Dr. Suvash Sahu
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have white spots on the edge of my lips. They have been there for quite some time. I do not have any discomfort. I read online that they could be Fordyce spots. I just wanted an opinion and possible treatment to get rid of them. I have a history of smoking and type 2 diabetes. I am not under any medication for diabetes and it is under control.
Kindly help.
Hello,
Welcome to icliniq.com.
I have read your query and examined your pictures (attachment removed to protect the patient's identity).
It may be milia, herpes, or Fox-Fordyce spots.
I would like you to answer a few questions mentioned below.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
I am having this for a few weeks or maybe a few months. I do not have any fever or burning sensation.
Hello,
Glad to have you back!
I am here to help you get the best medical advice.
It looks more like a milia. It is a tiny cyst containing keratin. I suggest you apply Tretinoin (Retinoic acid) 0.025% cream on the affected area during the night.
Kindly consult a specialist, talk to them, and start using the medication with their consent.
I hope this has helped you.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
So it is nothing to be worried about? I just wanted to make sure everything is fine. And how much time will it take for the spots to go away?
Thank you.
Hello,
Welcome back to icliniq.com.
Fordyce spots over both the lip mucosa and corners of the lip are benign and physiological. So there is nothing to worry about.
Thank you.
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Dermatology
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