I have white spot on my head for the past two years due to an injury. Is it vitiligo?

Question

Hello doctor,

I have a white spot on my head due to a small injury that happened approximately two years ago. It does not hurt nor cause any problem. Is it vitiligo?

Answer 1

Hi,

Welcome to icliniq.com.

Are the hair in the spot white or normal black? White spots on the head may be due to post-inflammatory hypopigmentation or vitiligo. Both do not hurt. Please send two or three clear photos to enable proper diagnosis.

Answer 2

Hello,

Welcome back to icliniq.com.

Thanks for the photographs (attachment removed to protect patient identity). As you told, the lesion is present for two years. I can appreciate the hair follicles within the affected area are black. Is the white patch stable, or is it increasing in size, number, or color? Is the white color present for two years? It seems to be post-inflammatory hypopigmentation, which has occurred due to the injury. Please answer these questions.

Answer 3

Hello,

Welcome back to icliniq.com.

I have seen the photos (attachment removed to protect patient identity). It is not vitiligo. It is post-inflammatory hypopigmentation.

Answer 4

Hello,

Welcome back to icliniq.com.

Melbild lotion can also be used. It helps in giving back color to the affected area. Along with the above treatment, you may apply Melbild during day time.

Answer 5

Hi,

Welcome back to icliniq.com.

I have seen the photos again (attachment removed to protect patient identity). They are similar to the earlier photos. The scar is approximately one year old. You can use Flutivate lotion once daily in the morning and Tacrovera 0.1% gel once daily at night. You may also use Melbild lotion during the day time over white patches. I cannot find any other scars in the photos. I can only see few small white spots. You can apply the same treatment as above. Use it for three weeks and then let me know the condition.