may be considered, where skin from a pigmented area is transplanted to a depigmented area.

If your condition is related to tinea, antifungal creams or oral medications may be prescribed, and it is crucial to follow your dermatologist's recommendations for treatment.

Regarding your concerns about the white patches spreading and your self-esteem, it is understandable to feel self-conscious about changes in your appearance. It is essential to consult with a dermatologist who can provide a thorough examination and accurate diagnosis. They can also discuss the best treatment options tailored to your specific condition.

In terms of self-care, here are some general recommendations:
- Sun Protection: Use sunscreen on affected areas to protect against UV damage, as depigmented skin is more susceptible to sunburn.


- Moisturization: Keeping your skin well-hydrated can help improve its overall appearance and health.

- Avoid Irritants: Be cautious with skincare products that may irritate your skin, especially if you have sensitive areas.

- Support Groups: Consider joining support groups for individuals with similar conditions. Sharing experiences can help alleviate feelings of isolation and boost confidence.

In conclusion, while conditions like vitiligo and tinea can be challenging, understanding your diagnosis and exploring treatment options can empower you to manage your skin health effectively. Always consult with a qualified dermatologist for personalized advice and treatment plans.

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