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Suggest Treatment For White Patches On Head And Face?
Hello Doctor, I'm pavithra from coimbatore and 'm 25 yrs of age.. 4 months back i got a white patch in my leg and it started spreading.. and i consulted a doctor he said its pigmentation problem n gav momoc ointment for applying.. but it din get cured.. nw, 2 week back got d patches n head and n face.. With all the details provided can you elaborate me the diagnosis and prescription for the problem in my skin... Thanks...
Mon, 3 Mar 2014
Hi. Welcome to HealthcareMagic.
I would keep a possibility of Vitiligo.
I usually treat my patients of vitiligo with either a moderately potent topical steroid e.g fluticasone or mometasone, twice daily OR with a topical immunomodulator like tacrolimus ointment, twice daily OR both.
Since you have already applied mometasone for a fair period of 4 months(which was justified), without any response.
Therefore as a treating doctor in this situation, I would have advised you to apply tacrolimus twice daily along with mometasone once daily at night.
In case of slowly spreading vitiligo it is also common practice to advice an oral immunomodulator e.g Levamisole.
Response might take 1-2 months to show up.
regards
I would keep a possibility of Vitiligo.
I usually treat my patients of vitiligo with either a moderately potent topical steroid e.g fluticasone or mometasone, twice daily OR with a topical immunomodulator like tacrolimus ointment, twice daily OR both.
Since you have already applied mometasone for a fair period of 4 months(which was justified), without any response.
Therefore as a treating doctor in this situation, I would have advised you to apply tacrolimus twice daily along with mometasone once daily at night.
In case of slowly spreading vitiligo it is also common practice to advice an oral immunomodulator e.g Levamisole.
Response might take 1-2 months to show up.
regards
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