Dr. Suvash Sahu
Dermatology
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Patient's Query
Hi doctor,
My 4 week old baby has a white spot on his back. Is it vitiligo?
Hi,
Welcome to icliniq.com.
I have seen your query and concern.
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.
Patient's Query
Thank you doctor,
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.
Hi,
Welcome back to icliniq.com.
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.
Patient's Query
Thank you doctor,
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?
Hi,
Welcome back to icliniq.com.
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.
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