How to deal with white spots and itching near the eye area?

Hello,

Welcome to icliniq.com

I hope you are doing well.

I have gone through the information from your end, and I do understand your concern.

I would like to know a few more details regarding the same,

1. Have you had a similar condition in the past?

2. Any family history of a similar condition?

3. Are any medications taken or consultations done in person for the current concern?

Kindly provide an image of the affected area by attaching them for assessment through inspection, confirmative diagnosis, and for providing appropriate management options for the same.

Kindly revert back with the above details.

Hi,

Welcome back to icliniq.com.

As per the information provided and images shared (attachment removed to protect the patient's identity), it appears to be incipient vitiligo.

Due to the fact that the loss of pigmentation in the particular area is not intense and is very mild, you may be able to manage them with medications.

They are autoimmune conditions where in one's own cells are acted upon mistakenly.

My advice :

1. Tacroz 0.03% oinment (Tacrolimus) is to be applied on the affected spot in very small quantities (almost a grain of rice quantity) in a very thin layer on the affected area (since it is closer to the eyes, be careful with the amount). Keep it overnight and wash it off in the morning.

2. Exposure to the sun for 10 minutes is advised on alternate days for repigmentation of the affected area.

3. Capsule Omega 3 has to be taken once daily after dinner for two months.

4. Tablet Lumia 60k IU (Vitamin D3) once a week for six weeks after dinner.

Kindly provide details of the pigmented spot under the eye area. Make sure to attach a clearer image focusing on the pigmented area to assess the rashes better.

Hi,

Welcome back to icliniq.com.

As per the images provided (attachment removed to protect the patient's identity), there appears to be signs of seborrheic dermatitis which is causing drying and inflammation of the area along with open pores as you have already mentioned, melasma and lentigines spots are pigmentation which occurs most often due to multiple reasons including hormonal variations (which may appear by late 30s to early 40s, or following delivery), due to sun exposure,or due to family history of similar issues. These are the main factors which lead to melasma and lentigines.

My advice:

1. Kz 2% (Ketaconozole) cream may be used in the morning on the dry areas for four weeks.

2. Ethiglo (L- Glutathione) face wash for cleansing face. Apply a sufficient quantity and massage in gentle circular motions for one minute and wash off.

3. Kojiglo gel (Kojic Acid) to be applied in a thin layer on the hyperpigmented area of skin at night. Leave overnight and wash off in the morning. You may continue it for four to six months.

4. Capsule Evion 400 mg (Vitamin E) after breakfast for two months.

5. Open pores usually reduces better with procedures like chemical peels wherein a chemical peel solution is applied on the facial skin and cleaned up after five to ten minutes. Usually done once every two weeks for six sessions at least at a dermatologist's clinic. It is great for improving pigmentation concerns as well.

6. Sunstop gold sunscreen gel SPF 55 shoud be used on face to prevent further hyperpigmentation. Make sure to use sunscreens every two hours from 9 am to 5 pm and atleast 20 minutes before going out in the morning.

7. Take tablet Levocet M (Levocetrizine) at night one hour before going to sleep for two weeks to reduce itching faster.

Hi,

Welcome back to icliniq.com.

You may absolutely continue using the serums. However, I would advise using Niacinamide serum and Retinol on alternate nights as both are mildy peeling and overusing may cause skin irritation and redness. Vitamin C serum may be used in the morning.

Incipient vitiligo usually do not have a complete cure. However, since they are incipient currently, they may fade off eventually. For some individuals, they may not reappear. However, for others they may appear on and off especially in cause of stressful conditions. You may undergo the same treatment in case of recurrences.

Hi,

You are most welcome.

Hi,

Welcome back to icliniq.com.

1. Kz 2% cream (Ketaconozole).

2. Tacroz 0.03% cream (Tacrolimus).

3. Capsule Evion 400 mg (Vitamin E) once daily for two months.

4. Capsule Omega 3 (Alpha Linolenic Acid) once daily for two months.

5. Tablet Levocet M HS (Levocetrizine and Monteleukast) for two weeks.

6. Sunstop gold sunscreen gel SPF 55.

7. Kojiglo gel (Kojic Acid).

8. Capsule Lumia 60K IU (Vitamin D3) once a week for six weeks.

Hi,

Welcome back to icliniq.com.

Kindly send an image of the above rashes mentioned.

Have you had these lesions in the past?