Q. How to get rid of small white, bumpy, itchy, and round dots on the neck?

Answered by
Dr. Dhepe Snehal Madhav
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 19, 2022


I have had small white dots on my neck for the past three months. These spots are bumpy and sometimes itchy. They are small and round, like the shape of small freckles. When I touch it, it is not smooth. What can it be?



Welcome to

I read your query and understand your concern.

Please answer a few questions-

1. Do you have any drug history or drug allergies?

2. Do you have a history of atopy or allergies?

3. Do you have an issue with excess sweating?

4. Are you diabetic?

5. Have you ever had any fungal infections in the past?

6. Do you scratch or rub the lesions?

7. Is the lesion spreading?

8. Did you get any fever?

9. Do you have any insect bite history?

Please answer the questions in detail for further assessment.

Thank you.


I am a type 2 diabetic. I had no fungal infection in the past. This is the first time these spots have appeared. I do not have excessive sweating. I have no fever. I have no history of insect bites. I do not have any drug allergies. Sometimes these spot on the neck gets itchy, so I scratch them. Thank you.



Welcome back to

I understand your concern.

It is a superficial fungal infection caused by Malassezia furfur species (Pityriasis Versicolor infection).

I have these suggestions for you-

1. Apply Ketoconazole cream twice daily in the morning and night for four weeks.

2. Candid TV (Clotrimazole and Selenium Sulfide) lotion or Ketoconazole lotion 20 minutes before bath and after bath for 20 days.

3. Use Ketoconazole soap for the bath for two months.

4. You can take a tablet Levocetirizine 5 mg at night after food for two weeks.

5. Tablet Fluconazole 400 mg only once immediately after food.

6. Micogel (miconazole) cream in the evening for four weeks.

7. You must keep a check on your sugar levels. Keep sugar levels under control.

8. You must avoid scratching and rubbing lesions. Also, keep your nails short.

9. You must avoid activities that can cause sweating.

10. You must wear loose, comfortable thin cotton clothes and avoid occlusion, friction, and direct sunlight.

Thank you.

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