How can the white patch on my forehead be treated?

Q. How can the white patch on my forehead be treated?

Answered by
Dr. Sushil Kakkar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 07, 2017 and last reviewed on: Jul 13, 2023

Hello doctor,

I have had a growing white patch on my forehead for a month now. I visited my PCP and she thought it was either vitiligo or a fungal infection. She gave me a Ketoconazole shampoo and ointment. Then I visited a dermatologist to see if it was vitiligo. She used a wood lamp and she confirmed that it was not vitiligo and said I had seborrheic dermatitis. She gave me a steroid called Desonide. She also told me to keep using ketoconazole. I used the steroid and the whiteness of the spots went down but still, they are slightly present. The next day I shampooed and my patch had intermixed normal pigment and white spots in the same areas again. Now it has been a day since I showered and the white area is back to its original. The dermatologist asked me to come after four to six weeks. Currently, I am on Losartan 50 mg once a day, Ketaconozole 2%, and Desonide cream. All the blood tests have been performed three months ago and my vitamin, thyroid, and kidney reports are all good. However, I am concerned about the physical appearance and I feel like the patch is growing down on the sides of the hairline. I have attached few images for your reference. What do you think this is?



Welcome to

I have noted your concern and I have viewed the attachment images (attachment removed to protect patient identity). It certainly does not look like vitiligo. I will keep a possibility of postinflammatory hyperpigmentation secondary to an underlying seborrheic dermatitis.

I suggest you may continue with the Desonide cream for a few weeks and also apply topical Tacrolimus 0.1 % ointment twice daily. It is a prescription medication and it is effective for both seborrheic dermatitis as well as for postinflammatory hyperpigmentation.


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