iCliniq Logo
HomeAnswersDermatologyhypopigmented patches

My baby has a white spot on his back. Is it vitiligo?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My 4 week old baby has a white spot on his back. Is it vitiligo?

Answered by Dr. Suvash Sahu

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

With your descriptions it seems your child may have pityriasis alba (fine, dry, and pale patches). Pityriasis alba is a treatable disease and more common in childhood or it may be pre vitiligo. Please get reviewed with picture for better evaluation and the best possible treatment of your concern.

Thank you for consulting me.

You can always reach me at icliniq.com.

Patient's Query

Hi doctor,

Thank you for the reply.

Please find the attached picture. The texture of that patch is same as his skin. His pediatrician said it is just eczema, but I am concerned.

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

It is a hypopigmentation, which is suggestive of pityriasis alba or atopic dermatitis. In vitiligo, there will be depigmentation. I suggest Fluticasone 0.05% local application twice daily for five days and use moisturizer Aquasoft-FC twice daily before application of Fluticasone for a month. I also suggest Moisturex Syndet soap for bathing. Consult his doctor, discuss with him or her and take the medicine with consent.

Looking forward to your response in order to help you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

The same cream was prescribed by his pediatrician, and I have been using it for the past four days. I will get it reviewed at his 6th week visit. Are you sure that it is not vitiligo?

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

At this point of time, if a patient is responding to Fluticasone, then definitely it is not vitiligo. Sometimes, early vitiligo looks like pityriasis alba. But, do not worry. You keep applying moisturizing cream and get review after one month.

Looking forward to your response in order to help you.

Thank you.

Answered byDr. Suvash Sahu

Medically reviewed byDr. K. Shobana

Published At September 12, 2016
Reviewed AtMarch 21, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Listen to related tracks in our music library

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.