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Are White Patches Around The Mouth Signs Of Vitiligo?

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Posted on Wed, 15 Jun 2016
Question: Hi doctor, my name is XXXX. I noticed 2 weeks ago 2 whites patches around my mouth (left and right side). The color is not very white but it's pale and lighter than my skin color.
M using elocom cream since 2 weeks twice per day but no improvement. And I can see that the patch is spreading.
M afraid it's vitiligo, because we have it in the family. I live in XXXXXXX and dr here do not have good qualifications, but they told me its pitiriasis XXXXXXX not vitiligo.
I don't feel good about it, and seriously anxious and depressed. Please help me to find an answer.
Is it possible to send you some pictures? So u can see the situation clearly?
doctor
Answered by Dr. Asmeet Kaur Sawhney (5 hours later)
Brief Answer:
Upload pictures

Detailed Answer:
Hi
Thanks for being at Health Care Magic
I can understand your concern.

You can upload the pictures under report section of the HCM site so that I can have a look and can guide you accordingly.

Regards
Dr Asmeet
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (1 hour later)
Dear dr I don't know if u received the pictures or not yet
The email was rejected many times by the server
M trying to send u the pictures again by mail, but unfortunately I can download only 1.
I sent u the pictures on the app as well.
Plz let me know the answer m still waiting. It's taking forever
Thank u
doctor
Answered by Dr. Asmeet Kaur Sawhney (1 hour later)
Brief Answer:
Upload clearer pictures

Detailed Answer:
Hi
I have received just one picture and it is not very clear to differentiate between vitiligo and pityriasis XXXXXXX
Are you having mild scaling over these white patches ?
Kindly upload some clearer pictures.
Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (1 hour later)
Hi again,
Sorry for my late reply. Sometimes I feel that i have mild scaling over the left patch. like There is white thing over it.
It's not always the case so I don't know if it's due to the cream m using.
I noticed that my skin is very dry, not only my face but all my body.
I will try to send u another picture so u might see it in a clearer way. Unfortunately I can't send more than one picture, the system is not taking 2.
if u zoom the picture u can see scaly skin but from a wide angle no, and even when I look at my face i canot see the dryness of the patches I can only see milky patches lighter than my skin color.
Thank u for ur help. Can't wait for Ur answer
doctor
Answered by Dr. Asmeet Kaur Sawhney (55 minutes later)
Brief Answer:
High possibility of pityriasis XXXXXXX

Detailed Answer:
I have again reviewed the attached photographs.
These are looking like hypopigmented patches unlike the depigmented patches of vitiligo.
There is a high probability ot these being pityriasis XXXXXXX
If I was your treating doctor I would recommend you to apply tacrolimus 0.03 percent ointment on the patches at night and mometasone cream on the patches in the morning for 3 weeks.
These are prescription drugs and you need to see the doctor in person to get them.
You can continue with elocon cream for few more days to see the response.
Regards
Dr Asmeet
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (1 hour later)
thank u so much for r help I appreciate it.
doctor
Answered by Dr. Asmeet Kaur Sawhney (1 hour later)
Brief Answer:
Welcome

Detailed Answer:
Welcome!!
Wish you good luck!!
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Deepak
doctor
Answered by
Dr.
Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4993 Questions

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Are White Patches Around The Mouth Signs Of Vitiligo?

Brief Answer: Upload pictures Detailed Answer: Hi Thanks for being at Health Care Magic I can understand your concern. You can upload the pictures under report section of the HCM site so that I can have a look and can guide you accordingly. Regards Dr Asmeet