Are white spots on the wrist and fingers suggestive of vitiligo?

Hello,

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I understand your concern. I have seen the attached pictures (attachments removed to protect the patient's identity). Unfortunately, it is difficult to identify early vitiligo in photographs as it starts with slight hypopigmented macules. The wrist lesion looks depigmented. It can be vitiligo, post inflammatory hypopigmentation, or contact leukoderma. You have to avoid the contact allergen in case of contact leukoderma. In the case of vitiligo, there is usually a history of other autoimmune conditions like alopecia areata, diabetes, or thyroid conditions. However, it is probably vitiligo if you already have a history of vitiligo. I advise you to observe any changes in the size or any new lesions. I suggest you ointment Tacrolimus 0.1 %, which can help in depigmentation. Consult a specialist doctor, talk to him or her, and take the medicines with their consent. I hope this helps. Kindly follow up after four weeks for review. Thank you.

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I suggest you consult a local doctor for the prescription. I hope this helps. Thank you.